Aviyah Israel
Columbus,OH
Summary
Energetic and eager customer accounts manager with over 15 years of professional experience assisting customers in solving complex issues. Keen to support regarding Billing and Account Management. In becoming a lead and liaison of B2B and customer support skills. Frequently awarded with Customer Service Representative of 98% adherence and quality. Assisting in multiple project out side job description. Reduced call back issues with one touch resolution.
Overview
11
11
years of professional experience
Work History
Customer Service Representative (Remote)
Automated Health Systems Inc. (Ohio Medicaid)
05.2023 - Current
- Reduced errors in benefit verification tasks by conducting thorough audits and rectifying discrepancies.
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Provided exceptional customer service, handling sensitive patient situations with professionalism and empathy.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
Account Manager (Remote)
Cardinal Health -Contractor Dawson Temp
02.2021 - 10.2021
- Validated client questions, concerns and escalations to meet contractual expectations and preserve client relationships
- Support customer via emails, troubleshooting links and activations of accounts
- Initiated enrollment and credentialing process
- Communicated with approximately 20 clients daily to understand needs and explain product value.
Benefits Verification Specialist
Buckeye Health Plan, Commercial and State Insurance Company
12.2018 - 01.2021
- Managed inbound member calls relating to status, and verification process quickly establishing relationships and rapport
- Provided knowledgeable response to members questions regarding health plan researched and identify inaccuracy
- Assured timely verification of insurance benefits prior to patient procedures or appointments
- Delivered exceptional customer service to bolster strong relationships and build positive experiences with audit of 97%.
Billing and Collections Coordinator
NuMotion, DME And Medical Supply Company
10.2016 - 09.2018
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations
- Verified completeness and accuracy of incoming provider claims
- Responded to correspondence from commercial, government and state insurance companies
- Utilized EMR MBS and EPIC to manage and confirm patient data, such as insurance, demographic and medical history information.
Patient Accounts Representative
Conifer Health Solutions
05.2013 - 05.2016
- Oversaw daily duties which often include processing insurance claims, accurately processing patient payments, and resolving issues from itemized statements
- Defined EOB and claim injuries
- Managed over 70 customer calls per day
- Gained extensive knowledge in data entry, analysis and reporting.
Education
Associate in Science (A.S.) - Computer Networking And Telecommunications
Southern Illinois University
Edwardsville, IL05.
Diploma (GED) - Basic
Southern Illinois Regional Office Of Education
Belleville, ILSkills
- Administrative oversight
- Contract negotiation
- Client relationship management
- Insurance confirmation
- Documentation processing
- Claims processing
- Policy requirements and eligibility
Accomplishments
Continually achieved 90%+ quality assurance scores while following federal, state, local and company guidelines. Team Development: Mentored associates on a one-on-one basis in training of upcoming policies and procedures. Collaborated with team of 30 in the development of LionPro. Documented and resolved complaints which led to one call resolutions. SMARTS, CUBS, EPIC, RCM PROCEDURES, FACS PROGRAM, EMR, NEXTGEN, CRM & OMNI HIPAA compliant Payment processing, posting, and adjusting. Call Control Customer Service and Assistance Reimbursement Management Member Support Accounts Payable and Accounts Receivable
Additional Information
3.6, Kim's Kids Day Care volunteer, MS Computer Software
Timeline
Customer Service Representative (Remote)
Automated Health Systems Inc. (Ohio Medicaid)
05.2023 - Current
Account Manager (Remote)
Cardinal Health -Contractor Dawson Temp
02.2021 - 10.2021
Benefits Verification Specialist
Buckeye Health Plan, Commercial and State Insurance Company
12.2018 - 01.2021
Billing and Collections Coordinator
NuMotion, DME And Medical Supply Company
10.2016 - 09.2018
Patient Accounts Representative
Conifer Health Solutions
05.2013 - 05.2016
Associate in Science (A.S.) - Computer Networking And Telecommunications
Southern Illinois University
Diploma (GED) - Basic
Southern Illinois Regional Office Of Education
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