Barbara Rochelle Russell

• Used critical thinking to break down problems, evaluate solutions and make decisions.
• Demonstrated respect, friendliness and willingness to help wherever needed.
• Adaptable and proficient in learning new concepts quickly and efficiently.
• Proved successful working within tight deadlines and a fast-paced environment.
• Cultivated interpersonal skills by building positive relationships with other departments
• Completed paperwork, recognizing discrepancies and promptly addressing for billing resolutions in relations to insurance verifications and prior authorizations..
• Supported timely claims processing by submitting accurate and complete documentation to insurance companies.
• Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
• Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.

• Responsible for counseling patients and their families to identify special needs .
• Coordinated patient access to entitlement eligibility assistance, i.e., TennCare, and internal/external resources.
• Verified insurance coverage for private insurance, Medicare, and Medicaid as needed.
• Arranged financial plans for self-pay and uninsured patients who expect to owe balances with appropriate promissory notes..
• Explained non-covered services to patients and obtained necessary documentation in order to bill patient as required by insurance regulations.

• Established performance metrics for the team, consistently tracking progress towards goals and making adjustments as needed; which included, scheduling, training and assisted with problematic calls
• Frequently inspected production area to verify proper equipment operations, and call monitoring.
• Boosted team performance by developing customer service training materials and conducting service training.
• Solicited customer feedback to identify and improve on areas of weakness.
• Attended weekly departmental meetings, order supplies, timesheet authorizations, and budgeting.
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• Took active role in patient and family planning process, detailing instructions, and responding appropriately and effectively to questions and concerns.
• Performed certification to ensure optimal quality.
• Made referrals to Physician Advisors for medical reviews..
• Documented progress in treatment plans, educational, and recreational activities and maintained updated case records.
• Participated in internal quality assurance programs, continuing education programs, and processed medical claims.

Assisted customers, cashiers, agents, and district managers with accounting procedures.