Catherine S. Connor-Steele
Merrimack,USA
Summary
Knowledgeable customer service, and accounts receivable associate with over 20 years combined experience within the revenue cycle. Excellent communication skills balanced by an outgoing personality will ensure a successful collaboration within any team. Solid collaborator with a positive, professional demeanor. Motivated to maintain customer satisfaction and contribute to your company's success. Specializing in quality, process optimization, articulate, energetic, and results oriented. Committed to maintaining a profitable experience that enhances business results with service delivery and proven multitasking abilities.
Overview
30
30
years of professional experience
Work History
Patient Account Representative
Catholic Medical Center
Manchester, New Hampshire
11.2023 - Current
- Patient Account representative with over 20 years of experience responsible for timely and efficient 3rd party billings to Medicare Advantage payers (managing claim edits, denials, and correspondence).
- Collaborated with payers, leadership, medical records, coding, registration, and clinical reviewers to facilitate successful communication within the team and throughout the Revenue Cycle.
- Researched discrepancies in patient accounts to determine appropriate resolution.
- Verified accuracy of medical coding for services rendered by healthcare providers.
- Analyzed claims denials from third party payers and identified potential solutions for reimbursement.
- Submitted appeals on behalf of patients when appropriate based on findings from research conducted into denied claims.
- Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
- Reconciled payments received against outstanding invoices ensuring proper posting of credits and debits.
Billing Analyst
Eversource
Manchester, New Hampshire
09.2022 - 11.2023
- Resolved customer billing discrepancies in compliance with State and Federal guidelines
- Collaborated with internal team members to resolve billing, and correct net metering credits
- Maintained timely, accurate, and quality production times on quarterly reporting in compliance with company, state, and federal policy
- Reviewed and processed customer invoices for accuracy.
- Analyzed data from customer accounts to identify discrepancies.
- Researched and resolved billing issues with customers.
- Assisted in the preparation of monthly financial statements.
Health Safety Net Billing Coordinator
South Shore Health System
South Weymouth, Massachusetts
06.2006 - 06.2022
- Led the Health Safety Net, Medicare Advantage, and Victim's Compensation receivables from claims submission to reconciliation while collaborating with internal team members to provide problem resolution while delivering an enhanced customer experiences to our patients, payers, and clinical teams
- Collaborated on operational improvements to enhance quality and improve production times while reducing the outstanding accounts receivable balances
- Analyzed customer accounts to identify discrepancies and resolve billing issues.
- Created and maintained accurate customer records in database system.
- Developed strategies to reduce discrepancies in the billing process.
Claims/Member/Provider Services relationship Specialist
Guardian Life Insurance Company
New York, New York
04.1995 - 05.2002
- Managed provider relations mailbox by triaging inquiries, while facilitating resolution of incoming requests, and fostering positive relationships with key providers
- Increased provider satisfaction scores by collecting and investigating claims and inquiries and overseeing network integrity
- Contributed to an enhanced audit process while maximizing quality management standards
- Educated new hire employees on policy, processes and establishing positive relationships with our members
- Assisted customers with inquiries and complaints, resolving issues promptly and professionally.
- Provided personalized service to clients in order to build relationships and maintain customer loyalty.
- Responded quickly and efficiently to incoming calls from existing customers seeking assistance or advice.
Education
High School Diploma -
Marshfield High School
Marshfield, Ma01.1984
Certification in Paralegal Studies -
Eastern Nazarene College
Quincy, MaSkills
- Clinical Terminology
- Coding and Billing Terminology
- Insurance Contracting
- Insurance Policy
- State and Federal Regulations
- Microsoft Office
- Internet Search Engines
- Insurance Payer Access Portals
- HIPAA Compliance
- Confidentiality
- Customer Account Management
- Data Management
- Meditech
- SMS
- Epic
- Allscripts
- Conflict Resolution
- Service Excellence
- Quality Assurance
Timeline
Patient Account Representative
Catholic Medical Center
11.2023 - Current
Billing Analyst
Eversource
09.2022 - 11.2023
Health Safety Net Billing Coordinator
South Shore Health System
06.2006 - 06.2022
Claims/Member/Provider Services relationship Specialist
Guardian Life Insurance Company
04.1995 - 05.2002
High School Diploma -
Marshfield High School
Certification in Paralegal Studies -
Eastern Nazarene College