CHANTEL STEYN
Hettinger,ND
Summary
Results-oriented Provider Relations Specialist with a proven track record of resolving billing issues and providing exceptional customer service. Skilled in training providers on claims submission, answering phone calls and emails, and ensuring accurate and timely processing of claims. Proficient in medical billing, insurance verification, and maintaining HIPAA compliance. Strong attention to detail and ability to handle high call volumes.
Overview
18
18
years of professional experience
Work History
Provider Relations Specialist
ND Department of Health and Human Services
Bismarck
02.2020 - Current
- Adjudicated claims using state systems, resolving payment errors and processing discrepancies.
- Interpreted benefit policies to ensure consistent claim decisions and provider communication.
- Trained providers on claims procedures, documentation standards
- Analyzed recurring claim issues and recommended process improvements for faster resolution.
- Reduced errors in claims submissions through meticulous attention to detail and thorough review processed.
- Answered emails and calls efficiently to support day-to-day operations.
PATIENT ACCOUNT REPRESENTATIVE
West River Health Serices
Hettinger
02.2018 - 2020
- Answer phone calls regarding patient bills, insurance, paying bills
- Sending faxes, sending monthly billing statements out
- Helped clients fill out the application forms for Medicaid and Snap
- Identified healthcare resources and programs for patients unable to meet financial obligations
- Conducted interviews with patients and family members and answered questions regarding insurance benefits
- Received and submitted customer payments
- Manage over 50 customer questions/concerns daily via telephone & email
- Performed billing, collection and reporting functions for Hospital
- Processed refunds, disbursements and payments.
PROVIDER RELATIONS REPRESENTATIVE
ND Dept Of Human Services
Bismarck
06.2017 - 2018
- Managed over 100 calls per day and maintained high customer satisfaction scores
- Promoted customer satisfaction and loyalty by addressing and resolving problems for clients
- Researched billing, claims and other provider concerns
- Examined complex and atypical claims to assess coverage
- Contributed to and enhanced audit processes to maximize quality management standards
- Maintained up to date knowledge of different policy types and specific benefit plans.
PATIENT ACCOUNT REPRESENTATIVE
WEST RIVER HEALTH SERVICES
Hettinger
01.2015 - 2017
- Answer phone calls regarding patient bills, insurance, paying bills
- Helped clients fill out the application forms for Medicaid and Snap
- Identified healthcare resources and programs for patients unable to meet financial obligations
- Conducted interviews with patients and family members and answered questions regarding insurance benefits
- Received and submitted customer payments
- Manage over 50 customer questions/concerns daily via telephone & email
- Performed billing, collection and reporting functions for Hospital
- Submitted electronic bills following facility and legal compliance standards
- Ran statements each month to review outstanding balances and identify accounts in need of collection processing
- Collaborated with all relevant parties to resolve billing issues, insurance claims and patient payments
- Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
DATA ENTRY CLERK
TRACKER MARINE
Lebanon
01.2013 - 2014
- Organizing files and collecting data to be entered into the computer
- Analyzing the data for errors
- Reporting problems with the data
- Accurately entering information into various computer programs
- Keeping sensitive customer or company information confidential
- Input client information into spreadsheets and company database to provide leaders with quick access to essential client data.
MEDICAL ASSISTANT/OFFICE MANAGER
Ozarks Foot Clinic
Osage Beach
01.2009 - 2012
- Administrative duties (e.g., answering phones, scheduling appointments, maintaining medical records, patient processing, billing and bookkeeping) that allowed doctors and nursing staff to focus on the health concerns of their patients
- Patient medical histories and vital signs, as well as in performing venipunctures, injections and various diagnostic procedures
- Ensured cleanliness, sanitation and maintenance of all facilities, exam rooms and equipment
- Helped implement practice’s quality assurance and control program
- Efforts ensured compliance with HIPAA, CLIA and OSHA regulations;
- Reacted calmly and effectively in emergency situations, and added personal, caring touch that immediately put patients at ease
- Checked patients in, collected and verified insurance information, compiled new patient forms, scheduled appointments and updated patient files
- Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process
- Sterilized medical equipment after each procedure
- Scheduled appointments for patients via phone and in person.
Education
Medical Assistant - undefined
Everest College
Springfield, MOundefined
John Adams High School
Skills
- Healthcare Management
- Medical Billing
- Insurance Verification
- Quality Assurance
- EMR Systems
- Medical Records
- HIPAA
- Experience Administering Injections
- Epic
- Laboratory Experience
- ICD-10
- Administrative Experience
- CPT Coding
- Medical Scheduling
- ICD-9
- Office Management
- Medical Office Experience
- Claims processing
- Teamwork and collaboration
- Friendly, positive attitude
- Time management
- Attention to detail
- Flexible and adaptable
- Dependable and responsible
- Multitasking
- Critical thinking
- Problem resolution
Personal Information
Title: MEDICAL CLAIMS SPECIALIST
Timeline
Provider Relations Specialist
ND Department of Health and Human Services
02.2020 - Current
PATIENT ACCOUNT REPRESENTATIVE
West River Health Serices
02.2018 - 2020
PROVIDER RELATIONS REPRESENTATIVE
ND Dept Of Human Services
06.2017 - 2018
PATIENT ACCOUNT REPRESENTATIVE
WEST RIVER HEALTH SERVICES
01.2015 - 2017
DATA ENTRY CLERK
TRACKER MARINE
01.2013 - 2014
MEDICAL ASSISTANT/OFFICE MANAGER
Ozarks Foot Clinic
01.2009 - 2012
undefined
John Adams High School
Medical Assistant - undefined
Everest College