Results-driven Follow-Up Specialist with extensive experience in customer service and account management. Proven ability to enhance customer satisfaction through effective problem-solving, time management, and relationship-building. Achievements include significantly improving customer retention rates and receiving positive feedback for prompt issue resolution. Seeking to leverage expertise in a dynamic environment to further elevate client engagement and service quality.
Overview
17
17
years of professional experience
Work History
AR Follow Up Specialist
Abax Health
Chattanooga, TN
12.2023 - 01.2025
Maintained up-to-date records of all customer interactions in database system.
Contacted insurance companies to check status of claim payments.
Wrote appeal letters to insurance companies for denial of claims.
Called insurance companies to follow-up on unpaid or rejected claims.
Participated in regular meetings with management teams in order to discuss current challenges and strategies for improvement.
Ensured that all documents were filed accurately according to established protocols.
Identified and resolved discrepancies between submitted claims and insurance carriers' responses.
Researched patient accounts to ensure proper billing codes were used.
Maintained accurate records of claim status information in the database system.
Reviewed and validated insurance claims for accuracy, completeness, and compliance with established policies and procedures.
Reimbursement Specialist
Unified Health Services
Memphis, TN
08.2021 - 10.2023
Investigated complex cases involving multiple providers or incorrect coding issues.
Developed relationships with insurance companies to facilitate timely payments.
Verified that all necessary documents were included in each request before submitting it for payment.
Ensured compliance with applicable laws and regulations when processing reimbursement requests.
Reviewed and processed reimbursement requests in accordance with company policies and procedures.
Maintained confidentiality and integrity of patient data.
Determined medical necessity, using individual insurance carrier regulations.
Researched rejections, investigating problems to appeal claims.
Verified clients' insurance claims coverage by coordinating with providers.
Submitted claims to insurance companies.
Checked claims coding for accuracy with ICD-10 standards.
Medical Debt Collector
State Collection Service
Beloit, WI
04.2020 - 08.2021
Utilized skip tracing techniques when attempting contact with hard-to-reach debtors.
Adhered strictly to departmental procedures while handling sensitive information.
Reviewed patient files regularly to ensure compliance with HIPAA regulations.
Explained hospital policies and procedures related to billing practices and collections efforts.
Processed credit card payments from customers over the phone or online via secure portals.
Assisted patients in understanding their billings statements, insurance coverage, and payment options available.
Monitored accounts receivable aging reports daily for timely follow up on overdue invoices.
Employed effective negotiation tactics when discussing repayment terms with clients.
Conducted outbound calls to customers regarding past due balances, payment arrangements, and other account inquiries.
Responsible for contacting patients with outstanding medical debt and negotiating payment plans.
Maintained detailed records of all correspondence with patients concerning their debts.
Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
Administrative Assistant
Independent Sitter Services
Birmingham , AL
06.2008 - 11.2019
Maintained a filing system for patient records and physician orders.
Prepared patient charts for upcoming appointments, including collecting patient history forms and other relevant documents.
Performed data entry tasks including transcribing dictation of medical reports into electronic health records system.
Assisted with scheduling diagnostic tests such as X-rays, MRIs, and CT scans when requested by physicians or nurse practitioners.
Maintained confidentiality of all patient information according to HIPAA regulations.
Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
Scheduled and confirmed patient appointments for diagnostic, surgical, and consultation services.
Compiled physical and digital documents, charts, and reports.
Confirmed patient information, collected copays and verified insurance.
Cooperated with Medicare, Medicaid, and private insurance providers to resolve billing issues.
Conducted patient intake interviews to collect medical information and insurance details.
Triaged incoming patients by assessing conditions and modified schedules to handle more severe concerns quickly.
Interviewed patients to complete case histories and intake forms.