Billing professional with proven track record in training, customer service and billing accuracy. Reliable team collaborator focused on achieving results and adapting to changing needs, with keen eye for detail and problem-solving skills.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Support Specialist & Trainer
PCG Consulting Group
Maywood, IL
03.2024 - Current
Processed medical claims and invoices for a high-volume healthcare facility, building accuracy and adherence to billing guidelines
Verified patient insurance coverage and obtained necessary authorizations for medical procedures
Reviewed and corrected coding errors on claims to maximize reimbursement from insurance companies
Followed up with insurance companies regarding claim denials or discrepancies, resolving issues in a timely manner
Collaborated with healthcare providers to obtain missing documentation or clarification on medical procedures for accurate billing
Maintained strict confidentiality of patient information in compliance with HIPAA regulations
Developed strong relationships with insurance company representatives to allow smooth claims processing and resolve any disputes or delays
Training Supervisor
PCG Consulting Group
Maywood, IL
08.2021 - 03.2024
Led a team of 5 trainers to deliver engaging and interactive training sessions to employees at all levels
Mentored and coached trainers on instructional techniques to guarantee consistent delivery of high-quality training content
Facilitated train-the-trainer sessions to enhance trainer competencies in delivering effective presentations and facilitating group discussions
Developed training manuals, job aids, and reference guides to support ongoing learning and reinforce key concepts
Background in multiple projects simultaneously such as Illinois Department of Public Health and Illinois Department of Employment Security project during Covid.
Ground-Up approach to every new project to ensure training and comprehension of new programs.
Proficiency with Healthcare Member & Provider Services.
Team Lead
PCG Consulting Group
Maywood, IL
05.2020 - 08.2021
Received Award of Recognition to Superior Customer Service from Deloitte.
Resolved escalated customer issues by collaborating with cross-functional teams, ensuring timely resolution and customer satisfaction
Handled irate or upset customers professionally by actively listening to their concerns and finding appropriate solutions that met their needs while upholding company policies
Developed strong relationships with key clients through regular communication and proactive account management strategies
Executive Assistant/Legal Assistant
Optimum Outcomes/Adreima
Downers Grove, IL
11.2013 - 10.2018
Maintained and exceeded all goals and duties from a remote home office.
Developed reputation as an efficient service provider with high levels of accuracy.
Accurate and confidential handling of sensitive information and legal documents.
Respond to all complaints/disputes via the B.B.B and C.F.P.B.
The company received a rating of 'A' from the B.B.B. for the first time in its history under my supervision.
Assist in ensuring we are legally bonded and licensed in each state.
Maintain HIPAA and FDCPA Regulations.
Researched and developed strategies for company attorney and CFO.
Medical Collection Specialist
Optimum Outcomes/Adreima
Downers Grove, IL
08.2012 - 10.2013
Negotiated payment plans with patients to facilitate prompt resolution of outstanding balances while maintaining positive customer relationships
Maintained up-to-date knowledge of federal regulations related to medical collections, ensuring compliance at all times
Developed standardized templates for collection letters and statements, improving efficiency in communication with patients
Received recognition for consistently meeting or exceeding monthly collection goals
Resolved customer inquiries regarding their debts in a professional and timely manner, providing clear explanations of outstanding balances and payment options available
Utilized effective communication skills to establish rapport with debtors, facilitating successful payment arrangements
Conducted thorough investigations to locate and contact debtors using various skip tracing techniques
Managed a high volume of accounts, prioritizing collection efforts based on account aging and potential for recovery
Senior IT Support Specialist (Laptop & Desktops) at New York computers Pty LtdSenior IT Support Specialist (Laptop & Desktops) at New York computers Pty Ltd