Timeline
Work History
Overview
Education
Skills
Work Preference
Cynthia Prosser

Cynthia Prosser

Medical & Insurance Customer Service
Simms,Texas
"Half the fun of getting there is getting there"
Cynthia Prosser

Timeline

Customer Care Professional - Illumifin
10.2021 - Current
Receptionist and Insurance Specialists - Texarkana Obstetrics and Gynecology
09.2019 - 08.2021
Patient Advocate-Remote - Zion Revenue Solutions aka Revenue Simplified
04.2018 - 07.2019
Insurance Specialists-Remote - Revenue Simplified aka Zion Revenue Solutions
10.2015 - 07.2017
Pinellas Park High School - High School Diploma,
08.1980 - 06.1984

Work History

Customer Care Professional

Illumifin
Minneapolis, MN
10.2021 - Current
  • Skilled at working independently and collaboratively in a team environment.
  • Excellent communication skills, both verbal and written.
  • Proven ability to learn quickly and adapt to new situations.
  • Demonstrated strong organizational and time management skills while managing multiple projects.
  • My previous work and customer service experience is varied, and I am proficient in Word, Excel, Microsoft Office, Athena, Quick Books and many additional operating programs. Typing is 45-50 WPM, 10-Key by touch.
  • Focused customer service professional dedicated to meeting and exceeding customer expectations by delivering industry-leading support. Skilled in handling inbound and outbound calls, online requests and emails with good problem-solving, multitasking and research abilities. Background in Medical and Customer Service roles with high-volume customer demands.

Receptionist and Insurance Specialists

Texarkana Obstetrics and Gynecology
Texarkana, TX
09.2019 - 08.2021
  • Confirmed appointments, communicated with patients and updated records.
  • Handled cash transactions and maintained insurance co-pays and deductibles and payments records accurately.
  • Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in patients.
  • Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
  • Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
  • Handled sensitive information with discretion while maintaining strict confidentiality standards.
  • Enhanced patient satisfaction by promptly addressing inquiries and providing accurate information.
  • Maintained confidentiality of information regarding patient care and am trained in HIPPA guidelines.
  • Responsibilities are Scheduling patients' appointments, verifying insurance, obtaining Primary Care Referrals as well as Pre-Authorizations.
  • Verification of all patient's demographic information and coordination of care. Also required obtaining Medical Records for appointments for each new patient
  • Coordinating care for patients Primary Care Referrals and receiving Transfer Medical Records submitting them to 6 Providers for approval and scheduling the appointments.
  • Also obtained insurance coverage with Med Data for possible Medicaid coverage. To aid in patient care.
  • Processing credit card and debit card payments in addition to balancing daily payments.
  • Insurance verification for preauthorzations on various websites including Ahin, Availity, Tricare, Medicare, and many others.
  • Performed Pregnancy test for possible patients.

Patient Advocate-Remote

Zion Revenue Solutions aka Revenue Simplified
Texarkana, Tx
04.2018 - 07.2019
  • Worked effectively in fast-paced environments.
  • Self-motivated, with a strong sense of personal responsibility.
  • Answered all incoming calls for a Hospital in Colorado for an extended billing office.
  • Received patient data for demographic and insurance billing.
  • Understand medical billing procedures and account aging.
  • Resolved billing and insurance questions and issues.
  • Reviewed CPT and Diagnosis codes with patients and review chart notes.
  • Added Primary, Secondary and Tertiary Insurance to patient accounts.
  • Reviewed Physician and also Facility Claims.
  • Addressed and resolved patient billing problems or concerns regarding co-pay, co-insurance, and deductible balances.
  • Contacted patients to update coordination of benefits.
  • Coordinated calls with both patient and Insurance on three-way calls.
  • Obtained Workers Compensation information from patients, employers, or adjusters.
  • Obtained Motor Vehicle Accident reports and information for billing Motor Vehicle Insurance companies from patients or adjusters.
  • Assisted in faxing or emailing UB04's, 1500's or Patient Statements to Insurance or Adjusters.
  • Accepted and processed credit cards. Set up terms or reoccurring payments for patients.
  • Functioned as an internal and external resource for patient programs available.
  • Worked with collection agencies to ensure that they receive updated information on accounts, as necessary.
  • Performed reconciliation of refund accounts attach documentation and forward it to supervisor to process refund checks.
  • Completed monthly spreadsheet of all incoming credit card and Electronic Fund payments for monthly billing.
  • Requested Medical Record requests for review and Coding when needed.

Insurance Specialists-Remote

Revenue Simplified aka Zion Revenue Solutions
Texarkana, TX
10.2015 - 07.2017
  • Collaborated with team members to develop innovative solutions for complex reinsurance challenges, ensuring optimal results for patients.
  • Participated in industry conferences and seminars to stay informed on emerging trends, applying newfound insights to company strategies for ongoing growth and success.
  • Increased efficiency of claims processing with meticulous tracking and organization, expediting resolution for patients.
  • Improved patient relationships by providing timely information on reinsurance program performance and addressing any concerns promptly.
  • Obtained EOB's to troubleshoot claims and processed appeals and resubmissions.
  • Processed secondary Insurance Claims billing and follow-up.
  • Also, I prepared all Workers compensation Claims by billing faxing and submitting Medical Records. All paper Claims mailing, billing and follow up.
  • Contacted both by website and phone various Insurance Companies to obtain Claim status or eligibility, and benefits for patients.
  • My responsibilities included submitting spreadsheets for rebilling and processing of Claims by Billers as well as requesting adjustments.
  • Also typed contact information fax cover letters and submission of required documentation for completion of Medical Claims.
  • My responsibilities included document management within the medical record for several Hospital operating systems.

Overview

9
9
years of professional experience
4
4
years of post-secondary education

Education

High School Diploma -

Pinellas Park High School, Largo, FL
08.1980 - 06.1984

Skills

  • Conflict Resolution Techniques
  • Medical Claims Submission
  • Data Evaluation
  • Information Extraction
  • Insurance Coverage Verification
  • Past Due Account Management
  • Customer Relations
  • Senior Leadership Support
  • Collaborative Environments
  • Workload Planning
  • Information Updates
  • HIPPA Security Verification
  • Claims Investigations
  • Revenue Generation
  • Strong Telephone Etiquette
  • Client Meetings
  • Clerical Support
  • Document Management
  • Medical Billing
  • Medical Records
  • Primary Care Experience
  • Workers' Compensation
  • Medical Scheduling
  • Insurance Verification
  • Accounting
  • QuickBooks
  • Leadership
  • Salesforce
  • Computer literacy
  • 10 Key Data Entry
  • Microsoft Office
  • Athenahealth
  • Medical Terminology
  • Loan processing
  • EMR Systems
  • Athenahealth

Work Preference

Work Type

Full Time

Location Preference

Remote

Important To Me

Work-life balanceCareer advancementHealthcare benefitsFlexible work hoursWork from home optionPaid sick leavePaid time offCompany Culture

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Cynthia ProsserMedical & Insurance Customer Service