Cynthia Sellars
Mercer,TN
Summary
Dynamic and results-oriented professional with extensive experience in insurance processing and verification, notably at West Tennessee ENT Clinic. Excelled in enhancing patient satisfaction and reducing billing errors through meticulous attention to detail and superior customer service skills. Demonstrated expertise in data entry and teamwork, significantly improving operational efficiency.
Overview
33
33
years of professional experience
1
1
Certification
Work History
Insurance Contract Processor
The Jackson Clinic
08.2024 - Current
- Supported team members in their tasks, contributing to overall team success.
- Increased productivity by effectively managing workload and prioritizing tasks.
- Maintained accurate records and ensured timely completion of all necessary paperwork.
- Enhanced team collaboration, sharing best practices for efficient processing techniques.
- Received and reviewed incoming documents and materials.
Insurance Verification Specialist
West Tennessee ENT Clinic
11.2004 - 07.2024
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Posted payments to accounts and maintained records.
- Negotiated payment plans on behalf of clients facing financial hardship, helping them access necessary healthcare services without undue burden.
- Facilitated smoother billing operations by accurately entering patient insurance information into system.
- Obtained payments from patients and scanned identification and insurance cards.
- Performed various administrative tasks by filing, copying and faxing documents.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Processed medical insurance claims and payments.
- Answered phone calls and messages for 2-physician ENT medical facility, scheduling appointments, and handling patient inquiries.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Assisted with medical coding and billing tasks.
Insurance Department
West Tn Anesthesia
08.1991 - 11.2004
- Posted Payment from Insurance companies and patients
- Calling Insurance companies about denials or problems with the claims
- Billed self pay patients
- Entered patient demographics, insurance information
- Scheduled procedures from hospital's
Education
High School Diploma -
06-1990
Skills
- Attention to detail
- Teamwork and collaboration
- Customer service
- Data entry experience
- Paperwork management
Certification
- Basic Life Support Certification (BLS)
- Tn Driver's License
Languages
English
Native or Bilingual
Timeline
Insurance Contract Processor - The Jackson Clinic
08.2024 - Current
Insurance Verification Specialist - West Tennessee ENT Clinic
11.2004 - 07.2024
Insurance Department - West Tn Anesthesia
08.1991 - 11.2004
- Basic Life Support Certification (BLS)
- Tn Driver's License
North Side High School - High School Diploma,
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