History of consistently meeting or exceeding all performance and service objectives. Knowledgeable about monitoring accounts, conducting investigations and documenting actions. Hardworking and diligent professional well-versed in effective account resolution techniques.
Overview
20
20
years of professional experience
Work History
Patient Account Resolution Specialist
Charleston Area Medical Center
08.2021 - Current
Documented all actions performed and interactions with customers.
Assessed individual situations and developed effective and appropriate resolutions.
Completed in-depth research to investigate claims and resolve problems.
Achieved performance goals on consistent basis.
Customer Service Senior Advocate Champion
Capital Area Services Company, Inc
03.2009 - 02.2020
Communicated daily with providers in high volume call center in regards to claims, benefits and authorization issues by assuring issue resolution and exceeding department requirements.
Helped with new hires by providing mentorship, merging their knowledge and skill set with departmental processes and systems,
Monitored call time and quality with 95% accuracy rate.
Reported possible trends to supervisors to try to find resolutions to limit the impact to our members and providers.
Billing Clerk
Kanawha County Ambulance Authority
03.2003 - 07.2006
Posted payments to patient accounts
Sent bills to secondary insurances and communicated with insurance companies concerning denial and under or overpayments on accounts
Balanced the monthly spreadsheets for three different companies we handled the billing for.
Education
Associate of Applied Science - Computer Science
West Virginia State University
Institute WV
12.1986
Skills
Excellent customer service proficiency
Product and service familiarity
Customer service-oriented
Customer Advocate
Educating Customers
Timeline
Patient Account Resolution Specialist
Charleston Area Medical Center
08.2021 - Current
Customer Service Senior Advocate Champion
Capital Area Services Company, Inc
03.2009 - 02.2020
Billing Clerk
Kanawha County Ambulance Authority
03.2003 - 07.2006
Associate of Applied Science - Computer Science
West Virginia State University
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