De'chelle CONLEY
Kannapolis,NC
Summary
My main goal is to utilize my Qualifications and professional skills to grow in a role that would help me help the company to meet its goals. I’m a motivated medical biller, revenue debt collector and customer service agent. With 14 years of a successful experience in customer service. Self motivated and highly knowledgeable Individual employing strong work ethics. Excellent reputation for resolving problems and improving customer satisfaction.
Overview
21
21
years of professional experience
Work History
CSR Repossession Agent/skip tracer
- Verified information provided by the client.
- Investigated all leads by checking addresses and contacts.
- Provided timely updates to clients according to policies and guidelines.
- Contacted with debtor or references to demand and recover collateral.
- Minimized risk through proper operation of equipment and reduced liability by obeying all pertinent laws and company policies.
- Provided timely and accurate condition reports for repossessed collateral.
Medical Assistant
DESCRIBE YOUR DAILY JOB POSITION
- Some of my daily skills consist of providing excellent customer service to patient/customers who call inbound.
- They have questions about their bill, Insurance, co-pays, doctors’ appointments and how to make payments on their accounts.
- If any other questions they may have I also review some collections reports to determine the status of why the patient/customer ended up in Bad Debt and the amounts still owed.
- As a billing Specialist/Customer service representative I sort through accounts and make numerous outbound calls to Insurance providers to address denied claims to see what we can do to resolve the issue on getting that claim paid.
- I also am able to help the patient/customer to understand their Explanation of Benefits once they have received them from the Insurance provider.
- I monitor the patient/customer payment plans and answer any questions the patients/customer may have about they’re monthly payments.
- I document on All patients/customer accounts after speaking with a patient/customer or an Insurance provider.
- Again, on a daily basis I am taking patients/customer payments over the phone sending out Itemized statements at the patient/customer request.
- I submit reimbursement requests to Medicaid, Medicare, as well as any other Insurance providers for the patient/customer.
- I Make outbound early reminder calls to help the patient/customer improve on making their payments in a timely manner, so they will not have to deal with the stress of being past due or being sent to collections.
customer service agent
11.2020 - 02.2021
- Evaluated customer information to explore issues, develop potential solutions and maintain high-quality service.
- Educated customers on company policies, and Dates of Services provided by their physician.
- Sought out training opportunities to enhance my customer service skills and abilities to further help boost company revenue goals.
Self-Pay Collector/ Billing Insurance/Collection/skip tracer
Meduit
Charlotte, NC
05.2019 - 02.2020
- Supervise assigned accounts to identify unresolved debts.
- Develop effective repayment plans.
- Follow-up with clients on overdue accounts.
- Oversee all monthly payments and refunds.
Party Collector
Prince Parker & Associates
12.2016 - 11.2018
- Supervise assigned accounts to identify unresolved debts.
- Develop effective repayment plans.
- Follow-up with clients on overdue accounts.
- Oversee all monthly payments and refunds.
Acceptance Now
09.2016 - 11.2016
- Demonstrated respect, friendliness and willingness to help wherever needed.
Medical Billing Specialist
Conley’s Collection Services
02.2010 - 03.2015
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Evaluated patients' financial status and established appropriate payment plans.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
- Managed collections claims for unpaid bills against estates of debtors.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
Medical Collection
Willow Ridge Assisted Living
12.2008 - 01.2010
- Supervise assigned accounts to identify unresolved debts.
- Develop effective repayment plans.
- Follow-up with clients on overdue accounts.
- Oversee all monthly payments and refunds.
- Research and implement effective collection techniques.
- Perform all administrative duties related to ensuring office efficiency.
- Create monthly credit records.
- Respond to client account queries in a timely and professional manner.
Collection Specialist
Stewart Enterprises Homecare
08.2005 - 11.2008
- Monitoring accounts to identify overdue payments.
- Finding and contacting debtors to arrange debt payoffs.
- Keeping accurate records and reporting on collection activity.
Medical Billing Coordinator
Ameri-Care Urgent Care Clinic
02.2000 - 05.2005
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
- Communicated with insurance providers to resolve any denied claims and resubmit.
- Prepared accounts with past due balances of more than 30 days and transferred those cases to collection agency.
- Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
- Managed billing calendar and scheduled claims for payments.
- Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Efficiently collected payments and communicated with clients.
Education
South Carolina Property & Casualty Insurance State Licensing Exam - Insurance
America's Professor Property & Casualty
Missoula, MT02.2021
Property & Casualty Insurance Pre-licensing school America's Professor - undefined
2020
Certification Drug & Specimen Collector Alcohol & Drug Testing Center2018 -2019 A.A.P.C CRC Certified Risk Adjustment Coder - Drug Abuse Counseling
Drug And Alcohol Testing Center
03.2013
Associate of Health Science -
Penn Foster College
2012
Adult Care License of North Carolina Dept of Health & Human Service - undefined
2009
Associate of Science - undefined
Medication Devine Health Academy
2005
Skills
- MS WORD
- Customer Service representative
- Epic & Facs Software system
- Medical Billing
- Online Claim Submission
- Medical Billing Specialist, Self-Pay & Revenue Debt Collector
- Collecting on denied unpaid claims
- Taking inbound calls making outbound calls
- Taking 15 calls per hour not being on a call no longer than 10 minutes to solve the situation
- Working on a high call volume with a Dialer majority of the day
- Taking payments over the phone
- Skip Tracer
- Administrative
- Benefits
- Billing
- C
- Credit
- Clients
- Client
- Excellent customer service
- Customer Service
- Insurance
- Medical Billing
- Office
- MS WORD
- Policies
- Speaking
- Reporting
- Phone
- Memorization and recall
Timeline
customer service agent
11.2020 - 02.2021
Self-Pay Collector/ Billing Insurance/Collection/skip tracer
Meduit
05.2019 - 02.2020
Party Collector
Prince Parker & Associates
12.2016 - 11.2018
Acceptance Now
09.2016 - 11.2016
Medical Billing Specialist
Conley’s Collection Services
02.2010 - 03.2015
Medical Collection
Willow Ridge Assisted Living
12.2008 - 01.2010
Collection Specialist
Stewart Enterprises Homecare
08.2005 - 11.2008
Medical Billing Coordinator
Ameri-Care Urgent Care Clinic
02.2000 - 05.2005
CSR Repossession Agent/skip tracer
Medical Assistant
DESCRIBE YOUR DAILY JOB POSITION
South Carolina Property & Casualty Insurance State Licensing Exam - Insurance
America's Professor Property & Casualty
Property & Casualty Insurance Pre-licensing school America's Professor - undefined
Certification Drug & Specimen Collector Alcohol & Drug Testing Center2018 -2019 A.A.P.C CRC Certified Risk Adjustment Coder - Drug Abuse Counseling
Drug And Alcohol Testing Center
Associate of Health Science -
Penn Foster College
Adult Care License of North Carolina Dept of Health & Human Service - undefined
Associate of Science - undefined
Medication Devine Health Academy
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