Flexible hard worker ready to learn and contribute to team success. Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth.
Overview
17
17
years of professional experience
Work History
Revenue Recovery Specialist
Knowtion Health Revenue
05.2017 - Current
Onsite Claims Representative Randolph Hospital Duties: Gather motor vehicle information for claim processing
Patients would visit emergency room for treatment, while patient was in ER, would visit patient to gather accident details
Position was with temp service
Position became permanent 11.2017
Claims Representative MVA team remotely
Duties: Called patients and auto payers to determine claim status
Provided accident details to process claims
Claims Representative Inbound Outbound dialer team
Duties: Call patient assisting with needed claim information for processing claims
Claims Representative Auth Assure Team Duties: Called medical payers to ensure that prior authorizations were received
If authorizations were not received; then assisted with obtaining retro authorizations
Called patients to gather necessary information for processing claims
Completed necessarily steps in order to insure resolutions for claim processing
Managed a diverse portfolio of commercial clients, successfully balancing multiple priorities while maintaining strong relationships with key stakeholders.
Implemented process improvements that streamlined workflows within the Revenue Recovery department, leading to increased efficiency and productivity.
Negotiated favorable payment terms with vendors and suppliers as needed, helping to manage cash flow more effectively during periods of financial strain.
Streamlined collection processes for maximized efficiency, resulting in faster debt resolution and improved customer satisfaction.
Developed customized strategies for high-risk accounts, preserving valuable client relationships while still recovering outstanding balances.
Maintained detailed records of all collection activities, ensuring accurate reporting and compliance with industry regulations.
Patient Care Coordinator
AccuQuest
01.2016 - 03.2017
Conducted patient education sessions, providing information on treatment plans and home care instructions.
Applied conflict resolution techniques to address patient concerns and improve satisfaction.
Facilitated patient scheduling and communication through medical scheduling software for efficient appointment management.
Monitored patient progress and updated care plans based on assessments and feedback from medical staff.
Addressed customer concerns promptly, leading to increased satisfaction.
Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
Claims Representative Associate
RMB
07.2014 - 04.2015
Provided excellent customer service by addressing concerns and answering questions promptly and professionally.
Served as a mentor to junior staff members, providing guidance and support for their professional growth within the organization.
Increased efficiency by automating routine tasks using proprietary software systems.
Assisted in the development of new policies and procedures for improved claims management.
Worked closely with medical providers to ensure accurate billing and payment processes for healthcare-related claims.
Improved claim resolution times by efficiently processing and investigating claims.
Followed up with customers on unresolved issues.
Checked documentation for accuracy and validity on updated systems.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Automobile Sales Representative
Park Chevrolet
08.2013 - 05.2014
Increased referral business by establishing strong rapport with satisfied customers who recommended the dealership within their networks.
Contributed valuable input during weekly sales meetings for continuous process improvement initiatives aimed at enhancing overall performance metrics.
Exceeded monthly sales targets by utilizing persuasive negotiation tactics and closing deals efficiently.
Provided ongoing support after purchase completion, addressing any concerns or questions promptly to maintain high levels of customer satisfaction.
Developed customized vehicle proposals for clients, resulting in increased sales conversions.
Collaborated closely with the finance team to secure competitive financing options for customers, promoting successful transactions.
Conducted thorough vehicle walkarounds, emphasizing features and benefits tailored to each client''s specific needs.
Utilized data analysis tools such as CRM systems, effectively tracking sales progress and identifying growth opportunities.
Enhanced dealership reputation with excellent communication skills and a strong commitment to client satisfaction.
Answered telephone and email inquiries from potential customers.
Prepared purchased vehicles and completed final delivery checks.
Greeted customers on lot and in showroom to answer questions about brand and available inventory.
Engaged in friendly conversation with customer to better uncover individual needs.
Listened to customer needs and desires to identify and recommend optimal products.
Income Maintenance Caseworker
Davidson County Social Services
09.2007 - 08.2013
Supported agency goals by participating in community outreach events, promoting income maintenance programs, and providing information on available services.
Conducted thorough interviews with clients to assess their needs and determine appropriate services or referrals.
Developed tailored case plans that addressed individual client needs while adhering to program guidelines.
Increased staff collaboration by participating in team meetings, sharing best practices, and supporting colleagues with challenging cases.
Enhanced client satisfaction by providing timely and accurate information regarding benefits eligibility and program requirements.
Assisted clients with completing complex forms and applications, ensuring accuracy and completeness of required information.
Reduced errors in benefit calculations by regularly reviewing and updating financial data in client records.
Operated computer and imaging equipment to retrieve and enter data into electronic case records.
Education
College (No Degree) - Nursing
Randolph Community College
Asheboro, NC
11.2000
Skills
Customer service
Decision-making
Critical thinking
Working collaboratively
Time management
Problem resolution
MS Office
Multitasking
Active listening
Conflict resolution
Flexible
Data management
Troubleshooting
Microsoft Excel
Revenue forecasting
Teamwork
Problem-solving
Problem-solving abilities
Multitasking Abilities
Excellent communication
Organizational skills
Team collaboration
Decision-making skills
Data entry skills
Adaptability and flexibility
Effective communication
Teamwork skills
Relationship building
Task prioritization
Team building
Microsoft office proficiency
Self motivation
Interpersonal skills
Analytical thinking
Goal setting
Professionalism
Continuous improvement
Problem-solving aptitude
Fraud investigation
Accomplishments
Communications Specialist US Army Jan 1985-Nov 1988 E-4. Veteran