Earlene Ross
Wilmington,DE
Summary
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
8
8
years of professional experience
Work History
Estate COLLECTION REPRESENTATIVE
Philips and Cohen Associates
Wilmington, DE
04.2023 - 01.2024
- Proactively worked on a large portfolio of past-due consumer credit accounts to maximize the timely recovery of payments
- Observed PCA company policies and all applicable laws and regulations regarding the collection of outstanding account balances.
- Notified customers of delinquent accounts with attempt to collect outstanding amounts.
- Negotiated credit extensions to assist customers in paying overdue accounts.
Resolution Specialist II
Change Health Care
Atlanta, GA
01.2018 - 01.2023
- Verified auto claims for coverage, contacted Attorney to bill insurance carriers and followed up for claims resolution
- Prepared hospital and physician liens, verifying patient eligibility for coverage while following up on all claims resolution payments received.
Customer service Rep
Optum Behavior Health
Marietta, GA
01.2017 - 01.2018
- Collected information from members concerning problems with accessing services and/or benefits
- Assisted with recommendations and or modifications to plan policies and procedures to improve the services to members
- Determined if members needed intervention by care manager for emergent or urgent situations while documenting inquiries.
Insurance representative
Hospital Billing CS
New Castel, DE
01.2017 - 07.2017
- Identified and reported trends in carrier payments and denials
- Followed up with payers and other third parties, ensuring timely claims submission
- Resolved accounts, including secondary billing, appeals process, and patient liability
- Ensured all claims were accurately transmitted daily and met team goals
- Completed follow-up of claims on a timely basis according to the productivity guidelines for accounts
- Follow-up on goals while demonstrating expertise with both Commercial/Private and Government Payers.
Accommodation Coordinator
Amazon Integrity Staffing
Newark, DE
09.2016 - 11.2016
- Received and reviewed medical documentation and information for associates with and without restrictions, temp, and permanent accommodations requests as well as disability-related Accommodations
- Maintained regular contact with associates, supervisors, and health care providers, and other key stakeholders regarding progress, status of accommodations and assists in the resolution of any challenges related to the accommodations
- Received and reviews medical documentation and information for associates with and without restrictions for temporary and permanent accommodation requests as well as for disability-related accommodations.
Medicare Advantage, Enrollment & Billing Technician
Blue Cross Blue Shield of Tennessee
Chattanooga, TN
08.2015 - 06.2016
- Worked in Excel spreadsheets daily while processing transaction replies to reports daily which required Facets M360 and Marx software
- Ensured that information was processed accurately and appropriately
- Processed return mail which also included verifying mailing address using all three systems facets, Marx and M360
- Contacted members to verify information ensured that accounts were accurately and timely enrolled, billed, and reconciled
- Interacted and coordinated with accounts, subscribers, sales, underwriting, finance, systems, and other Blues plans account installation, HMOs, and other internal service units
- Updated subscribers and dependents for all businesses in a timely manner to meet the corporate objective of timely and accurate ID cards
- Made benefit changes and additions while performing basic billing and account reconciliation as well as processing terminations, cancellations, and other forms of subsequent enrollment activities.
Education
GED -
JAMES H GROVES HIGH
Wilmington, DE06-1992
Delaware Tech Community College
Wilmington De Medical Billing & Coding
Philadelphia Workers Compensation Course I-IV
Skills
- Account Review
- Payment Posting
- Investigation Due Diligence
- Account Reconciliation
- Records Maintenance
- Outbound Calling
- Relationship Building
- Records Management
- Proficiency in [Software]
- Call Center Background
- Collections
Timeline
Estate COLLECTION REPRESENTATIVE
Philips and Cohen Associates
04.2023 - 01.2024
Resolution Specialist II
Change Health Care
01.2018 - 01.2023
Customer service Rep
Optum Behavior Health
01.2017 - 01.2018
Insurance representative
Hospital Billing CS
01.2017 - 07.2017
Accommodation Coordinator
Amazon Integrity Staffing
09.2016 - 11.2016
Medicare Advantage, Enrollment & Billing Technician
Blue Cross Blue Shield of Tennessee
08.2015 - 06.2016
GED -
JAMES H GROVES HIGH
Delaware Tech Community College
Wilmington De Medical Billing & Coding
Philadelphia Workers Compensation Course I-IV
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