Erica Lovette
ACS Benefit Services
Tobaccoville,NC
19
years of professional experience
Knowledgeable Insurance Specialist with excellent planning and problem solving abilities. Offering years of experience and a willingness to take on any challenge. Organized, driven and professional with successful history managing high caseloads in fast-paced environments. I get along well with others and enjoy working with the public.
Work History
Claims Support Specialist
2 Years 5 Months- Resolved member and provider inquiries regarding claim status, payment explanations, and coverage details.
- Processed claim support requests, verifying eligibility, benefits, and coding accuracy for timely adjudication.
- Reviewed supporting documentation, identifying discrepancies and routing complex claims for appropriate resolution.
- Updated claim records and correspondence in benefits systems with accurate, compliant data entry.
- Enhanced customer and provider satisfaction with timely communication on claim status updates and followups.
- Sent coordination of benefits forms to members to update in order to process claims.
Customer Service Representative
2 Years 10 Months- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Assisted customers in making payments on accounts and setting up payment plans.
- Reviewed customer account information to identify issues and recommend effective solutions, enhancing customer experience.
- Consulted with customers to identify optimal methods for resolving service and billing issues, fostering trust and loyalty.
- Informed customers on billing procedures, processed payments, and assisted with payment option setups to ensure clarity and satisfaction.
Billing/Insurance Specialist
5 Years 4 Months- Submitted insurance claims while researching and resolving denials and explanations of benefit rejections to ensure timely payments.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Monitored past due accounts and pursued collections on outstanding invoices, improving cash flow.
- Resolved account variances and reconciled bank statement histories.
- Performed accurate and fully compliant monthly closing processes, accruals and journal entries.
- Posted surgical charges for providers across facilities, facilitating accurate billing and revenue tracking.
Receptionist
6 Years 6 Months- Scheduled and confirmed appointments to ensure efficient use of time for clients and staff.
- Answered and directed incoming calls using multi-line telephone system.
- Processed payments and updated accounts to maintain accurate financial records.
- Processed payments and updated accounts to reflect balance changes.
- Welcomed patrons at front desk, fostering a positive experience during check-in process.
Education
High School Diploma
Skills
Building Customer Trust and Loyalty
Problem-Solving Abilities
Efficient and Detail-Oriented
Multitasking and Prioritization
Courteous with Strong Service Mindset
Upbeat and Positive Personality
Enthusiastic demeanor
Timeline
Claims Support Specialist
ACS Benefit Services
05.2024 - 10.2026Read More
Customer Service Representative
Novant Health, Inc
06.2021 - 04.2024Read More
Billing/Insurance Specialist
Skin Surgery Center
02.2016 - 06.2021Read More
Receptionist
Allergy Partners Of The Piedmont
04.2008 - 10.2014Read More
South Stokes High School
High School Diploma
Read More