Detail-oriented professional with expertise in claims resolution, billing dispute management, and insurance verification. Committed to delivering effective communication and timely payment plans to enhance customer satisfaction.
Overview
25
25
years of professional experience
Work History
Collection Customer Service Representative
Aurora Healthcare
Milwaukee , WI
06.2025 - Current
Answered incoming calls from patients regarding collections inquiries.
Resolved payment disputes and clarified policies for customers effectively.
Provided assistance in setting up payment plans for customers promptly.
Assisted customers with understanding their payment options.
Followed up regularly with patients until the full balance is paid off.
Monitored customer accounts for timely payments.
Customer Service Representative
Ascension
Detroit, Michigan
04.2023 - 06.2025
Responds to telephone and/or internet inquiries from members seeking information for benefits/pension plans.
Provided medical, dental, and pension benefits to members and providers.
Review plans, and information for enrollment/Disenrollment.
Provide a status update on denied, paid claims, and appeals.
Review/research medical claims for payment.
Customer Service Representative
Change Healthcare
Atlanta , Ga
08.2020 - 12.2022
Handled inbound calls to assist patients with billing inquiries and issues.
Review accounts for billing errors, process payments, and arrange payment plans.
Provided claim/appeal status.
Review claims for adjustments and discounts.
Customer Service Representative
Apria Healthcare
Chandler, Arizona
04.2018 - 02.2020
Assisted patients with inquiries and resolved issues efficiently.
Review and research unpaid and denied claims.
Process payments, and arrange payment plans.
Provided appeal status.
Update/verified insurance.
Scheduled pick-up/delivery for medical equipment.
Denials Management
Banner Health
Mesa, Az
02.2016 - 12.2017
Researched/reviewed denied claims.
Reviewed claims for appeal and medical necessity.
Reviewed accounts for contract adjustments and refunds.
Follow up with payers on denied claims and underpaid claims.
Contacted patients regarding unpaid balances.
Insurance Verification Specialist
On Assignment Healthcare Staffing
Milwaukee, Wi
05.2012 - 12.2015
Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
Maintained accurate documentation on all pre-authorization requests, denials and appeals.
Contacted patients to confirm demographic information and communicate financial responsibilities.
Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
Evaluated policies and procedures related to Insurance Verification activities.
Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
Insurance Verification Specialist
Aurora Health Care
Milwaukee, Wisconsin
06.2001 - 02.2012
Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
Educated patients on insurance benefits and coverage options clearly.
Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Accessed third-party insurance databases to identify coverage of benefits.
Contacted patients to confirm demographic information and communicate financial responsibilities.
Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.