Evelyn Ocasio
Cleveland,OH
Summary
Dynamic professional with extensive experience in customer service and healthcare administration, notably with Strategic Outsourcing Solutions (S.O.S). Excelled in payment reconciliation and patient care coordination, demonstrating strong problem-solving abilities and exceptional communication skills. Proven track record of enhancing customer satisfaction and streamlining operational efficiency.
Overview
32
32
years of professional experience
Work History
Registration, Contract Worker
GCG Event Partner
Cleveland, Ohio
01.2013 - 11.2024
- Welcoming guests to Event or Meeting for Medical Meeting or Small business events
- Prepare Material for meeting provided by business
- Direct the guest to the meeting room, assigned seats
- Evaluated needs of departments and delegated tasks to optimize overall production
customer service representative
Strategic Outsourcing Solutions (S.O.S)
Westlake, Ohio
01.2020 - 01.2024
- Inbound/outbound calls
- Client claim account / reconciliation, review patient account for errors on claim, review EOB and claim forms for CPT coding and DX code errors
- Sent to coder request to review to send corrected claims
- Insurance company, verify claim information, eligibility
- Payment plan set up, credit card /check payments, print or email receipts
- Print itemized bills, requested UB04, HCFA
- Request for medical records, allowed by HIPAA/PHI
- Spreadsheet reports
pre-access specialist
JP Recovery Services Inc.
Rocky River, Ohio
01.2017 - 01.2019
- Customer Services- Registration of Epic system-Cleveland Clinic Accident Unit
- Performed customer service, third party reimbursement, insurance verification, insurance billing, Pull UB04 and HCFA 1500 out of ePremis, view EOB and insurance follow-up
- Review accounts with patient and direct Patient to Main Billing for Itemized or Financial assistance
- Provide Medical records, request as allowed by HIPAA/PHI and scan documentation to support all requests in Patient’s scan documents
- Email request from Insurance companies, scan Patent’s signed HIPAA form into patient scanned documents and fax back request
- Knowledge in Microsoft Word, Excel, and Health Insurance billing practice
- Ability to Navigate Multiple computer systems
- Managed business office equipment, fax, copy machine and calculator
- Perform daily and weekly reports on accounts and report to supervisor at CCF
Customer service representatives
Strategic Outsourcing Solutions (S.O.S)
Westlake, Ohio
01.2015 - 01.2017
- Inbound/outbound calls
- Client claim account / reconciliation, review patient account for errors on claim, review EOB and claim forms for CPT coding and DX code errors
- Sent to coder request to review to send corrected claims
- Insurance company, verify claim information, eligibility
- Payment plan set up, take credit card /check payments, print or email receipts
- Print itemized bills
- Request for medical records, allowed by HIPAA/PHI
Bookkeeper
Catholic Charities Services
Cleveland, Ohio
01.1993 - 01.2009
- Accounts receivable, Accounts payable, and Deposits
- Data Entry, Self-pay billing invoicing, posting payments to Client accounts
- Customer Service / Receptionist/Clerical, front desk appointment scheduling and filing
- Insurance -Payment and Client claim account reconciliation
- Billed through E-Z claim program
- Basic Excel and Word
- Managed business office equipment, fax, copy machine and adding machine
Education
GED -
Parma City School
Skills
- Payment Reconciliation
- Accounts Receivable Processing
- Experience with Cerner Solutions
- Experience with Soarian
- Point Of Sale Operation
- Citrix system
- Patient Care Coordination
- Front Desk Coordination
- Communication skills
- Strong Telephone Communication
- Knowledge in Excel
- Knowledge in Word
- Experience with Epic Systems
- Customer service skills
- Registration
- Self-Payment Processing
- Experience with Office Equipment Operation
- Strong problem-solving
- Collaborative Decision-Making
Timeline
customer service representative
Strategic Outsourcing Solutions (S.O.S)
01.2020 - 01.2024
pre-access specialist
JP Recovery Services Inc.
01.2017 - 01.2019
Customer service representatives
Strategic Outsourcing Solutions (S.O.S)
01.2015 - 01.2017
Registration, Contract Worker
GCG Event Partner
01.2013 - 11.2024
Bookkeeper
Catholic Charities Services
01.1993 - 01.2009
GED -
Parma City School
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