George Ridley
Promises Behavioral Health
Fairview,TN
13
years of professional experience
Dedicated Self Pay Representative with expertise in HIPAA compliance and patient support. Skilled in resolving inquiries and enhancing customer satisfaction while maintaining confidentiality.
Work History
Self Pay Representative
13 Years 1 Month- Provided exceptional support to patients navigating healthcare processes and insurance claims.
- Resolved customer inquiries efficiently, enhancing overall satisfaction and loyalty.
- Enhanced customer satisfaction by addressing and resolving insurance-related inquiries and concerns.
- Fielded customer complaints, escalating complex issues to management for resolution.
- Follow HIPAA guidelines to ensure clients' information is kept confidential.
- Use several systems to work and resolve claim issues.
- Monitored account status updates to ensure timely resolution of outstanding balances.
- Educate customers on available discounts and payment plans.
- Reconciled discrepancies between billed amounts and actual charges, improving overall accuracy of invoices.
- Monitored delinquent accounts and initiated collections actions when necessary, recovering outstanding balances while maintaining positive customer relationships.
- Work Refund request.
- Dispute Chargebacks.
- Understand the contracts between facilities and payers.
- Able to recognize incorrect payments by payer and/or clients.
- The ability to explain the assignment of patient responsibility by the payer.
- Able to explain the importance of the verification of benefits.
- Work well with others from different departments.
- Help provide a stress free work environment.
Education
High School Diploma
No Degree - Business Administration And Management
Skills
Customer service
Results-driven approach
Conflict resolution
Experience in insurance and client collections
Insurance expertise
Client relations
Insurance verification
Phone and email etiquette
Stress tolerance
Strong interpersonal skills
Insurance collections
Insurance expertise
Timeline
Self Pay Representative
Promises Behavioral Health
07.2013 - CurrentRead More
Cumberland University
No Degree from Business Administration And Management
Read More
Franklin High School
High School Diploma
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