Harmony Rue
Opelousas,LA
Summary
Senior Billing Escalation Specialist with extensive experience in email and phone communication, data entry, and problem resolution. Proven expertise in managing patient billing issues and escalations, consistently delivering clear, professional, and accurate written responses. Highly proficient in Salesforce, Athena, 8x8, Genesis, Google Docs, and Microsoft Word. Recognized for my customer service skills and the ability to adapt and excel in fast-paced environments while maintaining a commitment to continuous learning and growth.
Overview
8
8
years of professional experience
Work History
Senior Billing Escalation Specialist
Privia Health
01.2025 - Current
- advanced to this role from billing resolution specialist within 9 months
- Handle escalated billing issues and respond to patients primarily via email, ensuring timely and professional resolution.
- Collaborate with insurance providers to correct denied claims, resubmit billing, and resolve account discrepancies.
- Maintain accurate documentation in Salesforce, Athena, and other systems to track communications and resolutions.
- Consistently praised for clear written correspondence and high attention to detail in data entry.
Billing Resolution Specialist
Privia Health
03.2024 - 12.2024
- Resolved denied claims and verified patient diagnosis codes for accuracy and compliance.
- Liaised between patients, insurance companies, and the billing office to resolve concerns.
- Analyzed Explanation of Benefits forms to confirm proper billing.
- Processed account payments and provided outstanding balance information.
Member Services
Aetna Health Insurance
12.2022 - 02.2024
- Managed member accounts including payments, updates, and billing inquiries.
- Utilized CRM software to track records, engagement metrics, and generate reports.
- Consistently met or exceeded KPIs for customer satisfaction and efficiency.
Technical Support
Sutherland
10.2021 - 12.2022
- Provided support via phone, email, and chat, resolving software and hardware issues.
- Documented troubleshooting steps and resolutions for knowledge base accuracy.
- Diagnosed and resolved network connectivity issues quickly and effectively.
Customer Service Representative
MCI
01.2018 - 08.2021
- Handled inbound and outbound calls addressing customer needs.
- Maintained high product knowledge to provide accurate and helpful assistance.
- Resolved customer issues with efficiency and professionalism.
Education
GED -
Northwest High School
Skills
- Strong written & verbal communication (email phone)
- Data entry accuracy & attention to detail
- Escalation management & billing resolution
- Salesforce, Athena, 8x8, Genesis
- Google Docs & Microsoft Word
- Time management & organization
- Customer service & problem solving
Timeline
Senior Billing Escalation Specialist
Privia Health
01.2025 - Current
Billing Resolution Specialist
Privia Health
03.2024 - 12.2024
Member Services
Aetna Health Insurance
12.2022 - 02.2024
Technical Support
Sutherland
10.2021 - 12.2022
Customer Service Representative
MCI
01.2018 - 08.2021
GED -
Northwest High School