Experienced Auditor focused on improving business compliance, workflow and processes through detailed audits and optimization recommendations. Successful track record of fully evaluating information, structures and procedures and initiating corrective actions.
Overview
16
16
years of professional experience
Work History
Sales Order Auditor Specialist
Interface
02.2022 - Current
Provided detailed documentation on audit findings, facilitating swift corrective action when necessary.
Maintained confidentiality, handling sensitive information discreetly throughout all stages of the audit process.
Ensured compliance with regulatory requirements by performing regular audits and staying up-to-date on industry standards.
Streamlined audit processes, improving efficiency and reducing time spent on each audit engagement.
Streamlined audit documentation, ensuring accurate and accessible audit trails.
Maintained up-to-date knowledge of industry regulations and standards, ensuring audit practices remained compliant.
Created training notes/books for new hires in the Customer Service department
Assist with new hire training in the Customer Service department with Order entry as well as the audit process.
Revenue Cycle Analyst
Hughston surgical center
05.2021 - 02.2022
Review claims from anthem/bcbs to verify if they have paid correctly
Reach out via chat, phone, and or secured messaging to follow up on claims
Appeal any claims that were not paid correctly by BCBS
Post payments to patients accounts from insurances and or patient checks
Process credit cards from insurances and post payments to account
Make bank runs to deposit checks
Write up refunds on accounts
Mail out refund checks
Patient Account Associate
Jack Hughston Memorial Hospital
06.2020 - 05.2021
Answers all incoming customer service calls and makes outbound collection calls according to departmental processes.
Monitor payment plans.
Effectively processes all self-pay and balance after insurance accounts in order to collect balances in a timely manner.
Identifies and corrects all claims that insurance is found on in accordance with department procedures.
Identifies and processes refund request for all self-pay and balance after insurance accounts.
Maintain patient accounts with the most up-to-date address and information.
Process returned mail in a timely manner.
Monitors, reviews and/or responds to correspondence between the patients and the hospital within 48 hours of receipt.
Updates the patient account to reflect the status with appropriate notes
Patient Service Representative
MedAssist a Firstsource Company
10.2017 - 06.2020
Screen patients that come through with no insurance for possible programs such as Alabama and Georgia Medicaid and disability
-if patient meets my minimum requirements I secure application and waivers and submit it on there behalf
-follow up with patients that have open claims with us to see if they've been approved for Medicaid or disability
-data entry
-update hospital systems to show what stages we are in for progress
-return accounts if denied
-bill accounts once approved
Customer Service Representative
Afni, inc
03.2017 - 10.2017
Help customers with their accounts such as billing questions, upgrading, plan changes, and product information
Trouble shoot devices if there is an issue with the device.
Walk customers through their My Verizon account on how to navigate through the system and make changes.
Take payments over the phone for the billing.
Customer Service Representative
Blue Cross Blue Shield
11.2016 - 03.2017
Responds to incoming calls and initiate outgoing calls
Providing customer service to plan members, providers and employer groups by answering benefit questions, and resolving issues.
Respond to inquiries concerning enrollment and billing processes
Use multiple systems/screens to research information on billing, enrollment, and claims that have come in from providers.
Take payments over the phone
Thoroughly documents inquiry outcomes for accurate tracking and analysis.
Special accounts Representative
HEARTSTRINGS
10.2014 - 10.2016
Responsibilities
Responsible for representing the company's brand, coordinating evens and sales campaigns, managing inventory, assisting with product development in addition to moving discontinued products and maintaining
Long term relationships with key and top level accounts. duties include:
-gaining long term service commitments in addition to continuous sales campaigns from assigned accounts
-achieving business plans targets whilst maximizing profits at the desired margin
-Prioritizing a highly varied workload
-acting as the link between the customer and the company
-communicating business relevant information an providing structured feedback to management.
-utilizing marketing resources to drive account retention and growth
-planning and developing sales campaigns to fit specific client needs
-primary contact with buyers and upper level management for key accounts
-managing inventory on a company and individual customer basis - key in all special accounts orders into system
Web chat sales rep/customer services
Afni, inc
01.2009 - 09.2012
Chat with customers via chat and help them place orders for Verizon phones/plans/ accessories.
Also was able to help with the new people coming in and help train them.
I was also offered the job as a supervisor but had to turn it down because could not work the shift that they had available at that time.
I have over 4 years of experience with Customer service skills and sales.