Janine Brown
Little Rock,AR
Summary
Authorized to work in the US for any employer Versatile Support Specialist skilled handling data, technical issues and personnel support tasks in distributed environment. Self-motivated and attentive with good interpersonal and problem-solving abilities. Offering 15 years of experience in Insurance. Well-qualified support professional with positive and friendly demeanor. Strong attention to detail, effective communication skills and solid history of tackling diverse and challenging requirements. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
6
6
years of professional experience
Work History
Insurance Support Specialist
Receivable Solutions
04.2021 - Current
- Responds to all communication and/or verbal inquiries from all relevant parties
- Supporting the collections activities of the assigned team
- Performing administrative functions in conjunction with the production activities of the department
- Maintain excellent customer relationships to ensure customer satisfaction
- Generate daily information requests to send to clients
- Update Latitude with client responses to the information requests
- Assist in processing information request from rep to client and client to rep
- Ability to maintain regular attendance and punctuality as scheduled
- Maintains confidentiality, information security and ethical behavior when handling all Company and
- Client information
- Ability to work with minimum supervision, organize workload and prioritize work tasks to meet departmental goals
Customer Service Representative
AeroCare Holdings, Inc
07.2019 - 02.2021
- Develop and maintain working knowledge of current products and services offered by the company
- Answer all calls and emails in a timely manner, in adherence to their goals
- Document all call information according to standard operating procedures
- Answer questions about products and services, retail stores, general service line information and other information as necessary based on customer call needs
- Process orders, route calls to appropriate resource, and follow up on customer calls where necessary
- Review all required documentation to ensure accuracy
- Accurately process, verify, and/or submit documentation and orders
- Complete insurance verification to determine patient’s eligibility, coverage, co-insurances, and deductibles
- Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required
- Must be able to navigate through multiple online EMR systems to obtain applicable documentation
- Enter and review all pertinent information in EMR system including authorizations and expiration dates
- Communicate with Customer Service and Management on an on-going basis regarding any noticed trends with insurance companies
- Verify insurance carriers are listed in the company’s database system, if not request the new carrier is entered
- Responsible for contacting patient when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process
- Meet quality assurance requirements and other key performance metrics
- Facilitate resolution on customer complaints and problem solving
- Pays attention to detail and has great organizational skills
- Actively listens to patients and handle stressful situations with compassion and empathy
- Flexible with the actual work and the hours of operation
- Utilize company provided tools to maintain quality
- Some tools may include but are not limited to
- Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and “How-To” documents
Provider Service Representative
Coordinated Care Services, Inc
01.2016 - 12.2016
- Answer call from provider offices verifying patient coverage; researching claim denials, updating patient demographics; taking insurance payments for patients; mailing out patients insurance cards and policy information
- Billing and Follow up Tech
Baylor Scott & White Health
10.2013 - 05.2015
- Directly responsible for Scheduling appointments
- Interprets and verifies provider orders in accordance with established guidelines protocol
- Directly responsible for Scheduling, canceling, re-scheduling patient’s appointment and/or consults;
- Entering no-show information
- Monitors the electronic wait list information
- Prepares for clinic visits
- Monitors both inpatient and outpatient appointments
- Ensures forms are completed properly by patients
- Verifies and updates demographics and insurance information
- Uses word processing/typing for transcription and the preparation of reports; and processing basic eligibility, co-pays, and pre authorization requirements (i.e
- Tri Care,sharing agreements)
- Possesses computer skills
- Efficiently uses all PFS accounting and billing systems and has a thorough understanding of systems edits and data retrieval
- Follows internal procedures for timely claims submissions within payor specific filing deadlines
- Maintains knowledge of Scott & White PPO contracts and challenges any variance in reimbursement outside recognized norms
- Achieves excellent customer satisfaction within set parameters and defined time limits and meets departmental benchmarks set for follow-up based on dollar and age
- Follows departmental procedures as required
- Exhibits good organizational skills
- Thoroughly understands the options for medical finance and relays application and enrollment data to customers
- Acquires and maintains the highest standards set for customer service
- Demonstrates customer friendly responses, following departmental guidelines
Education
Bald Knob High School
1991
Skills
- Customer Service (5 years)
- Insurance (5 years)
- ICD-9
- ICD-10
- Assessments
- Work style: Reliability — Highly Proficient
- March 2021
- Tendency to be dependable and come to work
- Full results: Highly Proficient
- Spreadsheets with Microsoft Excel — Completed
- Knowledge of various Microsoft Excel features, functions, and formulas
- Full results: Completed
- Medical billing — Highly Proficient
- Understanding the procedures and forms used for medical billing
- Medical billing — Familiar
- January 2023
- Full results: Familiar
- Protecting patient privacy — Highly Proficient
- Understanding privacy rules and regulations associated with patient records
- Customer focus & orientation — Proficient
- Responding to customer situations with sensitivity
- Full results: Proficient
- Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued
- Development in any professional field
- Activity Planning
- Compiling Data
- Cisco Jabber
- Insurance Coordination
- Insurance Collections
- Health Insurance
- Insurance Verification
- Insurance Knowledge
- Insurance Terminology
- Administrative Support Specialist
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Judge a man by his questions rather than his answers.
Voltaire
Timeline
Insurance Support Specialist
Receivable Solutions
04.2021 - Current
Customer Service Representative
AeroCare Holdings, Inc
07.2019 - 02.2021
Provider Service Representative
Coordinated Care Services, Inc
01.2016 - 12.2016
Baylor Scott & White Health
10.2013 - 05.2015
Bald Knob High School
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