Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jennifer Ross

Tunnel Hill,USA

Summary

Dynamic Provider Relations Research Specialist at Wisconsin Physician Services, known for cultivating strong partnerships that drive project success. Expert in researching CMS billing rules and adept at data collection, I effectively addressed provider inquiries, enhancing communication and support.

Overview

26
26
years of professional experience

Work History

Provider Relations Research Specialist

Wisconsin Physician Services
Madison, WI
08.2023 - 01.2025
  • Established strong working relationships with external partners to facilitate successful project outcomes.
  • Wrote Letters to Congress when requested information from beneficiaries with concerns.
  • Assisted providers with questions concerning rules for billing the Centers for Medicare and Medicaid Services

Medicare Customer Service Representative

Wisconsin Physician Services
Madison, WI
01.2022 - 08.2023
  • Resolved complex billing issues efficiently by researching and verifying information with insurance providers.
  • Performed detailed research of provider networks, policy coverage, and other related topics for customers.
  • Performed quality assurance checks on documents prior to submission in order to guarantee accuracy.

Fire Department Assistant

New Burnside Volunteer Fire Department
New Burnside, IL
06.2013 - 05.2023

Assisted with traffic control and patient transfer to EMS and Air Evac services as well as patient rescue services as needed.

Customer Service Representative Tricare

Wisconsin Physician Services
Madison, WI
11.2021 - 01.2022
  • Handled customer complaints and inquiries in a courteous and efficient manner.
  • Demonstrated excellent communication skills, both verbal and written, in order to effectively interact with customers.
  • Developed strong customer relationships and loyalty through effective communication.

Cobra Accounts Representative

Blue Cross Blue Shield
Marion, IL
03.2005 - 03.2007
  • Served as primary point of contact for assigned clients to resolve issues or complaints and provide updates on new products or services.
  • Provided account support by responding to inquiries in a timely manner.
  • Performed monthly audits of accounts receivable and payable records.
  • Managed and maintained relationships with key accounts, serving as the primary point of contact for their inquiries, concerns, and feedback.

Claims Adjuster

Blue Cross Blue Shield
Marion, IL
09.1998 - 03.2005
  • Analyzed, evaluated and processed insurance claims to determine coverage, liability and damages in accordance with policy terms and state regulations.
  • Communicated regularly with claimants via phone calls, emails or letters regarding status updates or additional documentation requests.
  • Handled difficult conversations professionally while maintaining composure during high-stress situations.

Education

Nursing

Southeastern Illinois College
Harrisburg, IL

Cardiac Sonography

John A Logan
Carterville, IL

Skills

  • Detail oriented
  • Patient Assistance

Timeline

Provider Relations Research Specialist

Wisconsin Physician Services
08.2023 - 01.2025

Medicare Customer Service Representative

Wisconsin Physician Services
01.2022 - 08.2023

Customer Service Representative Tricare

Wisconsin Physician Services
11.2021 - 01.2022

Fire Department Assistant

New Burnside Volunteer Fire Department
06.2013 - 05.2023

Cobra Accounts Representative

Blue Cross Blue Shield
03.2005 - 03.2007

Claims Adjuster

Blue Cross Blue Shield
09.1998 - 03.2005

Nursing

Southeastern Illinois College

Cardiac Sonography

John A Logan
Jennifer Ross