Kara Hansen
Gorham,Me
Summary
Diligent [Desired Position] with a strong customer service background. Efficiently resolves customer inquiries and consistently maintains high satisfaction rates. Skilled in effective communication and problem-solving to enhance the customer experience.
Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires, ad providing customized solutions to build loyalty.
Overview
24
24
years of professional experience
Work History
Customer Service Representative
Elevance Health
08.2024 - 03.2025
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
Self Employed Medical Biller
Gorham Medical Billing
08.2014 - 12.2024
- I was self employed and provided full medical billing services to multiple providers
- I entered all patient demographics, enter charges with up to date CPT codes and ICD10 codes ensuring maximum reimbursement from insurance carriers into Medisoft billing software
- All charges are sent through Optum Clearing House which also provides downloads of ERAs and EFTs
- Patient and Insurance credit card payments are processed with Manager Pay Pal
- Claims analysis is done every 30 days to recover any unpaid claims, denials and patient balances
- Customer service for patients, insurance companies and medical providers
- Monthly and year end reports provided to providers
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Liaised between patients, insurance companies, and billing office.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Delivered timely and accurate charge submissions.
Medical Biller/Coding Specialist, Team Leader
Laboratory Billing Services
10.2000 - 10.2014
- I performed all tasks involved in managing numerous accounts and supervising 11 people
- We maintained all aspects of billing for our accounts with different specialties
- I performed coding for hospitals and did medical billing for specialties as family practice, urology, anesthesia, mental health, OMT, PT
- Team leader for 11 employees to ensure they were trained with the software and up to date with coding and insurance changes
- Performed yearly reviews pertaining to their job performance and reported results to management
- Worked closely with management team, insurance companies and medical providers
Education
High School Diploma -
Westbrook High School
Westbrook Maine06-1986
Skills
- Customer Service
- Medical Billing and Coding
- Team Leadership
- Data Entry
- Independently able to work
- Problem solving
- Time Management
- Strong data entry
- Customer service
- Conflict resolution
- Call handling
- Customer relationship management
- Time management
- Effective communication
- Attention to detail
- Data entry
- Software proficiency
- Active listening
- Customer relations
- Problem resolution
- Call center experience
Timeline
Customer Service Representative
Elevance Health
08.2024 - 03.2025
Self Employed Medical Biller
Gorham Medical Billing
08.2014 - 12.2024
Medical Biller/Coding Specialist, Team Leader
Laboratory Billing Services
10.2000 - 10.2014
High School Diploma -
Westbrook High School
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