Katherine Cooper
Cibolo,TX
Summary
Multitasking billing specialist with a strong work ethic and attention to detail. Expertly resolves billing discrepancies and maintains high levels of customer satisfaction. Collaborative team player dedicated to streamlining processes and enhancing service quality.
Overview
19
19
years of professional experience
Work History
Billing Specialist
EYE 35 Ambulatory Surgery Center
Schertz, Texas
11.2023 - Current
- Reviewed and verified insurance claims for accuracy before submission.
- Submitted insurance claims to ensure timely processing. to insurance companies.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Processed patient billing inquiries and resolved discrepancies efficiently.
- Resolved discrepancies between customers' remittances and invoices received.
- Investigated incorrect billings and processed refunds as necessary.
- Coordinated with collections teams to manage outstanding accounts receivable.
- Maintained up-to-date records in billing software and databases.
- Collaborated with healthcare providers to gather necessary billing documentation.
- Answered customer inquiries regarding billings, payments, account status.
- Prepared detailed reports on billing activities for management review.
- Performed accurate and fully compliant monthly closing processes, accruals and journal entries.
- Reconciled codes against services rendered.
Aetna- Benefit Opportunity Specialist
CVS Health
03.2016 - 01.2017
- Aiding in an initiative to improve medication adherence, educating members on how to take
advantage of the services available to them, up selling prescription services, plan design
education, proven sales track record - Working closely with external members, internal Customer Care Representatives, and Mail
Order Fulfillment Centers to achieve monthly sales goals, working in a fast-paced sales
environment, strong analytical skills - Managed patient inquiries and resolved issues effectively.
- Collaborated with healthcare teams to optimize service delivery.
- Trained new staff on company policies and procedures.
Aetna Medicare Part D Customer Care Representitive
CVS Health
San Antonio, Texas
08.2015 - 03.2016
- Primarily educating members on prescription benefits, plan design education, strong
customer service skills, processing prescriptions via mail order, handling appeals, prior
authorization inquires, strong medical terminology knowledge, HIPAA compliant, prompt
response with a sense of urgency to member requests, coordination of benefits, interpreting
claim data. - Assisted customers with prescription inquiries and medication information.
- Managed customer accounts and processed billing inquiries efficiently.
- Communicated product availability and prescription status to customers.
Donor Services Coordinator
South Texas Blood And Tissue Center
08.2012 - 11.2013
- Developed annual recruitment plan to meet and exceed assigned collection goals with donors.
- Created donor recognition programs that increased donor engagement and loyalty.
- Directed and trained volunteer blood drive coordinators and committee members to enhance event effectiveness.
- Scheduled blood drives within center-established guidelines to achieve monthly and annual goals.
- Communicated with patients, ensuring that medical information was kept private.
Gaming Advisor
GameStop
10.2011 - 12.2012
- Primary responsibility included customer service, category knowledge, strong sales skills and
merchandising organization in-store - Trained new employees on register operations, facilitating accurate transactions and smooth customer interactions.
- Provided customer support for gaming products and services.
- Assisted customers in locating merchandise within the store.
- Educated customers on product features and promotions.
Media Specialist
Best Buy
07.2007 - 09.2009
- Primarily engaged, sold, and built customer loyalty through strong knowledge of media and
product education and demonstration skills - Managed pricing strategies and coordinated marketing, merchandising, and organization for in-store and online product displays.
- Created engaging multimedia content for various marketing campaigns.
- Managed social media platforms to enhance customer interaction and brand awareness.
- Developed training materials for staff on media tools and digital marketing strategies.
Education
Bachelor of Arts -
The University of Texas At San Antonio
San Antonio, TX08-2013
Associate of Arts -
Northwest Vista College
San Antonio, TX08-2009
High School Diploma -
Winston Churchill High School
San Antonio, TX05-2006
Skills
- Claims Processing Software proficiency
- Patient Billing Support
- Claim Submission
- Billing Accuracy Assurance
- Claim Dispute Management
- Claim Resolution Strategies
- Microsoft Excel
- Aging Report Analysis
- Zelis
- Denial Management
- Patient Account Management
- Patient Data Compliance
- Insurance Verification
- Account Reconciliation
- Month-End Closing
- Revenue Management
- ModMed System
- Analytical Review Techniques
- Compliance Review Processes
- ICD Coding Knowledge
- Time Management
- Account Management
- Customer Management
- Billing Accuracy Focus
Timeline
Billing Specialist
EYE 35 Ambulatory Surgery Center
11.2023 - Current
Aetna- Benefit Opportunity Specialist
CVS Health
03.2016 - 01.2017
Aetna Medicare Part D Customer Care Representitive
CVS Health
08.2015 - 03.2016
Donor Services Coordinator
South Texas Blood And Tissue Center
08.2012 - 11.2013
Gaming Advisor
GameStop
10.2011 - 12.2012
Media Specialist
Best Buy
07.2007 - 09.2009
Bachelor of Arts -
The University of Texas At San Antonio
Associate of Arts -
Northwest Vista College
High School Diploma -
Winston Churchill High School