Katherine Enslin

• Reviewed and solved account and billing discrepancies.
• Identified, researched, and resolved billing variances to maintain system accuracy and currency.
• Facilitated smooth departmental operations through cross-training in various roles, providing backup support as needed.
• Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
• Assessed accounts for payment status and reached out to customers.
• Achieved consistent performance metrics targets by prioritizing tasks effectively amid fluctuating workloads.
• Adapted quickly to changing technologies or systems upgrades, ensuring minimal disruption to daily workflow during transitions periods.
• Developed strong relationships with clients, fostering trust and confidence in the company''s billing procedures.
• Enhanced client satisfaction with prompt resolution of billing inquiries and disputes.
• Researched and resolved billing discrepancies to enable accurate billing.
• Worked with multiple departments to check proper billing information.
• Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
• Collaborated with customers to resolve disputes.
• Processed payment via telephone and in person with focus on accuracy and efficiency.
• Responded to customer concerns and questions on daily basis.
• Handled account payments and provided information regarding outstanding balances.
• Utilized various software programs to process customer payments.
• Audited and corrected billing and posting documents for accuracy.

Making Inbound and outbound calls. Interpreting benefit information. MAPD insurance. Assisting with questions for billing and claims. Searching for INN providers ( Medical, Dental and Vision) Tasking to Clinical Staff ( Nurses, Community Health Workers, Pharmacy, Social Worker ) Entering prescriptions for refill and entering OTC med orders. Setting clients up with Ride Health. Checking and discussing Member Alerts and Engagement Opportunities such as : Online Portal, Annual Wellness, Risk for Metabolic Syndrome etc.. Assisting with scheduling appointments with members. The ability to work within a team ( even though it is a remote job )I have the ability to develop a relationship with my members. It is important for them to feel heard and to feel that someone is working for them. I try to give of myself with every interaction.

• Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
• Verified insurance eligibility and coverage for patients.
• Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
• Filed and maintained patient records in accordance with HIPAA regulations.
• Provided exceptional customer service to patients, answering questions and addressing concerns.
• Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
• Managed patient registration process, confirming data accuracy and completeness.
• Used IDX, Citrix, ECW, Epic to schedule appointments.
• Maintained a well-organized front desk, contributing to a welcoming environment for patients and visitors.
• Handled customer service inquiries in person, via telephone and through email.
• Assisted patients in filling out check-in and payment paperwork.
• Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
• Entered patient demographic and insurance data into electronic medical record system.
• Processed medical records requests efficiently, safeguarding patient privacy while ensuring timely information access for healthcare providers.
• Served as a reliable source of information for patients regarding appointment scheduling, insurance coverage inquiries, and general office policies.
• Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
• Took copayments and compiled daily financial records.
• Balanced deposits and credit card payments each day.
• Built and maintained positive working relationships with patients and staff.
• Actively participated in team meetings focused on improving workflows and enhancing overall practice performance.
• Handled complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
• Coordinated referrals efficiently between primary care providers and specialists, ensuring a seamless patient experience.
• Streamlined appointment scheduling for increased patient convenience and reduced wait times.
• Increased overall practice revenue by diligently collecting copayments and outstanding balances at the time of service.
• Reduced no-show rates through consistent appointment reminder calls, leading to improved clinic productivity.
• Enhanced office efficiency by managing multi-line phone systems and promptly directing calls to appropriate personnel.
• Applied administrative knowledge and courtesy to explain procedures and services to patients.
• Provided compassionate support for patients facing financial challenges, assisting them in navigating available resources and payment options.
• Supported new Patient Service Representatives'' orientation process by sharing expertise on office procedures.
• Stayed calm under pressure to and successfully dealt with difficult situations.
• Answered incoming calls, scheduled appointments and filed medical records.
• Provided excellent customer service to patients and medical staff.
• Verified patient insurance eligibility and entered patient information into system.
• Greeted and assisted patients with check-in procedures.
• Followed document protocols to safeguard confidentiality of patient records.
• Processed payments using cash and credit cards, maintaining accurate records of transactions.
• Trained new staff on filing, phone etiquette and other office duties.
• Facilitated communication between patients and various departments and staff.
• Compiled and maintained patient medical records to keep information complete and up-to-date.
• Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
• Engaged with patients to provide critical information.
• Responded to inquiries by directing calls to appropriate personnel.
• Recommended service improvements to minimize recurring patient issues and complaints.
• Delivered support to medical staff in completion of patient paperwork.
• Worked with patients to ascertain issues and make referrals to appropriate specialists.
• Helped address client complaints through timely corrective actions and appropriate referrals.
• Resolved customer complaints using established follow-up procedures.