KATHLEEN BURRELL
Pottstown,PA
Summary
Detail-oriented Customer Service Representative with strong understanding of medical billing and insurance. Hardworking and passionate to help others. Experienced in developing and managing efficient billing and posting processes. Considered focused, organized and a team player.
Overview
5
5
years of professional experience
Work History
Billing Specialist
Annuity Health
04.2023 - 09.2023
- Answered incoming calls in timely manner
- Monitored customer accounts to identify and rectify billing issues.
- Researched and resolved billing discrepancies to enable accurate billing.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Write off balances on patient accounts and provide financial adjustments based on customer satisfaction and account assessments
- Submitted charity applications for patients in need of additional assistance for balance pay back
- Understand medical terminology and insurance terminology
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Collected payments from patients to pay their outstanding balances
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- HIPAA Compliance & understand policies.
Provider Customer Service Representative
CAPITAL BLUE CROSS
11.2021 - 03.2023
- Handled insurance claims
- Verified insurance eligibility
- Assisted providers with medical pre authorizations for patients
- Followed HIPAA guidelines and procedures
- Handled claim, appeal, and pre-authorization denials and explain denial reasons
- CPT Coding Experience
- Explained benefits to patients and answer any insurance questions patients may have regarding plan coverage, deductible amounts and copayments
- Discussed billing information with patients and coordination of benefits
- Communicated with medical and pharmacy staff for RX authorizations for medications
- Meet daily adherence as well as monthly audit and performance goals
Sales / Customer Service Representative
It Supply
07.2020 - 03.2021
- Provide assistance to customers by answering incoming calls, emails and chats
- Communicate with customers regarding their online orders and place orders
- Communication with the vendors and management for delivery tracking to ensure that customers receive their packages accordingly
- Handle any issues regarding damaged packages and refund customers accordingly based on billing and quality assurance
- Informed customers of sales and promotions to build customer base, boost traffic and increase customer loyalty.
- Increased revenue with strategic upselling of products and services to existing customers.
Administrative Assistant
REGINA NURSING CENTER
10.2018 - 07.2020
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Restocked supplies and placed purchase orders to maintain adequate stock levels.
- Distributed paperwork to nursing staff and director of nursing to inform of new admission
- Assisted billing office with billing with updating patient charts, and sending out patient care conference letters to family members.
- Assisted billing office with insurance verification and medicare billing.
- Received and sorted incoming mail and packages to record, dispatch, or distribute to correct recipient.
- Assisted development and implementation of new administrative procedures.
Education
High School Diploma -
UPPER MERION HIGH SCHOOL
King Of Prussia 2013
Skills
- Customer Service Experience (4 years)
- Medical Billing / Medical Insurance Experience
- Administrative and Office Support
- Medical Terminology Knowledge
- Computer Oriented: Outlook, Microsoft Office, Epic, Availity, Panviva
Timeline
Billing Specialist
Annuity Health
04.2023 - 09.2023
Provider Customer Service Representative
CAPITAL BLUE CROSS
11.2021 - 03.2023
Sales / Customer Service Representative
It Supply
07.2020 - 03.2021
Administrative Assistant
REGINA NURSING CENTER
10.2018 - 07.2020
High School Diploma -
UPPER MERION HIGH SCHOOL
Similar Profiles
Bobette ClarkBobette Clark
Billing Specialist at Annuity HealthBilling Specialist at Annuity Health
Dahnelle BerryDahnelle Berry
Customer and Billing Support Representative at Annuity HealthCustomer and Billing Support Representative at Annuity Health
Ashley TijerinaAshley Tijerina
Claims Adjuster at Annuity HealthClaims Adjuster at Annuity Health
Jah'unique C U S A C KJah'unique C U S A C K
Remote Customer Service Representative at Annuity HealthRemote Customer Service Representative at Annuity Health
Kalyn ElyKalyn Ely
Hospitality Support at Camp of the WoodsHospitality Support at Camp of the Woods