Summary
Overview
Work History
Timeline
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KATRICE BURRELL

Dallas,TX

Summary

Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives. Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines. Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results. Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.

Overview

10
10
years of professional experience

Work History

Patient Billing Specialist

Activus Connect
08.2019 - 09.2024
  • Maintained a high level of customer satisfaction, addressing patient concerns and resolving billing disputes professionally.
  • Reduced errors in patient billing through careful monitoring of data entry and adherence to company policies.
  • Maintained strict compliance with HIPAA regulations when handling sensitive patient information during the billing process.
  • Expedited claim processing times by submitting clean claims free of errors that could cause delays or denials from insurance carriers.
  • Assisted patients in understanding their insurance benefits, helping them make informed decisions about their healthcare expenses.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Collected payments and applied to patient accounts.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.
  • Maintained accurate records of customer payments.
  • Handled account payments and provided information regarding outstanding balances.
  • Responded to customer concerns and questions on daily basis.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Collaborated closely with other departments, such as medical records and registration, to facilitate seamless coordination of the entire patient billing process.
  • Served as a reliable point-of-contact between patients, healthcare providers, and insurance companies to address any questions or concerns related to medical bills swiftly.

Claims Processor

AllState Sales Group
01.2017 - 08.2019
  • Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
  • Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
  • Managed workload and priorities to meet claims processing meet deadlines.
  • Followed up with customers on unresolved issues.
  • Handled escalated customer concerns regarding claim denials or delays with empathy and professionalism.
  • Maintained strict confidentiality when dealing with sensitive information about patients'' medical histories or personal details.
  • Modified, updated and processed existing policies.
  • Coordinated with contracting department to resolve payer issues.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Checked documentation for accuracy and validity on updated systems.
  • Assisted in updating company guidelines for consistent application of policies across all claims processed.
  • Identified and reported potential fraud or abuse related to claims to protect system's integrity.
  • Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
  • Negotiated settlements with policyholders, balancing their needs with the financial interests of the company.
  • Reviewed applications and supporting documents to verify claims eligibility and accuracy.

Collection Customer Service Representative

JP Morgan Chase
09.2014 - 01.2017
  • Reduced outstanding receivables by consistently following up on overdue payments and negotiating payment arrangements.
  • Mitigated potential losses by closely monitoring high-risk accounts and taking appropriate action when necessary, such as recommending litigation or writeoffs.
  • Ensured compliance with all applicable federal, state, and local regulations governing debt collection activities while protecting consumer rights.
  • Developed strong relationships with customers through empathetic communication and active listening, resulting in increased trust and cooperation during collections efforts.
  • Exceeded monthly targets for both individual collections results and team performance consistently, demonstrating a strong commitment to achieving organizational goals.
  • Utilized advanced skip-tracing techniques to locate hard-to-find debtors, increasing the likelihood of successful collections efforts.
  • Maintained accurate records of customer interactions, transactions, and comments in the CRM system for timely follow-up actions.
  • Contacted customers to discuss past-due accounts and negotiated payment plans.
  • Worked with customer to create debt repayment plan based on current financial condition.
  • Researched billing errors and discrepancies to initiate corrective action.
  • Listened to customers and negotiated solutions that met creditor and debtor needs.
  • Responded to customer inquiries and provided detailed account information.
  • Educated customers on their financial obligations, offering guidance on budgeting and repayment options tailored to their individual circumstances.

Timeline

Patient Billing Specialist

Activus Connect
08.2019 - 09.2024

Claims Processor

AllState Sales Group
01.2017 - 08.2019

Collection Customer Service Representative

JP Morgan Chase
09.2014 - 01.2017

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KATRICE BURRELL