Kerstin Pellett
Bangor,ME
Summary
Professional Customer Service Specialist with over 20 years experience working in fast paced production driven environments Over 20 years experience in the Healthcare/Insurance Industry Expert handling over 150 calls daily while performing extensive data entry Strong Medical Terminology knowledge as well as Medicare and various insurance knowledge Performed intake, triage, and processing of Medicare Advantage Plan Complaints, Appeals, and Grievances Proficient with Microsoft Word, Excel, Ms-Office Suite, PowerPoint Window7, Outlook, Meditech, IDX, EPIC and AS400 Excellent Written and Oral communication skills Available to interview and start ASAP Authorized to work in the US for any employer.
Overview
14
14
years of professional experience
Work History
Patient Services Representative
BrightView
04.2023 - 07.2024
- Responsible for maintaining accurate new and current patient accounts, including insurance and billing information.
- Serve as the first point of contact for patients inquiries, customer service, and assisting with problem solving patient issues
- Scheduled and Confirm patient appointments
- Communicate with various teams both within the clinic and the central support regarding patient appointments and follow up needs
- Collect point of service payments, including patient copays and other forms of patient financial responsibility
- Perform other duties and responsibilities as assigned by site manager
Michaels
11.2015 - 03.2020
- Responsible for unloading the truck every week.
- Making sure all seasonal merchandise gets out on to to the floor.
- Taking inventory of merchandise to ensure we have the correct amount on hand.
- Shopping merchandise for customers online orders/"buy online purchase in store" when all items were collected prepare packaging and ship packages.
- Knowledge of planograms and building drive-aisle grids.
Intake Coordinator
Sleep Management Solutions
03.2013 - 11.2013
- Worked in a fast paced call center environment; handled over 50-75 calls daily
- Toggled through multiple screens; performed extensive data entry while speaking to customers Entering in all requests for prior authorization for Sleep Testing requests per Cigna guidelines
- Kept records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.
- Reviewed insurance policies for patient eligibility and plan prior authorization requirements. Accomplishments I was extremely helpful in this position due to the many years of healthcare industry.
- From day one I helped my co-workers understand medical terminology, how health insurance companies are structured, and how to help the patient/customer understand the process.
Hospital Access Representative
Middlesex Hospital
05.2012 - 03.2013
- Performed initial interview of patients for testing, procedures, and Emergency room treatment. Accurately entered all patients' demographic, medical, and insurance information into the hospital database.
- Coordinated with the RN Supervisor of patient room assignments with appropriate hospital units. Maintained up to date managed care program requirements and third party payor benefits. Contacted physicians of admissions and all forms required by the hospital for each patient discharge.
- Responsible for medical coding of all outpatient laboratory requisitions
Office Assistant/Bookkeeping
Cody White Funeral Home
01.2011 - 11.2011
- Checked and/or compared documents, forms, applications, or other materials for accuracy, completeness, grammar, and format
- Performed extensive data entry Kept logs and records of telephone calls, clients or tourists served, and types of services provided.
- Prepared and processed bills, invoices, receipts, statements, checks, and other financial documents.
- Maintained accounts receivable by verifying, allocating, and posting transactions. Balanced general ledger by preparing a trial balance; reconciling entries.
- Prepared financial reports by collecting, analyzing, and summarizing account information and trends.
Education
Certificate - Medical Office & Billing Specialist
Goodwin College
Milford. CT04.2000
Skills
- English
- Customer service
- Medical Receptionist
- Documentation review
- Epic
- Medical office experience
- Insurance Verification
- Managed Care
- EMR Systems
- Medical Coding
- Journal Entries
Timeline
Patient Services Representative
BrightView
04.2023 - 07.2024
Michaels
11.2015 - 03.2020
Intake Coordinator
Sleep Management Solutions
03.2013 - 11.2013
Hospital Access Representative
Middlesex Hospital
05.2012 - 03.2013
Office Assistant/Bookkeeping
Cody White Funeral Home
01.2011 - 11.2011
Certificate - Medical Office & Billing Specialist
Goodwin College
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