Summary
Overview
Work History
Education
Skills
Activities
Timeline
Generic

Kimberly A. Vargas

Rowlett,TX

Summary

Highly enthusiastic customer service professional with 20 years client interface experience. Passionate about promoting lasting customer satisfaction by delivering quality service and unparalleled support. Proficient in customer service best practices and related options.

Overview

24
24
years of professional experience

Work History

Customer Service Representative

United Health Group
12.2015 - Current
  • Answering inbound calls from Brokers and employers assisting with Billing, elegibility, Claims and Benefits, Commisssions, Web Portal support. Contraceptive Services Only, Cobra/State Continuation, Medical loss ratio, , RMS, STREAMS and CSO requests

Team Lead payment posting

McKesson
03.2014 - 07.2015
  • Managed team and workload for team
  • Posted payment and downloaded lockboxes from bank
  • Managed ledgers and charge entries and credit balances
  • Managed month-end close

Medical Billing Specialist

Conifer Health Solutions
05.2003 - 02.2014
  • Performed all aspects of account receivables and account collection
  • Experience with CPT and ICD-9 coding medical billing and terminology while working with Medicaid, Medicare, Third Party billing and worker's compensation accounts
  • Examine medical claims and solve billing collections problems
  • Negotiate claims settlments with insurance companies
  • Establish and maintain an excellent rapport with patients, administrators and medical staff at all levels
  • Charge entries/post payments/credit balances
  • Two years handling patient in-bound phone calls
  • Three years as a refund specialist.

Medicare Claims Specialist

Baylor Healthcare
07.2001 - 05.2003
  • Calling insurance regarding health claims payments and rejections while working closely with the certified coder to re-submit corrected claims for processing.

Claims Editing and Billing Specialist

US Oncology
03.2000 - 06.2001
  • Edited Medicaid and other commercial claims that were sent paper while adhering to strict Medicaid guidelines.

Education

Medical Billing/Coding -

El Centro college
Dallas, TX

Eastfield Community College
Mesquite, TX
01.1999

High School Diploma -

Fayetteville-Manlius High School
Fayetteville, NY
01.1989

Skills

  • Strong organizational skills
  • Seasoned in conflict resolution
  • Sharp problem solver
  • Courteous demeanor
  • B of A online payments
  • Collections
  • Customer service
  • Insurance billing
  • Active listening skills
  • Accounts receivable
  • Payment posting
  • Medical office operations
  • HFMA certified revenue cycle Representative 2014
  • Refunds/credit balances

Activities

  • Star of the Quarter 2006 -Conifer
  • Employee of the half 2002- Baylor
  • Tic Tac Toe Winner 2017 -UHG
  • Youth Soccer coach -1993
  • Youth baseball coach-1993
  • Boys basketball coach- 1994

Timeline

Customer Service Representative

United Health Group
12.2015 - Current

Team Lead payment posting

McKesson
03.2014 - 07.2015

Medical Billing Specialist

Conifer Health Solutions
05.2003 - 02.2014

Medicare Claims Specialist

Baylor Healthcare
07.2001 - 05.2003

Claims Editing and Billing Specialist

US Oncology
03.2000 - 06.2001

Medical Billing/Coding -

El Centro college

Eastfield Community College

High School Diploma -

Fayetteville-Manlius High School

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Kimberly A. Vargas