Professional with strong commitment to delivering exceptional customer service and achieving results. Adept at addressing customer needs and resolving issues efficiently. Reliable team player known for adaptability and effective communication skills. Proven track record in fostering collaborative environments and driving customer satisfaction.
Overview
31
31
years of professional experience
Work History
Provider Engagement Representative, SCC
Optum Care Solutions
01.2020 - Current
Exceeded performance targets through diligent work ethic and focus on results-driven tasks.
Responded to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
Communicated with clients and customers to gather, provide and share updated information on products and services.
Optimized workflow processes, allowing for more efficient use of resources and reduced turnaround times on projects.
Updated job knowledge by participating in educational opportunities, reading professional publications, and maintaining personal networks.
Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Billing Specialist
Sunrise View Retirement Villa & Convalescent Center
01.1999 - 12.2020
Generated and submitted invoices based upon financial schedule, prepared reports and reconciled accounts using industry computer program as well as Microsoft office suite
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances
Managed various general office duties such as answering multiple telephone lines, gathering and preparing information for compliance and annual cost reporting
Oversaw financial operations, producing invoices, processing payments and preparing deposits
Reviewed documentation for compliance with requirements and accuracy of information
Maintained good communication between department managers, medical staff and provider representatives by attending meetings and synchronizing interdepartmental functions
Office Manager
Mira Vista Care Center
01.1995 - 01.1999
Recruited, hired, trained and supervised administrative office staff Established efficient workflow processes, monitored daily productivity and implemented modifications to improve overall effectiveness of office personnel and activities
Prepared patient invoices, insurance claims and processed incoming payments
Received, screened and routed incoming calls
Ordered all office supplies including ink cartridges, toner, and paper
Handled all incoming business and client requests for information
Maintained computer and physical filing systems
Created reports and presentations
Education
Bachelor of Arts - Business and Communications
Western Washington University
Bellingham, WA
06.1990
Timeline
Provider Engagement Representative, SCC
Optum Care Solutions
01.2020 - Current
Billing Specialist
Sunrise View Retirement Villa & Convalescent Center
Provider Engagement Representative-Client Manager at United Healthcare-OptumProvider Engagement Representative-Client Manager at United Healthcare-Optum