To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
11
11
years of professional experience
Work History
Claim Service Representative
PMA Companies
Billing Specialist
Family Practice Center P.C
06.2022 - Current
Identified, researched and resolved billing variances to maintain system accuracy and currency.
Generated and submitted invoices based upon established accounts receivable schedules and terms.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Patient Account Representative
General Healthcare Resources Inc.
06.2020 - 06.2022
Responded to patient, family and external payer inquiries.
Posted payments and processed refunds.
Worked with outside entities to resolve issues with billing, claims and payments.
Electronically submitted bills according to compliance guidelines.
Claims Customer Service Representative
PMA Companies
03.2017 - 06.2020
Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
Reviewed and adjusted customer coverage levels to address, identify and resolve customer conflicts.
Responded to customer requests for products, services and company information.
Provided primary customer support to internal and external customers.
Member Service Representative
Aetna Health Insurance
03.2012 - 02.2017
Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
Answered [Number] inbound calls per [Timeframe] from existing and future policyholders to answer inquiries and discuss insurance options.
Scanned, received and sent faxes to insurance claims, co-pay assistance information and patient documentation.