To seek and maintain a full-time position as a Vendor Liaison - Accounts Receivables, that offers professional challenges utilizing interpersonal skills, excellent time management, and problem-solving skills.
Overview
19
19
years of professional experience
Work History
Insurance Refund Representative
KPC Global Management
04.2018 - Current
Ensures all implant charges are submitted within 24 - 48 hours of service date. Using markup and charging methodology in place. Update implant log with implant vendor purchase order number and cost.
Collaboration with attorney calls regarding account balances and patient responsibilities. i.e. coinsurance balance and deductibles. Review attorney settlement offers.
Update correspondence from vendor agencies.
Delivered timely information to insurance representatives to resolve common and complex issues.
Maintains established policies and procedures, objectives, quality assurance program, and safety standards.
Reviews and works credit balance work lists daily, requesting adjustments or preparing refund requests as indicated by review.
Prepares refund requests on proper forms and submits refund requests for approval.
Process incoming written requests for refunds received from insurance companies.
This includes research, preparing refunds, logging, and balancing all transactions taken in unidentified accounts.
Performs other related duties as assigned or requested.
Responded to customer concerns and questions daily.
Customer Service/Call Center
St. Jude Medical
09.2016 - 09.2017
Sent task to request from patients to their primary physician.
Forward request such as renewal of medication, request for referral, or to accommodate patient for sooner appointments
Update insurance information, review referrals, set up new patient accounts
Relay results to patients when applicable.
Helped a high volume of customers daily with a high volume of customers daily with a positive attitude and focus on customer satisfaction
Actively listened to customers, handled concerns quickly, and escalated major issues to supervisor
Responded to customer calls and emails to answer questions about products and services
Financial Counselor
St. Joseph Heritage Health Business Office
10.2013 - 07.2016
Responsible for patient and site complaint/disputes, tracker is updated daily disputes are audited / completed with an accurate resolution that is sent as a response
Complaints/disputes are closed out when completed
Handle incoming calls on customer service queue line using established scripts, protocols
Assist as a back- up in covering receptionist area or elsewhere as needed
Review and respond to customer/site correspondence timely
Verified eligibility and updated insurance data and registration, assist walk in patients with billing questions and financial assistance
Close payments batches daily, handling various reports on monthly basis (Bad-Debt, Self –Pay, Credits, Bankruptcy and Estates)
Collector
CMRE Financial Services
08.2011 - 10.2012
Medical - Collection/Customer Service
High call volume intake approx 75 to 100 calls on a daily bases, Obtain patient's payments, Negotiated payoff amounts on outstanding balances, set up monthly payments plans and auto withdraws for monthly payments.
Customer Service Lead
Medical Specialties Managers
12.2004 - 05.2010
Over saw customer service department, audit call logs, maintain correspondence mail, back- up on customer service calls when needed
Provided a bill audit of patient's accounts to clients, over see special projects, reviewed patient's finical request for payment plans or finical hardships
Trained entry-level personnel also provided management with monthly status to met monthly goals.
Education
Working On My Associates Degree - Business Management
Fullerton College
Fullerton, CA
06.2024
Medical Billing / Coding Software ProgramsIDX, Advanced -
Franklin College
Norwalk, CA.
Skills
Customer Satisfaction
Administrative Support
Knowledgeable in Paragon and Sunrise
Assist attorneys with account balances and settlement offers
Assist with vendor agencies' correspondence
Critical Thinking
Task Prioritization
Paragon, Sunrise, On Base, One Content Software Proficiency
Timeline
Insurance Refund Representative
KPC Global Management
04.2018 - Current
Customer Service/Call Center
St. Jude Medical
09.2016 - 09.2017
Financial Counselor
St. Joseph Heritage Health Business Office
10.2013 - 07.2016
Collector
CMRE Financial Services
08.2011 - 10.2012
Customer Service Lead
Medical Specialties Managers
12.2004 - 05.2010
Working On My Associates Degree - Business Management
Fullerton College
Medical Billing / Coding Software ProgramsIDX, Advanced -