Madison Vondrachek
Janesville
Summary
Dynamic Provider Relations Representative with proven expertise at CVS in claims reviewing and provider support. Excelled in building strategic business relationships, resulting in timely payments and reduced disputes. Strong critical thinking and active listening skills fostered exceptional customer service and satisfaction, ensuring seamless communication between healthcare organizations and insurance companies.
Overview
12
12
years of professional experience
Work History
Provider Relations Representative
CVS
04.2021 - 05.2022
- Assisted providers in navigating through various reimbursement processes, resulting in timely payments and reduced financial disputes between parties.
- Strengthened provider networks through regular outreach and relationship building activities.
- Served as a liaison between healthcare organizations and insurance companies to ensure seamless communication regarding claims processing and payment matters.
- Managed high-volume caseloads of dispute resolution cases, providing swift resolutions that maintained positive relationships with both parties involved.
- Researched and resolved disputes, billing discrepancies, and claims efficiently to maintain customer satisfaction
Receptionist/Certified Chiropractic Assistant
Backfit Health and Spine
06.2019 - 04.2021
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Confirmed appointments, communicated with clients, and updated client records.
- Answered phone promptly and directed incoming calls to correct offices.
- Kept reception area clean and neat to give visitors positive first impression.
- Resolved customer problems and complaints.
- Went over insurance benefits with patients and assisted the claims department
Accounts Receivable Clerk
Natural Light Energy Systems
10.2018 - 06.2019
- Prepared and mailed invoices to customers, processed payments, and documented account updates.
- Submitted cash and check deposits and generated cash receipts to record money received.
- Maintained up-to-date customer contact information, enabling effective communication regarding account status and payment inquiries.
- Provided exceptional customer service when addressing client inquiries about their account status or billing concerns, building strong, long-lasting relationships.
- Prepared billing statements and invoices for customer purchases and recorded transaction date, price and fees to support accuracy.
- Used accounting software to reconcile accounts, track income, and generate invoices.
Customer Service Representative
Fred Meyer Stores
08.2010 - 04.2018
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
Education
Associate of Arts -
Glendale Community College
Glendale, CA01-2023
Skills
- Claims reviewing
- Health plan operations
- Provider support
- Strategic business relationships
- Provider relationship management
- Customer service
- Active listening
- Data entry
- Critical thinking
Timeline
Provider Relations Representative
CVS
04.2021 - 05.2022
Receptionist/Certified Chiropractic Assistant
Backfit Health and Spine
06.2019 - 04.2021
Accounts Receivable Clerk
Natural Light Energy Systems
10.2018 - 06.2019
Customer Service Representative
Fred Meyer Stores
08.2010 - 04.2018
Associate of Arts -
Glendale Community College
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