MARY AGUILLON

Processed Medicaid and Medicare out of network benefit payments to facilitate timely reimbursements for clients.

• Ensured accuracy of insurance claims and EOBs through detailed corrections.
• Trained new staff on fulfillment procedures and best practices to enhance team readiness and service quality.
• Adhered to state guidelines for Medicare benefits to ensure compliance and accurate service delivery.
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• I first started off as a front desk receptionist I called patients to reschedule appointments collect copays insurance verification complete clinicians request and after 6 months I moved into the billing team
• Assisted with claims and billable CPT codes, collected past due balances, and initiated collections for patients without contact or payment plans.
• Boosted collections efficiency by implementing effective follow-up strategies on overdue accounts.
• Streamlined billing processes, enhancing insurance verification and claim accuracy.
• Monitored and analyzed billing discrepancies to minimize financial losses from claim denials.
• Analyzed and optimized billing cycle, reducing errors by refining insurance verification.
• Developed training materials for new staff on insurance protocols, elevating team competency.

• Assisted with back to back calls call center setting ordered patients medication and assisted with covered and non covered benefits
• Streamlined patient medication orders, enhancing call center efficiency.
• Managed complex benefit inquiries, ensuring accuracy in customer support.
• Delivered empathetic support to patients, enhancing overall service satisfaction.
• Resolved coverage issues through meticulous analysis, aiding in customer retention.
• Developed solutions for non-covered benefits, improving patient care standards.
• Enhanced data accuracy in patient profiles, reducing errors in medication orders.

Prepared, completed and processed customer account forms in our database

• Processed and maintained customer account forms in database to ensure accurate records.
• Pulling credit reports for customer verification accuracy
• Verified finances for credit approval
• Represented company in key meetings to improve onboarding procedures.
• Streamlined client account management, enhancing processing speed and accuracy.
• Boosted onboarding efficiency by representing company in critical meetings.
• Streamlined client account management to increase processing speed and accuracy.
• Managed cash transactions and collected payments from customers.
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• Assisted with past due balances and going out to place of residence and employment to get contact or a payment checked credit report to make sure financial situation was stable and the loan was afforded for the client
• Managed loan processing ensuring financial stability and affordability through detailed credit analysis.
• Facilitated client financial assessments to maintain stable lending practices and client satisfaction.
• Conducted client financial assessments to support stable lending practices and enhance client satisfaction.
• Transformed loan processing by implementing efficient credit checking methods to enhance client trust.
• Executed comprehensive evaluations of clients' financial situations to promote responsible loan approvals.