Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Crystal Roby-Porter

Puyallup,WA

Summary

Organized Medical Biller boasts 3-year career performing difficult multitasking and claims-processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers and clients to handle invoicing within high-traffic office environment.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Youth and Family Advocate

Jubilee Ministries
Portland, OR
02.2022 - Current
  • Conducted home visits and assessments to evaluate family dynamics.
  • Provided case management services to families in need of assistance.
  • Assisted families with obtaining resources such as medical care, housing, food, and employment opportunities.
  • Coordinated referrals for mental health services and other specialized services.
  • Provided crisis intervention counseling when needed to help manage difficult situations involving the family unit.
  • Attended trainings and workshops on topics related to family advocacy work.
  • Used job-related software to compose or prepare correspondence, case notes and technical reports
  • Educated clients about available community resources and assisted them with accessing those resources when needed.

Served as liaison between students, homes, schools, family services, child guidance clinics, courts, protective services, doctors and other contacts to help children facing problems such as disabilities, abuse or poverty.

Administrator/Freight Dispatcher

ken doe trucking llc
Portland, OR
09.2021 - 07.2023
  • maintain compliance with Dot, Fmcsa and clearing house
  • Complete monthly mile tax and quarterly ifta reports
  • Order Ua's and physicals for medical certification
  • File quarterly l&I, negotiate fair rates for all drivers, knowledge of DAT Board and intermodal exchange
  • Monitor electronic logs, maintenance and safety inspections.
  • Coordinated meetings, conferences, travel arrangements.
  • Updated databases with new employee information, job changes and terminations.
  • Displayed strong telephone etiquette, effectively handling difficult calls.
  • Maintained filing system for important documents such as contracts and invoices.
  • Monitored payroll, credit card purchases and invoicing to prevent financial errors.
  • Followed up with customer accounts to resolve unpaid or past due accounts.
  • Monitored and tracked the progress of shipments.
  • Communicated with truck drivers about pick up and delivery schedules.
  • Maintained records of all shipments including tracking numbers, insurance certificates, bills of lading.
  • Prepared invoices for payment collection from customers after completion of shipment process.
  • Investigated customer complaints regarding late deliveries or lost and damaged cargo items.
  • Planned, assigned and directed 2 fleet drivers to promote successful deliveries and excellent customer service.

Backup Supervisor

GetixHealth
Puyallup, WA
01.2020 - 05.2021
  • Complied with company policies, objectives and communication goals.
  • Provided ongoing training to address staff needs.
  • .Trained personnel on proper usage of back-up systems including best practices for protecting sensitive data.
  • Coached staff members to develop long-term career goals.
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.
  • Assist customers with payment,explaining EOB
  • ,Providing assistance with coding reviews and disputes,
  • follow-up calls to patients in regards to insurance Processing payments
  • Epic&legacy
  • Monitored employee productivity to provide constructive feedback and coaching.
  • Reviewed completed work to verify consistency, quality and conformance.
  • Resolved customer complaints and adjusted policies to meet changing needs.

CSS (Customer Service Specialist)

Nordstrom
Seattle, WA
11.2019 - 01.2020
  • .Answered incoming customer inquiries regarding product and service information.
  • Provided assistance to customers in navigating website, placing orders, and resolving complaints.
  • Responded to customer emails with accurate product and service information.
  • Performed data entry of customer orders into the company's order management system.
  • Maintained a high level of professionalism while interacting with customers via phone or email.
  • Generated reports on customer feedback, trends, and other metrics for management review.
  • Processed returns, refunds, exchanges according to company policies and procedures.
  • Collaborated with colleagues from other departments in order to resolve customer concerns quickly.
  • Followed up with customers after transactions to ensure satisfaction levels were met.
  • Ensured compliance with all applicable laws related to consumer protection regulations.
  • Provided technical support for troubleshooting software applications used by customers.
  • Monitored call center queues daily in order to respond promptly to customer inquiries.
  • Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
  • Escalated customer concerns, issues and requirements to supervisors for immediate rectification.
  • Educated customers on special pricing opportunities and company offerings.

Billing Specialist

GetixHealth
Puyallup, WA
01.2019 - 01.2020
  • Navigated,epic and legend
  • Submitted appeals to insurance companies when necessary.
  • Reviewed Explanation of Benefits statements from insurers for accuracy against charges submitted to ensure proper reimbursement was received.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Reviewed medical records to ensure accuracy of billing information and patient data.
  • Resolved discrepancies between customers' remittances and invoices received.
  • Answered customer inquiries regarding billings, payments, account status.
  • Entered data into electronic billing system.
  • Maintained accurate records of claims processing in compliance with HIPAA regulations.
  • Answered inquiries from patients regarding their bills and payment plans.
  • Assisted patients in understanding the details of their billings and payments.
  • Utilized various software programs such as Microsoft Office Suite, Electronic Medical Records, and Practice Management Systems.
  • Processed invoice payments and recorded information in account database.
  • Checked claims coding for accuracy with ICD-10 standards.

CSR - Customer Service Representative

Tommy Bahama
Federal Way, WA
05.2019 - 08.2019
  • Provided customer service support to customers over the phone and by email.
  • Identified customer needs and provided appropriate solutions.
  • Processed orders, forms, applications, and requests.
  • Maintained up-to-date knowledge of customer accounts
  • Handled customer inquiries and complaints in a timely manner.
  • Followed up with customers to ensure their satisfaction.
  • Gathered feedback from customers regarding products and services.
  • Provided guidance on product features and benefits as well as troubleshooting techniques.
  • Consulted with customers regarding needs and addressed concerns.
  • Educated customers on special pricing opportunities and company offerings.
  • Asked probing questions to determine service needs and accurately input information into electronic systems.
  • Met and exceeded productivity targets by handling every interaction with top-notch customer service.

Para Educator/Sub-duty Aide

, Lancaster School District
Lancaster, CA
04.2013 - 03.2017
  • Tutoring children grades K-5th
  • Data entry
  • Contributed ideas at faculty meetings regarding curriculum design or other initiatives.
  • Communicated with parents and guardians about student daily activities, behaviors and related issues.
  • Made special accommodations to integrate students with ADD, ADHD and other learning disabilities.
  • Conflict resolution and behavioral monitoring
  • Provided instruction to students with special needs.
  • Maintained records of student attendance, grades, and other relevant information.
  • Developed and implemented lesson plans to meet the individual needs of students.
  • Created a safe, comfortable learning environment for students by establishing positive relationships with them.
  • Organized activities and resources to promote student engagement in learning.
  • Assessed student progress regularly through formal and informal assessments.
  • Provided appropriate feedback on work, behavior, and attitude towards learning.
  • Encouraged critical thinking skills among students through problem-solving activities.
  • Implemented strategies to ensure all students had access to technology for educational purposes.
  • Monitored student behavior during breaks and lunchtime ensuring safety of all participants.

Lead Intake Specialist

Human Solutions
Portland, OR
09.2006 - 01.2009
  • Conducted initial intake interview to obtain client information, including biographical data, presenting problem, legal status, and other pertinent information.
  • Reviewed referral sources for appropriateness prior to admission into program.
  • Provided crisis intervention services as needed to clients in distress.
  • Data entry in opus
  • Maintained accurate records of all client interactions according to agency policies and procedures.
  • Coordinated with external agencies to ensure continuity of care for clients.
  • Answered and logged incoming inquiries via phone, fax and email.
  • Maintained positive attitude and effectively de-escalated clients during crisis situations.
  • Issued, gathered and inspected intake forms to confirm correct signatures and information.
  • Maintained records and required paperwork in compliance with agency standards.
  • Coordinated schedules and appointments, sending out reminders regarding appointment dates.
  • Created and maintained detailed records of outreach activities, including contact lists, event calendars, and program outcomes.
  • Organized and managed community events to promote awareness of organization's services.
  • Collaborated with other departments on projects related to marketing and public relations efforts.
  • Prepared reports summarizing results of outreach activities for senior management review.

Education

Some College (No Degree) - Social Services

Antelope Valley College
Lancaster, CA

High school diploma or GED -

Mt. Hood Community College

Certified in Freight broker -

South Seattle Community College
Seattle, WA

Skills

  • Data Entry
  • Client Advocacy
  • Incident Management
  • HIPAA Compliance
  • Data Analysis
  • Patient Collections
  • Medical Billing
  • Medical Terminology
  • Invoice Processing
  • Insurance Billing
  • EPIC & LEGACY Use
  • Account Follow-Up
  • Medicaid and Medicare Knowledge
  • Medical Coding Understanding
  • Critical Thinking
  • Electronic Health Record Software
  • Account Reconciliation
  • Claims Review
  • Billing and Collection Procedures
  • Family Support
  • Intake Assessment
  • Relationships and Rapport
  • Crisis Intervention
  • Behavioral Management
  • Dedicated Support
  • MS Office
  • Relationship Building
  • Corrective Action Implementation
  • Dispute Management
  • Analytical and Critical Thinking
  • Excellent Communication
  • Active Listening

Certification

  • 55 WPM (10+ years)
  • MS OFFICE (10+ years)
  • TYPING (10+ years)
  • Certified flagger
  • First Aid Certification
  • CPR Certification
  • Freight broker
  • RBT
  • Registered behavioral technician

Timeline

Youth and Family Advocate

Jubilee Ministries
02.2022 - Current

Administrator/Freight Dispatcher

ken doe trucking llc
09.2021 - 07.2023

Backup Supervisor

GetixHealth
01.2020 - 05.2021

CSS (Customer Service Specialist)

Nordstrom
11.2019 - 01.2020

CSR - Customer Service Representative

Tommy Bahama
05.2019 - 08.2019

Billing Specialist

GetixHealth
01.2019 - 01.2020

Para Educator/Sub-duty Aide

, Lancaster School District
04.2013 - 03.2017

Lead Intake Specialist

Human Solutions
09.2006 - 01.2009

Some College (No Degree) - Social Services

Antelope Valley College

High school diploma or GED -

Mt. Hood Community College

Certified in Freight broker -

South Seattle Community College
Crystal Roby-Porter