
Detail-oriented professional with expertise in research and evaluative techniques to address customer requests. Skilled in maintaining inventory accuracy and meeting tight deadlines. Analyze complex problems to identify key factors and develop effective solutions. Knowledgeable in human resources and organizational psychology, bringing valuable insights to administrative functions.
- Utilized advanced interviewing techniques to evaluate individual circumstances and goals for optimal outcomes.
- Elicited sensitive personal and financial information while ensuring full compliance with reporting requirements.
- Made informed judgments on controversial issues regarding taxpayer responsibilities and potentially fraudulent activities.
- Developed and analyzed detailed inquiries by researching records to provide personalized guidance and ensure regulatory compliance.
- Explained necessary future actions for voluntary compliance, including tax liability assessments for various income sources.
- Assisted taxpayers with inquiries related to federal tax regulations and procedural guidelines.
- Provided clear explanations of tax forms and filing processes to enhance client understanding.
- Resolved taxpayer issues through thorough research of account records and relevant documentation.
- Assisted taxpayers with inquiries regarding federal tax regulations and processes.
- Processed tax returns and ensured compliance with IRS guidelines and policies.
- Utilized IRS software to manage and track taxpayer accounts effectively.
- Handle inbound calls from patients.
- Process hospital claims for patient accounts.
- Adjust balances on hospital accounts.
- Add insurance information to self-pay accounts.
- Send out itemized hospital bills for insurance review.
- Explain the breakdown of charges after receiving insurance payments.
- Clarify the breakdown of insurance Explanation of Benefits (EOB).
- Assisted customers with inquiries and resolved issues efficiently.
- Managed customer accounts and updated information in the database.
- Provided product information and guided customers in their purchases.
**Responsibilities for Medical Reimbursement Cases at the Georgia Department of Community Health: **
- Create cases related to Medical Malpractice, Product Liability, and Personal Injury.
- Process intake referrals for new cases.
- Refer cases with non-payment issues to the State Attorney General's Office.
- Conduct document reviews and perform legal research.
- Post payments as required.
- Maintain a manageable caseload.
- Answer incoming phone calls professionally.
- Sort and effectively manage incoming mail.
- Managed subrogation claims for medical assistance programs effectively.
- Reviewed case files to identify potential recovery opportunities consistently.
- Collaborated with legal teams to prepare necessary documentation for claims.
- Collaborate with all insurance types, including managed care, government programs, third-party payers, workers' compensation, and motor vehicle accident (MVA) claims.
- Assist patients in making payments, setting up payment plans, and offering settlements on their accounts.
- Provide exceptional customer service to all patients and healthcare providers.
- Follow up on claim payments with insurance companies for over 300 physicians.
- Verify Medicaid eligibility as well as eligibility for Chamberlain & Edmonds.
- Managed patient account inquiries and resolved billing discrepancies.
-Processed insurance claims and verified patient eligibility efficiently.
- Communicated with patients regarding account status and payment options.