An Accounts Receivable Specialist, Appeal Support Representative, and Lead Passenger Service Agent with over two decades of experience, demonstrating a forward-thinking approach in optimizing operational efficiency and mastering ERP systems. This professional harnesses a blend of problem-solving, decision-making, and leadership skills to drive innovative logistics solutions and implement strategic organizational improvements. With a commitment to leveraging technology and banking expertise, poised to contribute significantly to future organizational success.
Streamlined account tracking, improved payment times through meticulous discrepancy analysis
Implemented new briefing setup, ensuring 98% success rate for on-time flight departures
Resolved complex billing issues, maintaining accurate accounts and fostering customer trust
Provided critical support for account recovery, establishing reliable payment solutions for clients
Optimized billing processes, reducing errors by 20% through detailed analysis and system enhancements.
Medical Billing Coordinator/Financial Counselor
Acadiana Women's Health Group
08.2011 - 07.2021
Processed medical claims, communicated professionally and effectively with customers and provided accurate information
Obtained authorizations for managed care and Medicaid
Cleaned up backlog of incorrectly posted payments and remittances for insurance clients, taking initiative to research and reconcile simple to complex issues and ensuring compliance
Increased income from unpaid claims 15% by researching and resolving claim issues
Streamlined claims processing, ensuring accuracy & compliance, leading to a 15% rise in recovered funds
Resolved complex insurance payment issues, directly boosting income from unpaid claims by 15%
Eliminated backlog of payment errors through meticulous research and reconciliation
Facilitated patient financial counseling, improving customer understanding and satisfaction
Pioneered effective communication strategies with customers, enhancing information accuracy and service.
Maintained detailed knowledge of various payer requirements, facilitating smoother interactions between healthcare providers and insurance companies during claims processing efforts.
Assisted in staff training initiatives to develop a knowledgeable team capable of handling complex billing situations effectively.
Coordinated with clinical teams to ensure proper documentation was received for accurate coding and claim submissions, reducing delays in reimbursements.
Optimized cash flow management by accurately forecasting monthly collections based on historical trends and current payer mix.
Reduced claim denials and rejections by conducting thorough audits and addressing discrepancies prior to submission.
Effectively resolved disputes regarding coverage eligibility or claim denials through professional communication with patients and insurance representatives alike.
Appeal Support Representative
Castle Biosciences
03.2017 - 04.2021
Reviewed and process medical policies, grievances, and denials of medical claims
Managed approximately 30 incoming calls, emails and faxes per day from customers.'
Review each complaint and denial, contact customers to gather details of their case, document process as it moves through system, provided report regarding case statistics, and prepare for appeal hearings
Analyze policy connected with claim to determine company liability
Document for final case determination
Managed claim denial appeals, ensuring meticulous documentation and policy analysis
Streamlined appeal process, reducing case resolution time by efficiently handling grievances
Introduced systematic approach to track and report case statistics, enhancing transparency
Provided empathetic customer support, gathering case details for fair review and appeal
Evaluated medical policies against claims to accurately determine company's liability
Efficiently managed appeal processes, cutting resolution times by enhancing grievance handling.
Lead Passenger Service Agent
Delta Global Staffing
06.2017 - 03.2020
Served as second line of supervision for Agents at counter and gate
Efficiently managed customer complaints regarding tickets and baggage handling by offering solutions while delivering exemplary customer service
Efficiently assigned task to employees steering flight schedule while performing directions to passenger service agents performing airline check-ins and gate functions
Facilitated passenger services supervision in implementing company programs
Pioneered new briefing setup, achieving 98% on-time flight departure rate
Streamlined check-in and gate processes, boosting efficiency and agent performance
Acted as key support in agent supervision, fostering team excellence in passenger service
Optimized flight schedules and agent assignments to ensure punctual departures
Boosted team efficiency, ensuring 98% on-time flight departures and enhancing passenger satisfaction.
Patient Service Representative
Our Lady of Lourdes
08.2008 - 07.2011
Performed clerical functions as part of care team supporting identified group of physicians and patients
Greeted/registered and checked in patients upon arrival in courteous and respectful manner
Verified insurance and collected co-payments
Demonstrated excellent customer service skills in all interactions
Assisted members of care team by processing all forms, business messages, and referrals
Performed variety of clerical duties including filing, mailing, logging, copying, retrieving information, faxing, and operating standard office equipment
Streamlined patient intake process, improving efficiency and patient satisfaction
Enhanced team productivity by effectively managing patient documents and information
Provided empathetic support to patients, ensuring comforting experience
Implemented new filing system, reducing retrieval time by 30
Eagerly took on additional responsibilities, contributing to improved clinic operations.