Opaluence Foster
Arlington,TX
Summary
Detail-oriented professional with focus on deadlines and skilled in handling medical billing and collections without errors. Confident and knowledgeable in data confidentiality and privacy practices when reviewing patient information. Driven and motivated to perform beyond expectations.
Overview
6
6
years of professional experience
Work History
Senior Customer Service Representative
Indeed
04.2022 - Current
- Learned and maintained in-depth understanding of product and service information to offer knowledgeable and educated responses to diverse customer questions.
- Processed, scheduled and executed customer orders for new and established customers.
- Researched and rapidly resolved client conflicts to maintain key accounts.
- Engaged clients in person and over phone to answer questions and address complaints.
- Followed up with customers regularly via phone and email to obtain payments and schedule services.
- Researched and rapidly resolved client conflicts to maintain key accounts
Account Resolution Specialist
Currance
11.2021 - 03.2022
- Documented all actions performed and interactions with customers.
- Assessed individual situations and developed effective and appropriate resolutions.
- Completed in-depth research to investigate claims and resolve problems.
- Monitored aging accounts and reached out to customers to discuss payments.
Senior Dental Claims Auditor
Pacific Dental Services
10.2020 - 09.2021
- Identified control gaps in processes, procedures and systems through in-depth research and assessment and suggested methods for improvement.
- Complied with established internal procedures by examining reports, processes and documentation.
- Participated in interviews, performed observations and evaluated pertinent information to supplement audit findings.
- Performed strategic planning, execution and finalization of audits.
- Developed auditing program to address risks and evaluate regulatory requirements.
Senior Account Resolution Specialist
Prime Healthcare
05.2019 - 08.2020
- Completed in-depth research to investigate claims and resolve problems.
- Assessed individual situations and developed effective and appropriate resolutions.
- Negotiated arrangements to manage defaults, payment plans or full remittance of balance owed.
- Documented all actions performed and interactions with customers.
- Negotiated to collect balance in full.
- Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
Revenue Cycle Analyst
Aerotek, Staffing Agency
04.2017 - 12.2018
- Analyzed financial and statistical data related to revenue cycle, creating in-depth reports to show KPIs.
- Collaborated with other business analysts to streamline tasks and duties in effort to improve overall efficiency.
- Created well-researched presentations on revenue cycle data to deliver to upper management and executives.
- Communicated revenue cycle information to non-technical audiences in easily-understood terms.
Government Collection Specialist
K-Force/ Staffing Agency
12.2016 - 04.2017
- Reviewed contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed
- Resolve any incoming phone inquiries from insurance providers requesting medical records and/or letters of medical necessity
- Research, compile, and respond to documentation requests from insurance carriers in a timely basis
- Aggressively seek final resolution on all denied medical claims.
Education
Bachelor of Arts - Applied And Professional Ethics
University of North Texas At Dallas
Dallas, TX05.2016
Skills
- Accounts payable/receivable
- Experience with EMR Systems: Epic, Advanced MD, All-Scripts,
- Experience with managed care & commercial carriers
- Experience developing curriculum
- Experience writing appeals, reviewing hospital contracts
- Coaching and mentoring
- Efficient and Detail-Oriented
- Calm and Professional Under Pressure
- Courteous with Strong Service Mindset
- Building Customer Trust and Loyalty
- Understanding Customer Needs
Timeline
Senior Customer Service Representative
Indeed
04.2022 - Current
Account Resolution Specialist
Currance
11.2021 - 03.2022
Senior Dental Claims Auditor
Pacific Dental Services
10.2020 - 09.2021
Senior Account Resolution Specialist
Prime Healthcare
05.2019 - 08.2020
Revenue Cycle Analyst
Aerotek, Staffing Agency
04.2017 - 12.2018
Government Collection Specialist
K-Force/ Staffing Agency
12.2016 - 04.2017
Bachelor of Arts - Applied And Professional Ethics
University of North Texas At Dallas
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