Pamela Dials
South Bend,IN
Summary
Communicative customer service professional motivated to maintain customer satisfaction and contribute to company success. History managing large amounts of inbound calls and sustaining satisfactory relationships with customers. Offers skill with CRM systems paired with outstanding active listening and multitasking abilities.
Overview
31
31
years of professional experience
Work History
Customer Service Representative
The South Bend Clinic
South Bend , IN
07.2003 - Current
- Collaborated closely with other departments such as clinical staff and front desk personnel to ensure accurate coding of services provided.
- Verified patient insurance eligibility and coverage for medical services rendered.
- Resolved billing discrepancies with insurance companies and patients.
- Followed up on unpaid or denied claims in a timely manner.
- Responded promptly to customer inquiries regarding billing disputes or discrepancies.
- Communicated with patients regarding payment plans, overdue balances, and collections issues.
Medical Claims Processor
Trustmark Insurance
South Bend , IN
03.1998 - 07.2003
- Verified accuracy of provider data entered into the system including tax ID numbers, NPI numbers, address changes .
- Prepared documents for submission to insurance companies for review and approval for payment of claims.
- Reviewed medical claims for accuracy and completeness, verifying patient eligibility and coding.
- Processed a high volume of claims on a daily basis using established time frames.
Customer Service Representative
St. Joseph Regional Medical Center
South Bend , IN
02.1993 - 03.1998
- Handled incoming correspondence from insurance companies regarding claims processing issues.
- Communicated effectively with various departments within the organization in order to resolve customer issues quickly.
- Performed data entry tasks in order to update patient accounts accurately.
- Verified patient eligibility for benefits according to healthcare policies and procedures.
Education
High School Diploma -
St Joseph High School
South Bend, IN05-1979
Skills
- Healthcare insurance knowledge
- Claims Investigation
- Insurance Verification
- Strong interpersonal skills
- Customer Relationship Building
- Conflict resolution techniques
- Multitasking and Organization
- Customer Service
Timeline
Customer Service Representative
The South Bend Clinic
07.2003 - Current
Medical Claims Processor
Trustmark Insurance
03.1998 - 07.2003
Customer Service Representative
St. Joseph Regional Medical Center
02.1993 - 03.1998
High School Diploma -
St Joseph High School
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