Patrice Bassett
Wilmington,DE
Summary
Professional billing and coding representative with over 16 years of exceptional service in the field of medical billing and coding, office administration, and call-center support. Detailed orientated person, driven and hard working.
Highly motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
16
16
years of professional experience
Work History
Professional billing representative
Optum Serve: Veterans Benefits Administration
05.2024 - Current
- Prove outstanding service to identity the source of the caller's issue and work to resolve the inquires in a prompt and professional manner
- Help them with their queries related to their benefits
- Contact care providers (doctor's offices) on behalf of the customer to help with appointment scheduling or connections with internal specialists for aid.
INFORMATION & REFERRAL SPECIALIST
UnitedWay Of Delaware
10.2021 - 02.2024
- Assess and refer customers to proper services
- Customer needs range from requests for simple information to complex cases with multiple needs requiring research, advocacy, and crisis intervention
- I&R Specialist also perform data entry operations.
CUSTOMER SERVICE REPRESENTATIVE (TEMP POSITION)
UNIVERSITY OF PENNSYLVANIA HOSPITAL
09.2020 - 06.2021
- Respond to customer inquiries and questions via telephone, seek aid from Shift Supervisor as needed
- Accurately gather new patient demographics, insurance, and/or financial information to set up/update patient's account
- Verify patient insurance as pre-appointment activity
- Resolve patient inquiries and concerns and/or provide support in connecting patients to department or party who can provide resolution.
INVALID PROVIDER QUEUE (IPQ) REPRESENTATIVE
08.2019 - 04.2020
- Identify and maps claims to the proper provider number for claims in the invalid provider queue
- Ensure that work is completed according to the service level agreement
- Coordinates the provider mailing for all claims in the IPQ that could not be processed due too missing or invalid information
- Attends required training on annual basis.
MERCY HOME HEALTH-BILLING SPECIALIST
03.2018 - 07.2019
- Collecting of outstanding accounts receivable dollar amount from existing client base
- Contact insurance companies to process all home care claims
- Resolving customer billing problems and reducing accounts receivable delinquency.
WELLS FARGO BANK-LOCKBOX REPRESENTATIVE
01.2017 - 08.2017
- Processing lockbox payments, verifying data on payments and accompanying documents, collecting and mailing.
ADP Representative/Coding
REIMBURSEMENT TECHNOLOGIES INC ADVANCE DENIAL REPR
03.2015 - 05.2016
- Processed claim denials and other correspondence received from third party vendors to resolve denial issues and rebill claims
- Review medical records, assign codes, submit forms and analyze medical claims
- Provided back-up support to Patient Services department by answering overflow inbound calls from patients
- Verify insurance coverage and eligibility
- Conferred with insurance companies to collect the appropriate data to submit appeal letters for patients’ claims
- Investigated payer denials and communicated findings to proper management, personnel, or departments
- Applied financial assistance toward patient accounts who are financially needy
- Handling hardship request from patients.
Patient Services Level 1 Responsibilities
09.2010 - 03.2015
- Handled calls from patient’s Attorneys, Insurance Representative & Hospital Employees
- Submit claims to patient’s proper insurance carriers
- Knowledge of Medicare and Medicaid policies and procedures
- Handled Bankruptcy requests, affidavits & subpoenas
- Processed healthcare claims, patient billing and collection procedures.
CLERK RESPONSIBILITIES
09.2008 - 09.2010
- Counseled attorneys, patients, and hospital employees on process flow for billing information
- Tracked and supported financials of medical, and insurance claim records for patients
- Applied courtesy adjustments on international proposals
Education
Administrative Medical Assistant -
DPT Business School
Philadelphia, PA07.2008
Diploma -
Overbrook High School
Philadelphia, PA06.2007
Skills
Billing and coding specialist
Customer service skills and professional skills
Computer skills
Verifying insurance And benefits eligibility
Maintain and establish electronic medical records
Process credit cards and visa payments
Generate reports using Microsoft Excel
Type 60 wpm
Scheduling
Timeline
Professional billing representative
Optum Serve: Veterans Benefits Administration
05.2024 - Current
INFORMATION & REFERRAL SPECIALIST
UnitedWay Of Delaware
10.2021 - 02.2024
CUSTOMER SERVICE REPRESENTATIVE (TEMP POSITION)
UNIVERSITY OF PENNSYLVANIA HOSPITAL
09.2020 - 06.2021
INVALID PROVIDER QUEUE (IPQ) REPRESENTATIVE
08.2019 - 04.2020
MERCY HOME HEALTH-BILLING SPECIALIST
03.2018 - 07.2019
WELLS FARGO BANK-LOCKBOX REPRESENTATIVE
01.2017 - 08.2017
ADP Representative/Coding
REIMBURSEMENT TECHNOLOGIES INC ADVANCE DENIAL REPR
03.2015 - 05.2016
Patient Services Level 1 Responsibilities
09.2010 - 03.2015
CLERK RESPONSIBILITIES
09.2008 - 09.2010
Administrative Medical Assistant -
DPT Business School
Diploma -
Overbrook High School