Patricia Langston
Columbia,MD
Summary
Hardworking employee with strong customer service skills, multitasking Highly-motivated employee with desire to take on new challenges. Strong worth ethics and the ability to give positive customer service for memorable experience.
Organized and experienced in working deadlines to meet a customers needs within the healthcare industry.
Experienced working in diverse environments..
Overview
8
8
years of professional experience
Work History
Provider Relations Representative
Beacon Health Options
Linthicum Heights, MD
01.2011 - 07.2017
- Developed and maintained strong relationships with providers by responding promptly to inquiries, resolving issues and providing ongoing support. Trained new and existing providers on the Beacon Health Options system.
- Trained new provider relations representatives.
- Assisted with Beacon Health Options workshops through out the the Baltimore Maryland county.
- Reviewed denied claims for providers.
- Part of the provider council meetings for the State of Maryland contract for mental health and substance.
Patient Account Representative
US Oncology Hematology
Columbia, MD
10.2010 - 12.2011
- Provided customer service to patients regarding billing inquiries and account information.
- Routinely submitted insurance claims for billing and issued collections for payment when required.
- Reviewed accounts aging over 60 days for oncology services.
Claims Recovery Analyst
XL Health
Baltimore, MD
05.2009 - 07.2010
- Conducted review of claim payments.
- Reviewed and analyzed pending claim trends to determine necessary refinement of business rules and workflows to improve the overall claims process.
- Analyzed quality assurance reports for possible claim recovery.
Education
Bachelor of Science -
Mid-America Christian University
Oklahoma City, OK12.2014
Skills
- Can interact with social workers and case managers related to mental health and substance services
- Have the ability to respond to inbounand calls from patients and providers
- Skilled in training new and existing providers on healthcare systems
- Also skilled in training new customer service representatives
- Able to explain health benefits to patients and providers
- At times have assisted supervisors with crisis calls from insured members
- Authorized outpatient mental health and substance services
Timeline
Provider Relations Representative
Beacon Health Options
01.2011 - 07.2017
Patient Account Representative
US Oncology Hematology
10.2010 - 12.2011
Claims Recovery Analyst
XL Health
05.2009 - 07.2010
Bachelor of Science -
Mid-America Christian University
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