Paula Dread
Iowa City
Summary
Experienced with managing patient interactions and administrative responsibilities. Utilizes effective communication and problem-solving skills to enhance patient satisfaction. Knowledge of healthcare protocols and administrative procedures ensures smooth operations.
Overview
16
16
years of professional experience
Work History
Patient Service Representative
R1 Rcm
06.2015 - Current
- posting adjustments, moving payments, reviewing claims and denials.
- Handled customer service inquiries in person, via telephone and through email.
- Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
Claims CSR, Quality Specialist
Maximus Call Center
02.2009 - 06.2015
- strong knowledge in Medicare Part A, B and DME claims.
- Enhanced customer satisfaction by efficiently explaining claim denials and providing a resolution for the claims and addressing policyholder concerns.
- Managed a high volume of calls daily, maintaining composure under pressure while providing exceptional service.
- Checked documentation for accuracy and validity on updated systems.
- Initiated process improvements by identifying trends in call performance metrics and proposing actionable solutions to address areas of concern.
- Enhanced call quality by conducting thorough monitoring and analysis of agent interactions.
- Evaluated calls across multiple lines of business, gaining valuable insights into varying customer needs and expectations within each segment serviced by the organization.
Education
High School Diploma -
Iowa City High
Iowa City, IA05-2007
Skills
- - Ability to balance multiple tasks when needed and resolve in a timely manner
- -Experience with Epic, with the ability to learn new systems
- Insurance verification
- Hospital billing and/or AR follow up experience
- Customer service
- Data entry proficiency
Timeline
Patient Service Representative
R1 Rcm
06.2015 - Current
Claims CSR, Quality Specialist
Maximus Call Center
02.2009 - 06.2015
High School Diploma -
Iowa City High
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