To gain employment within our community promoting local economy with the expertise I have acquired.
Overview
26
26
years of professional experience
Work History
Patient Account Representative
St Luke's
Mountain Iron, MN
07.2019 - Current
Effective communication consists of listening and responding appropriately, interacting politely with others to promote and enhance positive relationship, conveying clear and concise information and ideas, making sure that information is given to all involved, and following proper chain of communication
Appropriate problem-solving skills, which may include issue analysis, information gathering, analyzing information, using sound judgement, and overall decision making
Ability to demonstrate empathy, respect and positive customer relations, both on the telephone and in person and to present a professional image
Verifying patients demographic and insurance information, along with collecting copay and/or payments from patients for processing
Answer calls and route accordingly, initiates refill request for prescriptions, schedule appointments.
Skill in computer keyboarding
Claims Examiner
Blue Cross and Blue Shield of Minnesota | Virginia I Claims Center
Virginia, MN
06.2005 - 11.2018
Serves medical insurance customers by determining insurance coverage; examining and resolving medical claims; documenting actions; maintaining quality customer services; ensuring legal compliance
Demonstrates professionalism and outstanding service while achieving multiple accolades and awards for accuracy of claims processed
Possesses superb organization, attention to detail and adaptability with evolving changes required within the medical profession
Serves as excellent mentor providing tutelage and direction to less senior staff
Loyalty with service vested to BCBS for the past 14 years achieving annual raises and vertical advancement
Self directed, self motivated maintaining above average work performance
Provider Service Representative
Blue Cross and Blue Shield of Minnesota | Virginia I Customer Service Center
Virginia, MN
02.2004 - 06.2005
Guidance regarding provider questions pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment
Proactively provides information and education to provider, as appropriate, pertaining to a variety of health, financial, and self-service programs
Maintained profession relationship while exceeding quality care among services offered
Teller
Wells Fargo Bank
Eveleth, MN
06.1998 - 02.2004
Ability to navigate multiple computer systems, applications, and utilize search tools to find information quickly and accurately
Proficient with Microsoft Office use and presentation
Excellent customer relations within the community
Entrustment from administration for supervision and leadership of subordinates
Professional dexterity and competence handing capacious sums of capital with 100% accuracy
Expert advisor promoting supplemental services and packages within the institution
Customer service focus with optimistic approach to both the customers and team members
Education
Bachelor of Science - Elementary Education
Minnesota State University Moorhead
1995
Associate of Arts - Liberal Arts
Rainy River Community College
1992
Skills
Data Entry
Computer Skills
Data Analysis
Verbal Communication
Exceptional organization
Problem Solving
Customer Service
Quality Oriented
Board Math Skills
Highly motivated
Easily adaptable
Telecommunications
Affiliations
Blue Cross Blue Shield - 100% Quality Audits
Wells Fargo - Referral/Sales Award
Indus High School - Lee Hasbargen Award (community involvement award)
North Saint Louis County- 4H Volunteer and mentor
References
Jena Perala 218-404-6098
Elaine Svoboda 218-348-5593
Timeline
Patient Account Representative
St Luke's
07.2019 - Current
Claims Examiner
Blue Cross and Blue Shield of Minnesota | Virginia I Claims Center
06.2005 - 11.2018
Provider Service Representative
Blue Cross and Blue Shield of Minnesota | Virginia I Customer Service Center
Registered Nurse at CHI St. Luke's Health - Baylor St. Luke's Medical CenterRegistered Nurse at CHI St. Luke's Health - Baylor St. Luke's Medical Center