Summary
Overview
Work History
Education
Skills
Timeline
Generic

Rhonda DeWeaver

Euclid,Ohio

Summary

Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth.

Overview

19
19
years of professional experience

Work History

Medical Biller/Early Out Associate

JP RECOVERY SERVICES
Rocky River, OH
07.2022 - 07.2023
  • Documents all appropriate information in FACS and Client system with accurate status and disposition
  • Review payer website for payment and fee schedule on the 1500s
  • Reviews, audits, and documents selected accounts as instructed
  • Handles inbound and outbound insurance and customer calls
  • Handle a minimum of 40+ calls per day
  • Prints PDF 1500 UB04s and medical records for bills electronic, fax or mail submission
  • Offers client-approved payment options and calculates appropriate payment plans
  • Sets up payment plans in the system
  • Processes payments over the phone via check or credit card
  • Verifies Medicaid eligibility by entering billing information in Excel for Emdeon verification
  • Determines eligibility of Free Care or hospital charity programs and forwards to the appropriate client.

Customer Service Representative

Accenture
Cleveland, OH
07.2021 - 02.2022
  • Accept high volume of inbound calls from unemployment applicants, perform chat services, follow scripts, and process claims accordingly
  • Conduct outbound calls as needed to assist with claim information or identify missing information
  • Document all encounters in clear and concise logs
  • Build a rapport with members and assist them with their needs to improve customer satisfaction and loyalty
  • While handling a large volume of calls daily I have to multi-task with interacting with members while also entering their information into multiple screens
  • Consistently meet individual performance standards/metrics
  • Virtual Server (WAH)
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.
  • Answered inbound calls, chats and emails to facilitate customer service.
  • Demonstrated excellent communication skills in resolving product and consumer complaints.
  • Developed strong customer relationships to encourage repeat business.
  • Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
  • Set up and activated customer accounts.
  • Asked probing questions to determine service needs and accurately input information into electronic systems.

Virtual Server

Restaurant Revolutions Technologies
Seattle, WA
06.2018 - 11.2019
  • Handle a large number of incoming food orders to support the client's takeout operations
  • Handle guest complaints if an order was made incorrectly and assist guests with locating lost items they may misplace at locations
  • Manually enter guest takeout orders submitted by email/online
  • Called to the location if an order was not submitted properly
  • Correspond with teammates and supervisors by Skype if urgent assistance is needed.
  • Provided exceptional service to high volume of daily customers.

Member Service Representative

Broad Path Healthcare Solutions
Tucson, AZ
08.2017 - 11.2018
  • Managed 50+ inbound calls resolving member inquiries concerning their medical benefits
  • Identify and research members’ issues with their benefits, eligibility, claims, and billing information
  • Met the performance goals established for the position in the areas of; first call resolution and attendance and maintained 95%-100% marks in quality audits and member feedback
  • Assists in the education of new members and the re-education of existing members regarding health plan procedures
  • Scheduling medical appointments
  • Logs, tracks, and appropriately documents all issues
  • Follow-up with members’ inquires that were not immediately resolved
  • Assist members with finding local providers in their area
  • Assist members with misapplied payments while verifying transactions on their accounts.

Virtual Customer Service Representative

Amazon
Seattle, WA
06.2016 - 10.2017
  • Assist customers with tracking their packages
  • Assist customers with finding products on the Amazon website
  • Identified, researched, and resolved customers issues using the computer systems
  • Update customers with resetting their passwords on their accounts
  • Transfer customers to appropriate staff
  • Follow-up with customers’ inquires that were not immediately resolved
  • Research billing issues
  • Assist customers with misapplied payments while verifying transactions on their accounts.

Customer Service Representative

KG Administrative Services
Chesterland, OH
05.2015 - 11.2016
  • Provided first call resolution of customer service inquires and issues by identifying the type of assistance the caller needs such as benefits and eligibility and claims
  • Primary contact for customer problems and/or questions
  • Verified if providers were in-network with Cigna and Healthspan
  • Developed relationships with customers while providing quality service
  • Followed up with members’ or providers’ inquires that were not immediately resolved
  • Answer members’ and providers’ e-mails
  • Researched and resolved billing issues
  • Completed call logs and reports
  • Scanned and entered claims mailed to the claims department by members and groups
  • Responsible for data entry and database management.

Enrollment Specialist

Apex Systems, Inc
Solon, OH
08.2014 - 03.2015
  • Research and conduct outreach via phone or fax to obtain additional information to process coverage requests and complete all necessary actions to close cases
  • Work closely with providers to process prior authorizations and drug benefits exception requests by
  • Medicare Part D regulations
  • Process applications for new or returning members for prescription drug coverage
  • Make outbound calls to members to verify and update correct information for processing applications
  • Complete and follow up on a variety of applicants’ enrollment applications.

Medical Records Clerk

Omni Park Healthcare
Euclid, OH
03.2013 - 08.2014
  • Maintain maintenance of consumer records
  • Compiles admission, recertification, and other visit packets for nurses
  • Files processed physician, nurse, and home health aide notes with signatures, completed visit reports, and other correspondence into consumers’ medical records
  • Contact physician or nurse via phone or fax concerning unsigned recertification and orders
  • Purge and reuse discharged charts
  • Copy and file documents as applicable
  • Knowledge of Medicaid, Medicare, and Passport
  • Maintains accurate ordering and inventory of office medical supplies
  • Comply with federal HIPAA regulations and practice policies for the privacy and security of consumers.

Receptionist

Gateway Family House
Euclid, OH
02.2011 - 03.2013
  • Answer incoming calls and transfer calls to appropriate parties
  • Greet visitors and assist visitors with information about the facility and give tours
  • Sort incoming mail, fax, copy, filing, and miscellaneous projects as assigned
  • Accept resident’s check payments
  • Notify nurses and caregivers to residents' room for an assistant.

Customer Service Representative

West market LLC
Brooklyn Heights, OH
06.2005 - 10.2011
  • Provided complete customer service in a retail environment including filling orders, checking the accuracy, billing, problem-solving, and removing/added items to customers' purchase orders
  • Resolved customers' complaints while increasing customer satisfaction
  • Provided on-the-job training to new employees.

Medical Records Clerk

Fairview Hospital
Cleveland, OH
06.2004 - 07.2005
  • Performed all necessary procedures pertinent to the maintenance of patient confidentiality regarding procedures that protected health information and assured compliance with federal and state laws
  • Collected and organized individual records and maintained patient files
  • Prioritized tasks to ensure timely delivery of vital information
  • Effectively communicated with management and staff to ensure positive and productive department operations
  • Demonstrated ability to perform multiple and complex tasks with little supervision.

Education

Diploma/Associates of Applied Science - Medical

Valley College
07.2023

High school diploma or GED - General Studies

Cuyahoga Community College
Cleveland, OH
09.2001

Skills

  • HIPAA
  • Order Entry
  • Medical Records
  • Insurance Verification
  • Medical Billing
  • Quality Audits
  • Assessments
  • Customer focus & orientation — Proficient
  • May 2022
  • Responding to customer situations with sensitivity
  • Full results: Proficient
  • Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued
  • Development in any professional field
  • Customer Service
  • Insurance Claims
  • Clerical Support
  • Records Management
  • Account Follow-Up
  • Insurance Billing
  • Insurance Claims Processing
  • Medical Record Security
  • 45 WPM
  • CMS-1500 Billing Forms
  • HIPAA Compliance
  • Payment Posting
  • Teamwork and Collaboration

Timeline

Medical Biller/Early Out Associate

JP RECOVERY SERVICES
07.2022 - 07.2023

Customer Service Representative

Accenture
07.2021 - 02.2022

Virtual Server

Restaurant Revolutions Technologies
06.2018 - 11.2019

Member Service Representative

Broad Path Healthcare Solutions
08.2017 - 11.2018

Virtual Customer Service Representative

Amazon
06.2016 - 10.2017

Customer Service Representative

KG Administrative Services
05.2015 - 11.2016

Enrollment Specialist

Apex Systems, Inc
08.2014 - 03.2015

Medical Records Clerk

Omni Park Healthcare
03.2013 - 08.2014

Receptionist

Gateway Family House
02.2011 - 03.2013

Customer Service Representative

West market LLC
06.2005 - 10.2011

Medical Records Clerk

Fairview Hospital
06.2004 - 07.2005

Diploma/Associates of Applied Science - Medical

Valley College

High school diploma or GED - General Studies

Cuyahoga Community College

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Rhonda DeWeaver