Rita Kallou

• Provide in-home support services while maintaining strict client confidentiality and care plan compliance.
• Assist with medication reminders, prescription coordination, and documentation of daily care activities.
• Support activities of daily living (ADLs) including mobility, hygiene, nutrition, and household management.
• Maintain accurate records and communicate effectively with family members and healthcare providers.

• Processed medical claims for reimbursement in compliance with state and federal regulations.
• Verified insurance eligibility, benefits coverage, and payment authorizations.
• Updated patient records and ensured accurate billing and coding submissions.
• Developed payment plans and generated invoices to support revenue collection.
• Collaborated with providers to resolve billing discrepancies and prevent claim denials.
• Ensured strict adherence to HIPAA and data security standards.

• Managed high-volume medical and insurance claims from submission through resolution.
• Reviewed documentation for accuracy and compliance prior to claim submission.
• Conducted benefits verification and coordinated with insurance carriers regarding claim status.
• Investigated denied claims and initiated appeals to maximize reimbursement recovery.
• Maintained detailed case documentation and performance tracking reports.
• Communicated with providers and billing departments to resolve discrepancies.

Consumers Energy – Royal Oak, MI

03/2017 – 10/2018

• Managed inbound and outbound customer accounts, payment processing, and account resolution.
• Negotiated payment arrangements and reduced delinquency rates.
• Handled high-volume calls while maintaining customer satisfaction and compliance standards.
• Handled Credit and collection calls such as bill payment options, general account information, assistance programs.
• Maintain and track, report and provided support for gas and electric emergencies and appliance repairs.
• Account correction calls such as updating identification, spelling corrections and special mailing addresses.
• Order fulfillment, billing rates, meter reading, new construction order, customer moving orders, distribution and meter orders.
• Manage and resolve customer complaints, complete call logs and produce call reports.
• Document all call information according to standard operating procedures.

• Resolved customer inquiries and issues promptly, enhancing customer satisfaction and loyalty through effective service delivery.
• Collaborated with team members to streamline processes, resulting in improved response times and operational efficiency.
• Utilized CRM software to track customer interactions, ensuring accurate record-keeping and follow-up on service requests.

• Delivered timely mail and packages, ensuring customer satisfaction through efficient route management and problem-solving.
• Operated postal vehicles safely and effectively, adhering to regulations and enhancing delivery efficiency across assigned routes.
• Assisted in training new carriers, fostering a collaborative environment and ensuring adherence to operational standards.