Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Sarah Hilton

Troy,MI

Summary

Empathetic professional in customer service known for high productivity and efficiency in task completion. Possess specialized skills in conflict resolution, data entry, and customer relationship management. Excel in communication, problem-solving, and adaptability, ensuring positive experiences and outcomes for customers.

Overview

20
20
years of professional experience
1
1
Certification

Work History

CSR - Customer Service Representative

Smart Data Solutions
Eagan, Massachusetts
04.2022 - 01.2025
  • Call center position with health insurance third party administrator
  • Accurately quote benefits for specific medical services using a wide variety of resources for members and providers
  • Provide claims information to members and providers
  • Assist in resolving claims issues
  • Follow up for cases unable to be resolved in one call
  • Meet daily metrics

Patient Access Specialist

DMC Children's Hospital of Michigan
Troy, MI
08.2017 - 01.2022
  • Prepared accounts for financial clearance and registered 700-900 patients per month
  • Followed document protocols to safeguard confidentiality of patients records
  • Facilitated communication between patients and various departments and staff
  • Worked with patients to ascertain issues and make referrals to appropriate specialists
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record
  • Identified insurance payment sources and listed payers in proper sequence to establish chain of payment
  • Received patient deductibles and copay amounts and discussed options to satisfy remainder of patient financial obligations
  • Explained estimated cost for medical treatments and answered patient questions in order to promote good understanding of patient financial responsibility
  • Performed patient scheduling and registration functions to serve as initial contact point for medical office visits
  • Obtained patient's insurance information and determined eligibility for specific services rendered

Psychiatric Secretary

Oakland Psychological Clinic, P.C
Bloomfield Hills, MI
01.2005 - 03.2017
  • All office processes for multiple clinician psychological clinic
  • Performance of new patient intakes
  • Insurance verification, insurance authorizations and referrals
  • Schedule management for 17 provider clinic
  • Pre-appointment chart audit and post appointment chart follow up
  • Financial reconciliation and deposit preparation

Education

Diploma -

Farmington High School
Farmington, MI

Diploma in Medical Insurance Billing and Coding -

National Institute of Technology
Southfield, MI

Skills

  • Knowledge of hospital and medical office billing
  • HIPAA
  • Patient Medical Records Management
  • Healthcare Vocabulary
  • Complaint resolution
  • Hospital Experience
  • Medical Receptionist
  • Healthcare Data Management Systems
  • Insurance Eligibility Verification
  • Administrative Support
  • Customer service
  • General business
  • Medical Scheduling
  • Verbal and written communication
  • Medical Office Experience
  • Product education
  • Documentation
  • Microsoft Office Suite
  • Proficient computer skills: Microsoft Office Suite, Javelina, Redcard Zellis, VPay, Anthem WGS
  • Excellent ability to prioritize tasks and meet deadlines with close attention to detail
  • Medical and general business office procedures

Certification

  • Medical Billing and Coding, Present
  • Driver's License

Timeline

CSR - Customer Service Representative

Smart Data Solutions
04.2022 - 01.2025

Patient Access Specialist

DMC Children's Hospital of Michigan
08.2017 - 01.2022

Psychiatric Secretary

Oakland Psychological Clinic, P.C
01.2005 - 03.2017

Diploma -

Farmington High School

Diploma in Medical Insurance Billing and Coding -

National Institute of Technology

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Sarah Hilton