Dynamic Collections Representative with excellent communication and negotiation skills. Persistent, firm and consistent in abiding by all policies and procedures. Excels through nonconfrontational negotiation and reasoning.
Overview
6
6
years of professional experience
Work History
Debt Collector
Credit Control LLC
03.2023 - 10.2023
Inbound and Outbound Calls
Educated debtors about repayment options, enabling them to make informed decisions while preserving positive business relationships.
Collected on delinquent accounts to reduce overdue balances.
Resolved customer disputes and disagreements through professional, calm communication to find mutually beneficial solutions.
Provided excellent customer service during difficult conversations, empathizing with debtors while remaining firm on repayment expectations.
Debt Accounts for Bank Of American
Accounts Receivable and Billing Clerk
Compex Legal Services Inc.
11.2022 - 03.2023
Negotiated to collect balance in full.
Processed payments and contracts on accounts.
Counseled debtors on payment options and arranged installment agreements.
Resolved challenging situations with friendly but firm strategies.
Reviewed collection reports to determine status of collections and amounts of outstanding balances.
Worked in call center environment handling manual and automatically dialed outbound calls.
Maintained high volume of calls and met demands of busy and productive group.
Processed payments and applied to customer balances.
Handled 50-100 outbound and inbound calls daily with goal of collecting owed debt.
Customer Service Representative
Centene Corporation
02.2021 - 04.2022
Reference current materials to answer escalated and complex inquiries from members and providers regarding claims, eligibility, covered benefits and authorization status matters
Provide assistance to members and/or providers regarding website registration and navigation
Educate members and/or providers on health plan initiatives Provide first call resolution working with appropriate internal/external resources, and ensure closure of all inquiries
Document all activities for quality and metrics reporting through Customer Relationship Management (CRM) application
Process written customer correspondence and provide appropriate level of follow-up in timely manner
Research and identify processing inaccuracies in claim payments and route to appropriate team for claim adjustment
Identify trends related to member and/or provider inquiries that may lead to policy or process improvements that support excellent customer service and impact quality and performance standards
Work with other departments on cross functional tasks and projects
Maintain performance and quality standards based on established call center metrics including turn- around times
Eligibility verification
Collections Representative
CMRE FINANCIAL SERVICES, INC
08.2019 - 01.2020
Provide Services For Over 100 Hospitals, Providing Accounting Services For Hospitals Billing Patient
Providing Medical , Medicare , VA , Workman's comp
Speaking to Insurance Rep and Attorney's Offices
Inbound & Outbound Calls
Medical Collections
Payment Processing
Insurance Processing
Account Reviewing
Posted payments and processed refunds
Reconciled statements with patient records
Contacted patients after insurance was calculated to obtain payments
Took copayments and compiled daily financial records
Explained plans for treatment and payment options
Reviewed and corrected claim errors to facilitate smooth processing
Worked with outside entities to resolve issues with billing, claims and payments
Electronically submitted bills according to compliance guideline
Case Manager
Genentech
09.2017 - 08.2019
Customer Service liaison between patients, providers, MDS, pharmacies and insurance carrier to assure services are provided in at least restrictive, least costly manner
Provide customer focused reimbursement support to patients, pharmacists, physicians, and internal sales force
Educate, inform, and assist patients (and their families) and providers to navigate through reimbursement and appeal process for assigned product
Identify barriers to reimbursement and continually identify and recommend program efficiencies to
Supervisor to promote high quality of work
Identify and facilitate referrals to alternative coverage options and financial assistance programs for patients who are under insured or require copy assistance
Establish relationships with appropriate stakeholders including internal & external partners
Conduct benefits coverage and payer research/investigations to ensure appropriate resources, compliance with payer appeal policies, practices, and timelines.
Education
Associate's degree - Business
Fullerton College
Fullerton, CA
High school diploma - General Studies
Grant PNHS
Portland, OR
No Degree - Medical Office Assistance
Concord College
Portland,Oregonn
05.2015
Skills
Call center experience
Account Management
Orcale software
Customer Service-Oriented
File Management
Independent worker
Office Administration
Spreadsheet Management
Timeline
Debt Collector
Credit Control LLC
03.2023 - 10.2023
Accounts Receivable and Billing Clerk
Compex Legal Services Inc.
11.2022 - 03.2023
Customer Service Representative
Centene Corporation
02.2021 - 04.2022
Collections Representative
CMRE FINANCIAL SERVICES, INC
08.2019 - 01.2020
Case Manager
Genentech
09.2017 - 08.2019
Associate's degree - Business
Fullerton College
High school diploma - General Studies
Grant PNHS
No Degree - Medical Office Assistance
Concord College
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