Summary
Overview
Work History
Education
Skills
Additionalinformation - Qualificationsskills
Timeline
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SHIRLEY THORPE

Durham,NC

Summary

Challenging any position, this offers diversity and room for growth, allowing me to use all my skills to benefit a company.

Overview

11
11
years of professional experience

Work History

Patient Financial Rep

Xerox
Raleigh, NC
10.2010 - 11.2013
  • Performs eligibility and authorization tasks both pre-service and post-service
  • Responsible for pre-service eligibility tasks of verifying, contacting payers &/or patients, making appropriate insurance changes and verifying benefits
  • Performing pre-service authorization tasks for clinic visits, outpatient clinic & imaging procedures and IP admission and surgical procedures
  • Interacts with patients and insurance carriers via internet and telephone in all aspects to come to a claim resolution
  • Multi-task well and possess strong customer service skills
  • Well organized with paying attention to detail in Epic and Aeos
  • Excellent grammar and English usage skills while having the ability to deal effectively with difficult situations and individuals

Customer Service

Clear Wire
Durham, NC
02.2006 - 10.2009
  • Investigate customer complaints and non-conformance issues
  • Follow through on all customer issues promptly and accurately until completion
  • Communicate with the patient, physicians, collection agency, internal departments and all other internal and external customers in a professional, courteous, and respectful manner
  • Post customer service adjustments when supported by policy, contractual adjustments and other adjustments as deemed necessary following appropriate write off guidelines
  • Answer and resolve all inbound inquiries and issues regarding people account statements, bad debt write offs, explanation of benefits, balance due, and other insurance billing related scenarios
  • Obtain and post credit card payments for accounts including authorized settlements within departmental guidelines

Contract Specialist/Back Scanning

IBM Company
Raleigh, NC
03.2004 - 02.2007
  • Screening Active duty and Veterans to review eligibility for outside services
  • Generates data from all military personals daily time cards and post data on record for payroll
  • Adhere to all HIPAA and confidentiality guidelines
  • Utilized probing and creative problems solving methods when interviewing Active duty and Veterans
  • Provide for proper update of data processing manuals to assure appropriate documentation and user information
  • Screen Active military and Veterans for Optometry and Audiology
  • Perform generic screening of 100% of the patient records that are processed through the SRP to mirror appropriated criteria
  • Interviewing Active and Vets, documenting information gathered and determining each individuals benefits
  • Perform typing duties in conjunction with coding, labeling, and auditing of patient records
  • Ability to identify and solve problems in the work assignment by established policies, instruction and accepted practices

Human Resources/ Customer service Sup

Sprint
01.2003 - 09.2005
  • Manages daily sales floor operations to deliver an outstanding store experience that improves customer loyalty
  • Effectively partners with customers and co-workers to resolve complex customer situations
  • Conducts weekly observations and provides effective feedback to sales consultants as they execute Sprint's products and services and sales process to maximize performance
  • Acts as a subject matter expert to provide ongoing training and awareness of Sprint's products, services and promotions to our sales consultants to maximize Sprint-customer connections; save our customers money; personalize their experience; and protect their investments
  • Assists the management team to achieve and exceed key performance objectives, including sales and customer satisfaction goals
  • Assists in sales transactions as required by providing a total sales solution to our customers
  • Accurately sets up accounts, so customers are ready to use their new devices and plans
  • Identifies the right solutions for customer billing, technical and/or account issues
  • Receives training in their curriculum path to further their skills and career opportunities
  • Assists store management team in store opening/closing procedures as required

Education

Associate in Science - Healthcare Management

Ultimate Medical Academy
Tampa, FL
09.2014

Diploma -

Louisburg High school
Louisburg, NC
06.1987

Skills

  • CUSTOMER SERVICE
  • RECEPTIONIST
  • RETAIL SALES
  • DATA ENTRY
  • TRAINING
  • CNA
  • Cna Certified
  • Home Health
  • Excellent customer service
  • CNA License
  • Phone Etiquette
  • Microsoft office
  • Data Entry
  • Excellent probing and problem solving
  • HIPPA Training
  • Call center Experience
  • Strong organizational skills
  • Multi-tasking
  • CPR/First Aid
  • Patient Registration
  • Verbal and written communication
  • Medical Terminology
  • Customer Service
  • Automated Document Scanning
  • Billing Procedures
  • Microsoft Office
  • Time management abilities
  • Team building
  • Computer Literacy
  • Updating Customer Accounts
  • Analytical and Critical Thinking
  • Quality Standards Compliance
  • Telephone Etiquette
  • Excellent Communication
  • Bill processing
  • Account Reconciliation

Additionalinformation - Qualificationsskills

  • Excellent customer service
  • CNA License
  • Phone Etiquette
  • Microsoft office
  • Data Entry
  • Excellent probing and problem solving
  • HIPPA Training
  • Call center Experience 5+ years
  • Strong organizational skills
  • Multi-tasking
  • CPR/First Aid

Timeline

Patient Financial Rep

Xerox
10.2010 - 11.2013

Customer Service

Clear Wire
02.2006 - 10.2009

Contract Specialist/Back Scanning

IBM Company
03.2004 - 02.2007

Human Resources/ Customer service Sup

Sprint
01.2003 - 09.2005

Associate in Science - Healthcare Management

Ultimate Medical Academy

Diploma -

Louisburg High school

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SHIRLEY THORPE