Staci Clark
TOBYHANNA,PA
Summary
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
12
12
years of professional experience
Work History
Health Insurance Billing Follow Up Specialist
Credit Solutions LLC
03.2022 - 07.2024
- Responsible for claims processing and insurance follow up, eligibility reviews, denial reviews, appeals processing, and trends analysis while providing excellent customer service to our clients and their consumers.
- Enhanced team productivity with thorough documentation of follow-up actions and outcomes.
- Participated in regular team meetings, sharing insights and experiences to collectively improve the effectiveness of follow-up strategies.
Customer Service Representative
Pocono Country Place
03.2019 - 03.2020
- My duties were to ensure a high level of customer satisfaction and perform a variety of tasks such as resolving complaints, providing instructions, answering or referring inquiries, taking and processing payments and implementing procedures
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
Representative AR Follow-up
Envision Healthcare
10.2017 - 01.2019
- My duties included processing and following up on appeals to insurance companies
- I also researched/audited patient accounts for further payment or adjustments
- I worked Analyzer reports as assigned
- Maintained basic proficiency while using spreadsheets
- I also performed other duties as assigned
- The applications that were utilized are Moyer Brown, Microsoft Office, Navinet, E-Paces, and Ability
- Increased customer satisfaction by addressing and resolving complaints in a timely manner.
- Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
- Enhanced company reputation by providing exceptional customer service and support.
- Developed and maintained positive customer relations and coordinated with team members to properly handle requests and questions.
Billing Specialist
Prime Healthcare / Saint Michael's Hospital
02.2016 - 10.2017
- My duties included submitting hospital claims to Medicare and Medicaid electronically as well as on UBO4's
- The applications that are utilized are Epic, Relay Health, Envision, Nuance, Med Assets, Soarian, Navinet, Passport and Fiss /DDE
- I compiled and tracked any outstanding balances owed by Medicare and Medicaid
- I also prepared Permedion audits for Medicaid inpatient claims
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked with multiple departments to check proper billing information.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
Abstractor
One Source
01.2015 - 12.2015
- Company Overview: (Assignment with Geisinger Health Systems)
- Responsible for abstracting patient medical records from E-Clinical, into Epic, which is the new medical records software
- (Assignment with Geisinger Health Systems)
- Streamlined abstracting processes for increased efficiency and productivity by implementing innovative research techniques.
- Reduced research timeframes by skillfully navigating various online databases, public records, and courthouse resources.
- Assisted in updating company databases to ensure accurate and current property information was readily available for future projects.
- Collaborated with title officers to resolve discrepancies in property ownership or encumbrances, ensuring accurate title reports.
Medical Billing/Collections
Pocono Medical Center
11.2012 - 12.2014
- My duties included preparing and submitting hospital claims to Medical Assistance and Managed Care insurance companies using coded data via UBO4's
- Maximized earnings potential through strategic location selection during peak hours and events.
- Collaborated with event organizers to provide transportation solutions for large-scale gatherings.
- Developed loyal customer base with consistent professionalism and excellent communication skills.
- Contributed to positive work environment by supporting fellow drivers and sharing best practices for success.
Education
No Degree - Business
Hunter College
New York, NYSkills
- Organization skills
- Teamwork and Collaboration
- Problem-Solving
- Attention to Detail
- Multitasking Abilities
- Excellent Communication
- Adaptability and Flexibility
- Debt recovery
- Microsoft Office
- Professional ethics
- Self Motivation
- Computer Literacy
Careeraccomplishments
- I have provided various clinics and hospitals effective interim management, training and financial recovery practices.
- Successfully won appeals (timely, authorization) while providing excellent customer service.
Notary Public
- Administer oaths and affirmations
- Take acknowledgments
- Witness signatures
- Certifycopies of records or depositions
- Confirm identities
Timeline
Health Insurance Billing Follow Up Specialist
Credit Solutions LLC
03.2022 - 07.2024
Customer Service Representative
Pocono Country Place
03.2019 - 03.2020
Representative AR Follow-up
Envision Healthcare
10.2017 - 01.2019
Billing Specialist
Prime Healthcare / Saint Michael's Hospital
02.2016 - 10.2017
Abstractor
One Source
01.2015 - 12.2015
Medical Billing/Collections
Pocono Medical Center
11.2012 - 12.2014
No Degree - Business
Hunter College
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