Seasoned professional with expertise in administrative support, billing, and claims processing. Skilled in meeting goals under tight deadlines, complying with and following policies and procedures, and document preparation.
Overview
18
18
years of professional experience
Work History
Customer Service Rep
Russel Tobin Agency KCI, DME
04.2022 - 06.2023
Answer incoming and outgoing calls for people wanting to return the, equipment and set up ups pickups
Document and research patients in the database that have not returned the DME by calling the patients, nursing facilities and hospitals
Email regional reps of DME for product pickup.
Answered over 70 calls of constant flow of customer calls with minimal wait times.
Responded to customer requests, offering excellent support and tailored recommendations to address needs.
Updated account information to maintain customer records.
Followed up with customers about resolved issues to maintain high standards of customer service
Admin Service Associate
Mindlance, US Steel
03.2018 - 11.2020
Reviewed over 200 pension documents per day for missing information and confirm up-to-date signatures and beneficiaries
Copied and scanned documents into database system ensuring accuracy and compliance
Reviewed, corrected and sent documents to claims department.
Paid attention to detail while completing assignments
Office Assistant (Contractor)
AARP, Duquesne University College
11.2015 - 02.2017
Answered 9 phone lines, with average of 15 calls per day, at community job center in order to schedule resume writing appointments for young adults
Maintained incoming student freshmen’s’ records, accurately sorting and filing documents
Accepted paper applications, extracted pertinent information, and keyed data into system with attention to detail
Prepared and drafted resumes for clients following premade templates and processes
Took and distributed messages and made appropriate referrals
Received, sorted, and distributed mail to campus professors
Prepared correspondence.
Expedited document processing with accurate data entry and timely filing.
Customer Care Reservist (Contractor)CVS
Remx Staffing, CVS
02.2011 - 01.2012
Took incoming calls from medical facilities and general public
Filled and took medicine prescription orders.
Demonstrated respect, friendliness and willingness to help wherever needed.
Delivered outstanding service to customers to maintain and extend relationships for future business opportunities.
Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
Customer Service Representative
Dial America
06.2011 - 12.2011
Answered incoming calls, took reservations, and gave directions for Megabus.
Enhanced customer satisfaction by efficiently addressing and resolving their concerns and inquiries.
Streamlined communication channels for improved customer experience and faster response times.
Adhered to company guidelines and protocols while representing the brand professionally during all interactions with customers.
Collections Representative
Cardworks Services
06.2010 - 12.2011
Answered inbound and outbound calls for the purpose of credit card payments
Verified and updated all pertinent information pertaining to card holders.
Increased collections success by effectively communicating with debtors and negotiating payment arrangements.
Reduced delinquency rates by promptly identifying high-risk accounts and initiating appropriate collection strategies.
Patient Billing Representative/ Internship
Interim Healthcare/ PTI School
04.2008 - 11.2009
Contacted members by sending electronic reminders of overdue accounts and collecting payment for deductibles
Posted incoming payments
Pulled patient records to begin billing process for services rendered.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Liaised between patients, insurance companies, and billing office.
Posted payments and collections on regular basis.
Provider Services Representative
Unison Health Plan
03.2005 - 11.2007
Responded to inquiries related to physician claim inquires
Verified and forwarded denied claims for authorization or reprocessing
Rechecked claim to ensure it was submitted with a valid code for processing.
Met customer call guidelines for service levels, handle time and productivity.
Maintained up-to-date knowledge of product and service changes.
Education
Certificate in Medical Coding -
Pittsburgh Technical Institute
Oakdale, PA
06.2010
Diploma - Medical Claims Processing
Bidwell Training Center
Pittsburgh, PA
09.1996
Associate - Business Administration
Wheeler Business School
Pittsburgh ,PA
01.1983
Skills
Technical:
Microsoft, Word, Excel, Outlook; Document scanner XTCM; Epic healthcare software
Analyst (Treasury Service Outsourcing) at Russel Tobin Pride Technologies Pvt Ltd \ BNY MellonAnalyst (Treasury Service Outsourcing) at Russel Tobin Pride Technologies Pvt Ltd \ BNY Mellon