Stanley G. Shives
Chenega Corporation
Turtle Creek,PA
26
Years of experience
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.
Work History
Customer Service Representative
11 Months- Resolved customer inquiries efficiently via phone and email, ensuring high satisfaction levels.
- Guided customers through billing processes, providing clear explanations and solutions.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Implemented feedback mechanisms to improve customer service delivery and response times.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
Customer Service Rep
1 Year 2 Months- Answered incoming and outgoing calls regarding equipment returns and scheduled pickups.
- Documented and researched patients in database for unreturned DME by contacting patients, nursing facilities, and hospitals.
- Followed up with regional DME representatives to enhance customer outreach efforts.
- 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 with no contacts.
- Updated account information to maintain customer records.
Admin Service Associate
2 Years 8 Months- Reviewed pension documents for missing information and confirmed up-to-date signatures and beneficiaries
- Copied and scanned documents into system, ensuring compliance with regulatory standards
- Reviewed and corrected documents before sending to claims department for processing.
Office Assistant (Contractor)
1 Year 8 Months- Answered 9 phone lines, averaging 15 calls daily, to schedule resume writing appointments for young adults
- Maintained and organized records for incoming freshmen, ensuring accurate sorting and filing of documents
- Accepted paper applications, extracted pertinent information, and keyed data into a system with attention to detail
- Prepared and drafted resumes for clients following preestablished templates and processes
- Took and distributed messages while making appropriate referrals to support communication needs
- Received, sorted, and distributed mail to campus professors
- Drafted and organized correspondence for various stakeholders to ensure timely communication.
Customer Care Reservist (Contractor)
11 Months- Handled incoming calls from medical facilities and the public, addressing inquiries and providing assistance.
- Processed and filled prescription orders at pharmacy, ensuring accuracy and compliance with regulations.
- Oversaw workflow optimization to enhance operational efficiency and reduce delays.
- Mentored junior contractors, providing guidance on best practices and compliance standards.
- Implemented process improvements that streamlined inventory management and reduced waste.
Customer Service Representative
6 Months- Provided customer support by answering incoming calls, processing reservations, and delivering accurate directions for Megabus.
- Resolved customer inquiries efficiently, enhancing satisfaction and retention rates.
- Trained new team members on company policies and customer service protocols.
- Developed scripts for call handling, improving consistency in customer interactions.
Collections Representative
5 Months- Answered inbound and outbound calls to facilitate credit card payments
- Verified and updated cardholder information to ensure accuracy and compliance.
- Managed inbound and outbound communications to negotiate payment arrangements with customers.
- Resolved billing inquiries and disputes, ensuring prompt account updates for accuracy.
- Utilized collection software to track customer accounts and document interactions effectively.
Patient Billing Representative/ Internship
1 Year 7 Months- Contacted members with electronic reminders of overdue accounts, facilitating timely payment of 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 with patients, insurance companies, and billing office to ensure accurate and efficient resolution of billing inquiries.
- Recorded incoming payments in accounting system and collections on regular basis.
Provider Services Representative
2 Years 8 Months- Responded to inquiries related to physician claim inquiries
- Verified and submitted denied claims for authorization or reprocessing, ensuring compliance with procedures
- Rechecked claims for valid coding to support accurate processing.
Medical Biller
2 Years 9 Months- Reduced claim denials by reviewing patient insurance information and coding practices, ensuring accurate submissions.
- Follow up on 60-90 day old claims that were denied and resubmitted for payment.
- Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
- Organized filing system for patient records, expediting access to essential documents.
- Contacted insurance carriers regarding denied claims, clarifying issues to expedite resolution.
Education
Certificate in Medical Coding - Medical Coding
Diploma - Medical Claims Processing
Associate - Business Administration
Skills
Patient Billing
Microsoft Office
Claim processing
Payments Posting
Data management
Transaction management
Conflict resolution
Payment posting
Data management
Telecommunication support
Follow-up skills
Account updating
Timeline
Customer Service Representative
Chenega Corporation
06.2025 - 05.2026Read More
Customer Service Rep
Russel Tobin Agency KCI, DME
04.2022 - 06.2023Read More
Admin Service Associate
Mind, US Steel
03.2018 - 11.2020Read More
Office Assistant (Contractor)
AARP, Duquesne University College
11.2015 - 07.2017Read More
Customer Service Representative
Dial America
06.2011 - 12.2011Read More
Customer Care Reservist (Contractor)
Remx Staffing, CVS
02.2011 - 01.2012Read More
Collections Representative
Cardworks Services
06.2010 - 11.2010Read More
Patient Billing Representative/ Internship
Interim Healthcare/ PTI School
04.2008 - 11.2009Read More
Provider Services Representative
Unison Health Plan
03.2005 - 11.2007Read More
Medical Biller
Guardian Angel Ambulance Service
02.2000 - 11.2002Read More
Wheeler Business School
Associate from Business Administration
Read More
Bidwell Training Center
Diploma from Medical Claims Processing
Read More
Pittsburgh Technical Institute
Certificate in Medical Coding from Medical Coding
Read More