Highly motivated professional with over 20 years of exceptional customer service, organizational, and computer skills. Strong work ethic with the ability to multitask, exercise judgment, and make independent decisions.
Overview
5
5
years of professional experience
Work History
Dental Registration Associate
Children’s Healthcare Of Atlanta
07.2020 - 05.2022
Interviews patients and families to obtain demographic and financial information and ensures all necessary forms are completed.
Explains regulatory financial requirements to patient or responsible party and collects/posts deposits or deductible amounts as required.
Assisted other Registration Clerks with front desk duties, answering questions and scheduling patient appointments when needed.
Initiated and executed daily medical record. Including creating of patient charts, verified insurance benefits, filing encounter-specific paperwork.
Acted as team leader in group projects, delegating tasks and providing feedback
Self-motivated, with strong sense of personal responsibility
Resolved problems, improved operations and provided exceptional service
Patient Accounts Representative
Children Healthcare Of Atlanta
06.2019 - 07.2020
Answers all inbound and makes outbound customer service calls
Takes appropriate action on incoming calls to resolve billing and payment issues voiced by guarantors and other third parties. Making payment plans and adding insurance (BCBS, Medicaid, Generic ins.) to accounts Processed client payments and updated accounts.
Interfaces with all other patient accounting departments to facilitate timely resolution of guarantor complaints
Documented all communication with guarantor and other third parties in precise and efficient manner into system for interdepartmental access and review.
Collects and/or confirms patient demographic/insurance information as required.
Analyzed accounts for delinquencies and other ongoing issues.
Customer Resource Representative
Children Healthcare Of Atlanta
07.2018 - 06.2019
Receives telephone inquiries from callers and transferred them to appropriate department (e.g., nurse telephone triage line, physician referral service, appropriate hospital department or physician practice) or outside office using approved transfer and referral procedures.
Serves as liaison between patient and department staff by informing patients and families of procedures and delays, answering questions, offering assistance, relaying messages, and any instructions related to appointments other services that patients and families may require.
Improved customer service rankings by quickly resolving issues to improve overall satisfaction.
Assist Supervisor and/or Manager with development of staff by: being available to teammates, acting as resource to help complete complicated/complex tasks, providing on job training to team, and seeking out opportunities to become actively involved in staff workflow and development and also provide Supervisor and/or Manager Feedback on staff performance, educational needs, and workflow status.
Customer service Representative II
Delta DENTAL
11.2016 - 07.2018
Ensures that special billing needs by payer are performed to prevent denial of claims and delay in payment also Collaborates with Appeals department to provide all related information to overturn claims denied
Documents all telephone and correspondent communications with third-party payors and guarantors thoroughly via online activity codes
Explains eligibility, benefits, and claims status, policies and procedures, dependent coverage, billing, payment and problem resolution status as required
Confirms referring physician has obtained prior authorization as needed from insurance company
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns. Answered customer telephone calls promptly to avoid on-hold wait times.
Met customer call guidelines for service levels, handle time and productivity.
Educated customers about billing, payment processing and support policies and procedures.
Education
High School Diploma -
Thornton High School
Harvey, IL
06.1997
Skills
Proficient in Microsoft Applications (Excel, PowerPoint, and Word)
Software: Perfect serve, Alle and Amcom, Citrix, Metavance and Macess, EPIC, Dentrix
Capacity to multi-task, including use of multiple computer applications simultaneously
Effective verbal and listening communication skills
Pharmacy Technician II at Children’s Healthcare of Atlanta: Egleston and Arthur M. Blank CampusPharmacy Technician II at Children’s Healthcare of Atlanta: Egleston and Arthur M. Blank Campus
Professional Reviewer at American Association of Nurse Practitioners-Certification BoardProfessional Reviewer at American Association of Nurse Practitioners-Certification Board