Stephenie Gipson
St Louis,MO
Summary
Dynamic and results-driven professional with a proven track record within the Healthcare Field, billing resolution and insurance collections, claim processing/filing.
Recognized for exceptional problem-solving and communication skills, adept at managing complex accounts while fostering teamwork and collaboration. Committed to delivering high-quality service and ensuring compliance with industry standards.
Overview
9
9
years of professional experience
Work History
Account Receivable Billing/Collection Speciali-OPT
EyeCare Partners
Ballwin, MO
11.2021 - 11.2024
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Served as the subject matter expert in the area of insurance collection activities and billing resolution; resolves complex accounts and ensures their full resolution.
- Contacted insurance companies regarding complex claims, updates account information, and completes advanced administrative tasks on accounts.
- Completed necessary follow-up tasks in a timely manner while maintaining departmental quality and productivity standards.
- Confirmed patient benefits with insurance carrier and re-filed insurance claims as necessary to ensure timely and accurate payment
- Worked with assigned payor and assist in the communication of identified payor issues for remediation efforts.
Provider Services Associate
Magellan
Maryland Heights, MO
10.2020 - 11.2021
- Cultivated positive working relationships with provider offices through regular communication and professional demeanor during interactions.
- Managed critical deadlines with consistent completion of detailed monthly contract review for ongoing relationship maintenance with network providers.
- Demonstrated adaptability when navigating multiple software platforms daily to manage tasks efficiently while maintaining accurate records for all involved parties.
- Assured compliance with company policies and procedures, as well as applicable federal, state, and local regulations regarding provider services.
- Contributed to a higher level of service quality by conducting routine audits of enrolled providers'' credentials and documentation.
- Streamlined communication between providers and insurance companies for faster claim processing and improved relationships.
- Expedited credentialing processes for new providers by gathering required documentation promptly, ensuring timely access to patients needing their services.
- Safeguarded sensitive patient information by adhering to strict confidentiality protocols at all times during the handling of personal health data.
- Strengthened customer loyalty by providing excellent service during interactions with both internal teams and external partners such as insurance carriers or other healthcare organizations.
Customer Service A4ME Advocate
United Healthcare
Earth City, MO
10.2015 - 07.2020
- Worked effectively with fellow team members to coordinate effective solutions to any question or concern.
- Delivered friendly service and offered expert support in every interaction.
- Established trusting relationships with clients by maintaining open lines of communication throughout the entire representation process.
- Managed complex caseloads with diligence, prioritizing tasks to ensure timely resolution of cases.
- Assisting members and providers with plans, benefits and claims.
- Actively listened and probed members in a professional and timely manner to process authorizations/ and or other member requests working towards first call resolution.
- Educate member on appeal right/process and appeal status.
- Use pertinent data and facts to identify and solve range of problems within area of expertise.
Education
Associate Of Applied Business - Business Administration/Human Resource Management
Strayer University
Tampa, FLSkills
- Friendly, positive attitude
- Teamwork and collaboration
- Customer service
- Problem-solving
- Multitasking Abilities
- Excellent communication
- Organization and time management
- Problem resolution
- Critical thinking
- Computer skills
- Organizational skills
- Calm under pressure
- Decision-making
- Active listening
Timeline
Account Receivable Billing/Collection Speciali-OPT
EyeCare Partners
11.2021 - 11.2024
Provider Services Associate
Magellan
10.2020 - 11.2021
Customer Service A4ME Advocate
United Healthcare
10.2015 - 07.2020
Associate Of Applied Business - Business Administration/Human Resource Management
Strayer University
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