SUSAN COOPER
Fresno,CA
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals. Experienced in HIPAA, ICD-9/CPT codes, combining technical knowledge with essential soft skills for thriving in dynamic business environments.
Overview
17
17
years of professional experience
Work History
Executive Assistant
Chute 6 Productions
FRESNO
01.2019 - Current
- Demonstrated proficiency in calendar management, scheduling and coordinating executive-level meetings with Pro/Semi Pro Rodeo companies and committees
- Assist with event planning by making travel arrangements and reserving venues when necessary
- Use advanced Excel functions and calculations to develop reports and lists.
Customer Service, Billing
Trinity Health
REMOTE
02.2024 - 08.2024
- Ensured excellent customer satisfaction through timely, accurate and professional follow-up and resolution to customer complaints, problems and inquires
- Performed day-to-day customer service activities within the hospital revenue operations
- Handling various self-pay and insurance billing and collection related functions
- Provided detailed documentation of customer interactions
- Made outbound calls to Commercial insurance companies as well as auto and workman's compensation to verify eligibility status of members.
Customer Service Representative/Claims Processor
Compass Health Administrators
FRESNO, US
02.2018 - 05.2018
- Worked on special project while establishing processes and procedures for new business practices
- Respond to telephone customer inquiries verifying eligibility, explaining coverage, quoting benefits and advising on the status of claims
- Evaluate claims and determine payment of denial according to plan provisions
- Processed medical and mental health claims according to plan benefits.
Retail Sales Merchandiser
Acosta Sales & Marketing
FRESNO
06.2013 - 10.2015
- Executed product placement through plan-o-grams, including stock rotation, building displays and completing surveys and audits
- Performed compliance audits such as checking date codes and ensuring adherence to approved modular
- Distributed mailings including client coupons, to stores within assigned territory
- Worked independently and assured that all tasks were completed as assigned.
Insurance Account Resolution Specialist
PFS Group
FRESNO
05.2011 - 02.2013
- Assisted patients and their insurance carriers to resolve open account balances
- Assess each account and take the appropriate actions necessary to obtain complete adjudication of the patients claim
- Gained an understanding on patients benefits with commercial plans medi-cal and medicare plans
- Reviewed an average of 70 claims per day.
Customer Service Representative
Delta Health Systems
FRESNO, US
02.2008 - 05.2011
- Provided excellent customer service to members and providers for third party liability health plans
- Assisted members in resolving any issues or answering questions regarding their health insurance benefits and plan payments
- Answered questions and resolved issues for providers to assure payment of health insurance claims.
Education
Certificate of Completion in Business Administration/Accounting -
Fresno City College
01-1999
Skills
- Customer service
- Microsoft Office
- Organizational Skills
- Event coordination
- HIPAA
- ICD-9/CPT codes
- Soft skills
- Calendar management
- Scheduling
- Claims processing
- Problem-solving
- Multitasking
- Communication skills
- Time management
- Microsoft Office (Outlook)
- EPIC Workspace & MyChart
- Travel Arrangements
- Phone Etiquette
References
References available upon request
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Customer Service, Billing
Trinity Health
02.2024 - 08.2024
Executive Assistant
Chute 6 Productions
01.2019 - Current
Customer Service Representative/Claims Processor
Compass Health Administrators
02.2018 - 05.2018
Retail Sales Merchandiser
Acosta Sales & Marketing
06.2013 - 10.2015
Insurance Account Resolution Specialist
PFS Group
05.2011 - 02.2013
Customer Service Representative
Delta Health Systems
02.2008 - 05.2011
Certificate of Completion in Business Administration/Accounting -
Fresno City College
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