Susan Greenfield
Coram,NY
Summary
Flexible hard worker ready to learn and contribute to team success.
Overview
21
21
years of professional experience
Work History
Healthcare Customer Service Representative
Northwell Health System
Manhasset, New York
08.2000 - 01.2022
- Investigated customer accounts and resolved discrepancies in billing information.
- Generated invoices, credit memos, and other documents required for patient billing.
- Maintained accurate records of all financial transactions related to patient billing.
- Assisted patients with payment plans or other payment arrangements as needed.
- Provided excellent customer service to ensure satisfaction with billing process.
- Responded to inquiries from patients regarding their bills and payments promptly.
- Analyzed data within the system to identify trends in patient billing issues.
- Researched, analyzed, and corrected errors in patient accounts as necessary.
- Reviewed insurance claim forms for accuracy prior to submission for payment.
- Verified insurance coverage of services provided by health care providers.
- Adhered to HIPAA standards when handling confidential medical information.
- Tracked claims submitted from healthcare providers for timely reimbursement.
- Applied HIPAA privacy and security regulations while handling patient information.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Completed and submitted appeals for denied claims.
- Submitted appeals using provider portals and phone communication.
- Reviewed claims for coding accuracy.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Input details into accounts and tracked payments.
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
- Answered customer questions to maintain high satisfaction levels.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Managed incoming calls from patients and other healthcare facilities to provide information or schedule services.
Skills
- Follow-up skills
- Medical terminology knowledge
- Record maintenance
- Data entry proficiency
Timeline
Healthcare Customer Service Representative
Northwell Health System
08.2000 - 01.2022