Suzanne Cuevas
Acelis Connected Health (Abbott)
Tracy,CA
13
years of professional experience
Healthcare administration and customer service professional with 15 years of experience managing complex customer accounts and billing issues. Processes payments accurately and resolves disputes through detailed review and clear communication. Collaborates cross-functionally to improve operational efficiency and service quality.
Work History
Patient Account Specialist
9 Years 3 Months- Clarified insurance benefits and coverage details for patients to ensure understanding and informed decisions.
- Assisted patients with benefit inquiries, claim resolutions, and account issues, enhancing overall patient satisfaction.
- Review paid claims to confirm correct benefit application and accurate processing.
- Update insurance details and process new customer orders.
- Process credit card payments and provide transaction receipts to patients.
- Collaborated with leadership to resolve escalated customer concerns, resulting in improved service outcomes.
- Executed data cleanup procedures for system migrations, ensuring accuracy and reliability during transitions. and account maintenance tasks before system migrations.
Medicare Billing Customer Service Representative
7 Months- Coordinated Medicare billing for Sierra Nevada region, ensuring timely follow-up and support across Reno, Tahoe, Sacramento, Stockton, Modesto, and Merced territories to enhance billing accuracy.
- Verified insurance benefits and eligibility via provider portals and direct carrier contact, contributing to clearer billing decisions and minimizing errors.
- Reviewed orders and diagnoses carefully to protect Medicare compliance and reimbursement eligibility.
- Collaborated with sales representatives and medical providers to gather required documentation, facilitating timely billing approvals and improving overall reimbursement process.
- Collaborated with sales representatives and medical providers to secure required documentation for timely billing approvals.
Customer Service Representative
2 Years 11 Months- Resolved member benefit eligibility and claims issues, ensuring accurate delivery of services to members.
- Closed appeals and grievances related to provider and claims administration, achieving timely resolutions to enhance member satisfaction.
- Resolved pharmacy benefit issues and claims concerns with pharmacists, improving member access to medications through enhanced collaboration.
- Delivered claim status updates to medical groups while addressing member concerns.
- Processed referrals for durable medical equipment, ensuring timely access and delivery for patients.
- Updated physician information in databases to reflect changes accurately. Also provider requests.
Skills
Medicare billing
Claims processing
Claims resolution
Insurance verification
Grievance processing
Payment processing
Healthcare compliance
Data maintenance
Account management
Microsoft Office Suite
Spreadsheet reporting
Patient communication
Customer service
Problem resolution
Customer de-escalation
Stressful support
Healthcare management
Recommended Resume Title
- Customer Accounts Specialist/Administrative Assistant/Customer Service Professional
- This version will be stronger for administrative offices, support, customer accounts specialist, healthcare administration and customer service positions.
Timeline
Patient Account Specialist
Acelis Connected Health (Abbott)
07.2017 - CurrentRead More
Medicare Billing Customer Service Representative
AeroTech Staffing
12.2016 - 07.2017Read More
Customer Service Representative
Blue Shield of California
10.2013 - 09.2016Read More