Professional Summary
Overview
Work History
Education
Skills
Timeline

Teresa Heilman

Conifer Health Solutions
Bismarck,ND
17
years of professional experience

Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.

Work History

RCM Customer Service/Support Service Lead/AR Follow Up/CAH Billing/SR Patient Acct Rep

10 Years 4 Months
Conifer Health Solutions | 05.2016 - Current
  • Itemized statement requests for patients, insurances, and bad debt vendors
  • Scanned and indexed documents into OnBase within EPIC and ViWeb to streamline access and retrieval
  • Responded to inquiries through MyOnline services
  • Reconciled all cash receipts on a daily basis
  • Reviewed and categorized incoming correspondence for efficient distribution and digital archiving
  • Worked on special projects given by management in timely and efficient manner
  • Knowledge in ICD 10, CPT’s, ABN’s, modifiers
  • Advanced understanding of UB04’s, HCFA 1500, EOB’s, billing, collections, healthcare Rev Cycle terminology, patient accounting systems such as EPIC, DDE, ACE, EPREMIS
  • Knowledge in CAH policies and procedures
  • Advanced knowledge in cradle to grave for all payers
  • Excellent customer service skills: 10 key, word, excel, data entry, file handler software
  • Access payer websites to obtain claim status, verify eligibility, upload documents, online inquiries
  • Resolve account issues to avoid AR aging
  • Excellent written and verbal communication skills
  • Knowledge in billing for CAH facilities with all payors
  • Ensured proper account upkeep in ACE for efficient operations.
  • Verify patient, insurance, billing and claim submission for accuracy
  • Reached out to patient for COB issues
  • Monitored and analyzed trends in payer underpayments, coding issues, and denials to provide actionable insights to leadership for timely resolution
  • Strong problem solving, eye for detail and organizational abilities
  • Prepared and submitted billing data and medical claims to insurance companies
  • Ability to work independently within a remote structure
  • Maintained productivity and quality standards

Customer Care Specialist

3 Years 2 Months
Sanford Healthcare Accessories | 12.2012 - 02.2016
  • Troubleshot and resolved customer complaints to enhance satisfaction and retention
  • Insurance Inquiries
  • Consulted and fitted customers with durable medical equipment to meet individual needs
  • Basic and advanced scheduling
  • Multitasked and prioritized job duties to maintain service quality and efficiency
  • Ability to multitask and prioritize job duties effectively and efficiently
  • Clerical work(i.e. answer and transfer telephone calls, send and receive fax, copy, scanning.)

Environmental Services Aide

2 Years 1 Month
Sanford Health (Med Center) | 11.2010 - 12.2012
  • Executed daily cleaning of patient rooms for extended stay or discharge to maintain hygiene standards
  • Cleaned patient rooms for extended stay or discharge on a daily basis.
  • Applied knowledge of chemical products to effectively support cleaning processes
  • Communicate clearly and effectively with staff
  • Utilized online platforms for computer-based learning effectively.

Housekeeper/Front Desk

1 Year 1 Month
Country Suites | 09.2009 - 10.2010
  • Cleaned assigned rooms and public areas daily, ensuring guest satisfaction and adherence to cleanliness standards
  • Conducted inspections that exceeded quality standards
  • Helped manage laundry operations to maintain cleanliness
  • Coordinated with front desk staff regarding room availability and guest concerns, enhancing overall customer service
  • Above average inspections
  • Responsible for taking reservations and payment over the phone

Education

General Education Development diploma - General Knowledge

Milligan High School | Milligan, NE

Skills

Client assistance
Goal-oriented
Client engagement
Medical claims processing
Interdepartmental collaboration
Problem-solving
Attention to detail
Organizational skills
Time management
Multitasking
Team development
Teamwork and collaboration
Excellent communication
Goal-oriented mindset
Healthcare billing terminology

Timeline

RCM Customer Service/Support Service Lead/AR Follow Up/CAH Billing/SR Patient Acct Rep

Conifer Health Solutions
05.2016 - CurrentRead More

Customer Care Specialist

Sanford Healthcare Accessories
12.2012 - 02.2016Read More

Environmental Services Aide

Sanford Health (Med Center)
11.2010 - 12.2012Read More

Housekeeper/Front Desk

Country Suites
09.2009 - 10.2010Read More

Milligan High School

General Education Development diploma from General Knowledge
Read More

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Teresa Heilman