Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

TIna Schultz

Bath,PA

Summary

Skilled DME Customer Service Coordinator with a proven track record at Lincare Inc, specializing in insurance claim management and customer resolution. Demonstrates exceptional communication and organizational skills, significantly minimizing claim denials. Trained employees, enhancing operational efficiency. Expert in Medicare and Medicaid billing, embodying empathy and compassion in patient interactions.

Overview

9
9
years of professional experience

Work History

DME Customer Service Coordinator

Lincare Inc
Bethlehem, PA
09.2021 - Current
  • Applied advanced knowledge about insurance payers and individual utilization management requirements to minimize claim denial.
  • Contacted insurance providers to verify correct insurance information and get authorization for proper billing codes.
  • Developed and maintained effective relationships through effective, timely communication.
  • Acted as a liaison between the physician and the patient.
  • Deliver item(s) to patients when needed, prior to discharge. Obtain intake, prescription, signed medical face-to-face notes, signed delivery ticket, and ABN (if applicable).
  • Train employees on DME processes and procedures.
  • Prepares prescriptions and gets authorization from the physician. Obtain signed face-to-face visit notes, supporting the medical necessity of the item(s) being ordered.
  • Demonstrates professional etiquette and courtesy when interfacing with customers. Resolves patient/customer complaints by identifying problems and coordinating appropriate corrective actions.
  • Prepare DWO/CMNs for the physician to review and sign, to avoid claim denial.
  • Responds to telephone, fax, and EDI inquiries and orders from referral sources and home care patients. Documents referral requests for coordination of care. Provides information on equipment, supplies, and services.

Billing Customer Service Representative

Omnicare
Allentown, PA
06.2016 - 08.2019
  • Prescription claim processing, adjudication, and resolving rejected claims.
  • Knowledge of Medicare, Medicaid, and third-party billing processes.
  • Rebill rejected claims, or claims needing prior authorization or additional information, following up as required.
  • Take on special projects as needed by management.
  • Provide complete and accurate documentation for any write-offs proposed by the Medicaid biller.
  • Work with physicians, nurse practitioners, and insurance plans to obtain order changes to meet formularies in order to obtain payment for orders.
  • Maintains current knowledge in pharmacy billing requirements related to facility (Medicare A and Managed Care), commercial third party, and Medicare Part D.
  • Implement new training techniques, and apply learning structures to training sessions to maximize the benefit of training sessions for new and existing employees.
  • Work with management to discuss and implement various training methods and matrices.

Education

Business

Northampton High School
Northampton

Skills

  • Communication Skills: Clear and effective communication with patients, staff, and healthcare providers
  • Customer service skills: providing exceptional service to patients, addressing inquiries, and resolving issues
  • Empathy and compassion: demonstrating understanding and support for patients' needs and concerns
  • Organizational abilities: managing appointments, schedules, and patient records efficiently

References

References available upon request.

Timeline

DME Customer Service Coordinator

Lincare Inc
09.2021 - Current

Billing Customer Service Representative

Omnicare
06.2016 - 08.2019

Business

Northampton High School

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TIna Schultz