Traclyn Malveaux
Conifer Healthcare Solutions
Houston,TX
1
Certification
27
years of professional experience
Experienced healthcare revenue cycle professional with significant experience in patient account management, insurance billing, claims, charity care, collections, payment resolution, prior authorizations, and account resolutions. .Skilled in billing, coding, and revenue cycle processes, with strong focus on team collaboration and achieving results. Reliable and adaptable, consistently meeting departmental goals, dedicated and dependable with strong work ethic and a proven record of consistently exceeding job performance expectations.
Work History
Senior Patient Account Representative
4 Years 2 Months- Manage daily medical insurance billing and follow-up activities within hospital revenue cycle operations.
- Reviewed and retrieved medical records, account information, and documentation for accuracy and compliance when working automobile/MVA and workers compensation claims.
- Managed and continuously followed automobile/MVA and worker’s compensation claims.
- Worked with outside vendors to resolve issues with billing, claims and payments.
- Processed charity care and financial assistance accounts, including adjustments for full and partial approvals for multiple hospitals.
- Recalled accounts from bad debt and collection agencies after approval for financial assistance and charity care.
- Researched billing errors and discrepancies to initiate corrective action.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial, workers compensation and Self pay to obtain timely and accurate payments.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked daily queues.
- Investigated insurance claims denials, retrieved medical records and created appeals.
Assistant Rural Carrier
1 Year 4 Months- Delivered mail and packages to customers on prescribed route while processing check submissions, money orders and stamp purchases in field.
- Signed and received mail with signature requirements upon delivery and loading.
- Kept inventories of stamps and other supplies and re-stocked as necessary to prepare for customer needs.
- Sorted mail according to order of address appearance for easy access in field.
- Distributed mail on foot to residences and businesses, delivering to approximately 100 customers per shift
- Inspected truck equipment and supplies and reported problems and safety hazards to supervisors following each shift
Team Lead Service Representative
19 Years 2 Months- Operated in dynamic, high-volume environments to provide skilled assistance to more than 100 customers each day.
- Educated customers on current promotions, upgrades or new offerings available under current plan.
- Adhered to company policies and scripts to consistently achieve call-time and quality standards.
- Addressed escalated customer service issues sent from sales and service teams to save customer relationships.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Educated customers about billing, payment processing and support policies and procedures.
- Responded to customer concerns with friendly and knowledgeable service and remedied issues promptly and effectively.
- Responded to customer calls and emails to answer questions about products and services.
- Accepted payments and updated accounts with latest information.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Updated account information to maintain customer records.
- Processed customer service orders promptly to increase customer satisfaction.
- Trained new personnel regarding company operations, policies and services.
- Cross-trained and provided backup support for organizational leadership.
- Cross-trained and backed up other customer service managers.
Education
Associate of Science - General Studies
Bachelor of Science - Pharmacy
Skills
Revenue Cycle Management
Patient account management
Document and Records Management
Insurance verification
Workers' Compensation Claims
Automobile/MVA Claims
Charity Care & Financial Assistance
Denial Resolution
Appeals
Prior Authorization
Pre-Certification
Accounts Receivables
Customer Service
Computer Proficiency
Microsoft Office Suite
Word
Outlook
Excel
Powerpoint
Windows
Mac OS
Adobe Photoshop
EPIC
Citrix
Avaya
HIPAA
Certification
- Property & Casualty License - 12/29/2021
- Notary Public Commission , State of Texas- 11-10-17
Timeline
Senior Patient Account Representative
Conifer Healthcare Solutions
09.2022 - 11.2026Read More
Assistant Rural Carrier
United States Postal Service, USPS
05.2020 - 09.2021Read More
Team Lead Service Representative
AT&T
01.2000 - 03.2019Read More
San Jacinto College District
Associate of Science from General Studies
Read More
Texas Southern University
Bachelor of Science from Pharmacy
Read More