Valarie Riddle
Medical Receptionist/ Customer Service/Assistant Underwriter
Jackson,TN
Summary
As an Analytical, Detailed-Oriented, Skilled, Professional Team Player in capacity of a Medical Receptionist, Medical Billing & Collections, Chiropractic Assistant, as well as an Assistant Underwriter with expertise in multiple insurances as Assistant Underwriter in Group Medical/Life Insurances and as well in Commercial Environmental Insurance, and as a licensed Insurance Producer in Property & Casualty, Automobile Insurance and addition as a Financial Services Customer Service Representative in Banking/ Financial Services with strong organizational skills and a high degree of proficiency and accurate data entry.
Competent Medical Accounts Receivable Specialist bringing years of experience in handling Medical accounts receivables. Effectively mediates customer disputes and collects payment in timely manner. Exemplary skill in resolving billing disputes, providing excellent customer service and applying payments.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude.
Gifted in evaluating risk and loss potential and developing information for new and renewal policies.
Ability to handle multiple projects simultaneously with a high degree of accuracy.
Willingness to take on added responsibilities to meet team goals.
Result-driven with strong background in customer service, financial services and insurance. Agile with excellent communication and analytical skills and in-depth understanding of financial products and services.
Overview
19
19
years of professional experience
Work History
Financial Services Representative
Charles Schwab Financial Services
2005.01 - 2006.05
- Provided strong interpersonal skills as a Trusted Customer Service Representative to support to Charles Schwab Bank Customers, in a high call volume Call Center Environment maintaining professionalism under pressure.
- Created, Enhanced and built customer relationships with a personalized relationship for the highest quality of customer service and addressing individual concerns in a prompt and timely manner.
- Leveraged strong interpersonal skills to build trust among clients while handling difficult conversations regarding Financial Bank and Investments accounts.
- Collaborated with team members to achieve call center production goals and improve overall Customer service performance.
- Built and deepened productive relationships with prospective and competitive customers to drive sustained growth.
- Advanced department goals by consistently meeting or exceeding performance metrics related to productivity quality assurance standards.
- Handled a diverse range of client portfolios, ensuring personalized attention was given to each account holder''s unique needs.
- Educated customers on available products and services, tailoring recommendations based on individual needs and preferences.
- Worked with clients to develop financial planning strategies and solutions through evaluation of finances.
- Identified potential fraudulent activity, implementing security measures to protect customer accounts.
- Assisted customers in understanding their financial statements, providing clarity regarding charges or fees.
- Managed sensitive customer information with strict adherence to privacy regulations and company policies.
Customer Service Rep Property & Casualty Insurance
USAA - P&C Auto Insurance
2000.04 - 2003.01
- I participated in-depth training sessions to become a Licensed Insurance Producer License to become a USAA Customer Service Representative as a Automobile Insurance Agent in a High Call volume Call Center, including USAA product and services offer by USAA.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Streamlined call center processes, goals and production criteria for improved efficiency and reduced wait times.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Assisted customers in navigating USAA's website and placing online requests, transactions, etc. improving overall user experience.
Medical Insurance Claims Examiner
Group Health Northwest
1995.01 - 1999.01
- Investigated and processed Medical insurance claims for policyholders.
- Examined claims forms and other records to determine insurance coverage.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
- Managed caseloads effectively while maintaining high-quality work standards and meeting strict deadlines consistently.
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
Patient Financial Services Representative
Sacred Heart Medical Center
1992.01 - 1995.01
- Responsible for a variety of tasks related to the counseling of in-house hospital patients on their payment obligations with the goal of securing the financial outcome appropriate for each patient.
- Accounts receivables for Insurance Billing and Collections.
- Developed strong relationships with insurance providers, fostering effective communication to facilitate prompt payment processing.
- Streamlined billing processes for increased efficiency and accuracy in payment collections.
- Educated patients about their benefits eligibility, helping them make informed decisions regarding their healthcare services.
- Improved patient satisfaction by providing timely and accurate financial information.
- Enhanced revenue recovery with diligent follow-up on outstanding accounts and insurance claims. Submit to secondary insurance carriers when applicable.
- Reduced errors in billing, conducting thorough audits of patient accounts and identifying discrepancies.
- Promoted a positive patient experience, addressing concerns and resolving issues related to billing or insurance coverage.
- Assisted patients in understanding their financial responsibilities, guiding them through available payment options and resources by make payment arrangements for Patients for outstanding patient account balances that are patients responsibility.
Chiropractic Assistant/Receptionist/Insurance Coordinator
Dr. Walter K. Mansfield, DC
1992.05 - 1995.06
- Executed all Administrative tasks at the Receptionist desk, Appointment scheduling process for increased efficiency and reduced wait times. Appointment reminder calls and post cards, rescheduling patient appointments, including receiving & handling patients deductibles, copayments, payment plans, etc.
- Developed strong relationships with patients through attentive listening and compassionate support during their Chiropractic visits.
- Assisted Chiropractor with all patients in New Patient & Progress Exams, in Patient Chiropractic Therapy care sessions, X-Rays, explained the benefits of Chiropractic care as well as explained Chiropractic care procedures and benefits that contribute to an improved to overall Healthier Lifestyle with the Chiropractic care experience.
- Medical Insurance Billing & Collecting insurance payments on account receivables Verifying Insurance coverage on patients Chiropractic care benefits, Facilitated smooth communication between patients, chiropractors, and insurance companies to resolve billing issues on denied Insurance claims. Posted Insurance payments to patient accounts, reconciled patient accounts for accuracy to process monthly patient billing statements. Submitted to secondary insurance carriers, submitted supporting medical records on denied insurance claims for reconsideration of payment.
- Maintained accurate Medical records of patient visits and treatments, ensuring compliance with regulations.
- Cleaning Patient Exam rooms, Therapy rooms, X-Ray room, Patient Waiting rooms. Maintaining an orderly work area, maintain inventory of office supplies, including keeping track of and ordering medical supplies and maintain therapy equipment is working in proper order.
Chiropractic Receptionist/Assistant
Dr. Rollie M. Dickerson, DC
1987.06 - 1991.07
- Executed all Administrative tasks at the Receptionist desk, Appointment scheduling process for increased efficiency and reduced wait times. Appointment reminder calls and post cards, rescheduling patient appointments, including receiving & handling patients deductibles, copayments, payment plans, etc.
- Developed strong relationships with patients through attentive listening and compassionate support during their Chiropractic visits.
- Assisted Chiropractor with all patients in New Patient & Progress Exams, in Patient Chiropractic Therapy care sessions, X-Rays, explained the benefits of Chiropractic care as well as explained Chiropractic care procedures and benefits that contribute to an improved to overall Healthier Lifestyle with the Chiropractic care experience.
- Medical Insurance Billing & Collecting insurance payments on account receivables Verifying Insurance coverage on patients Chiropractic care benefits,
- Facilitated smooth communication between patients, chiropractors, and insurance companies to resolve billing issues on denied Insurance claims. Posted Insurance payments to patient accounts, reconciled patient accounts for accuracy to process monthly patient billing statements. Submitted to secondary insurance carriers, submitted supporting medical records on denied insurance claims for reconsideration of payment.
- Maintained accurate Medical records of patient visits and treatments, ensuring compliance with regulations.
- Cleaning Patient Exam rooms, Therapy rooms, X-Ray room, Patient Waiting rooms. Maintaining an orderly work area, maintain inventory of office supplies, including keeping track of and ordering medical supplies and maintain therapy equipment is working in proper order.
Unemployment Claims Specialist I
State Of Washington Dept Of Labor & Unemployment
1997.07 - 2000.04
- Interviewed Unemployed workers and acquired Claimant work history, personal information and data to compile accurate data to determine Unemployment Insurance Benefit eligibility for Unemployment Insurance Benefits according to the guidelines and policies for both State and Federal Unemployment requirements. Extreme attention to detail, able to multitask in a high volume, fast paced Call Center Environment with limited supervision.
- Responsible with the tasks with receiving, obtaining, analyzing and build a Unemployment claim for Unemployment Insurance benefits for the Claimants in the State of Washington in the Workforce Center and TeleCenter Call Center in Spokane, Washington.
- Obtain detailed, technical information from claimants in order to establish and process on UI claim, and to detect potentially fraud.
- Provided exceptional customer service to both internal and external individuals, while managing a high volume of incoming calls and emails daily.
- Collaborated with other departments to develop streamlined processes for sharing information related to unemployment claims.
- Enhanced customer satisfaction by resolving complex claim issues in a timely and professional manner.
- Reduced fraudulent claims by conducting thorough investigations and collaborating with law enforcement agencies.
- Handled escalated claimant issues professionally, working towards satisfactory resolutions without compromising agency policies or procedures.
- Assists Unemployed applicants in filling out application forms, using knowledge of information required or native language of applicant through Language Interrupter Services..
- Explained Claimants responsibility for weekly Job search requirements.
- Assisted claimants in navigating the unemployment benefits system, weekly claims submission, addressing concerns, and answering inquiries promptly. Explained & Answered questions concerning registration for job search requirements and how to submit weekly benefits of the approved unemployment claim through the automated 800 phone submission 800 number.
- Maintained up-to-date knowledge of federal and state regulations governing unemployment insurance programs, ensuring compliance at all times.
Assistant Underwriter
Great West Life Insurance
2004.01 - 2005.01
- Enhanced, Efficient and Comprehensive, underwriting group insurance policies by streamlining processes and implementing best practices. Expedited the underwriting process through effective prioritization and organization of workload.
- Evaluated insurance applications verified data integrity and accuracy, against established criteria, ensuring adherence to company policies and regulatory requirements.
- Managed a diverse portfolio of accounts, maintaining a high level of customer satisfaction through proactive communication and prompt service delivery.
- Maintained strong relationships with Underwriters to ensure smooth communication and timely issue resolution. Accuracy, prioritization, and communication working daily with Underwriters, internal customers, and the Underwriting Team of colleagues to complete work in a timely and accurate manner with departmental deadlines. With a natural, efficient, aptitude for problem-solving, qualified candidates can switch between tasks quickly and work independently. Collaborated with senior underwriters to assess risks and determine appropriate coverage levels for clients.
- Responded to customer requests via telephone and email and effectively answered questions and inquiries.
- Supported the review, acceptance or denial of new or renewal business after carefully reviewing all information.
Assistant Underwriter
Freberg Environmental Insurance (Fruci Financial)
2003.01 - 2004.01
- Evaluated Environmental Insurance applications for required information and data to ensure accuracy to determine insurance coverage and appropriate risk classifications.
- Developed and implemented underwriting policies and procedures, establishing useful and accurate processing of applications. Evaluated applications to determine insurance coverage and appropriate risk classifications.
- Supported review, acceptance or denial of new or renewal business after carefully reviewing all information.
- Utilized knowledge of insurance principles, policies and procedures to make decisions on risk assessment.
- Evaluated insurance applications against established criteria, ensuring adherence to company policies and regulatory requirements.
- Expedited the underwriting process through effective prioritization and organization of workload.
- Supported the development of new business by conducting thorough research on prospective clients.
- Maintained strong relationships and interact closely and effectively with Broker and client relationships as a Liaison between agents, brokers, and policyholders to ensure with other product line underwriters and regional managers to execute smooth communication and in a timely manner of the process of underwriting New and Renewal Policies of Business.
- Manage the underwriting production, integrity and profitability of the Environmental book of business.
- Liaise with actuarial, claims, compliance, legal, communications and distribution teams to consistently be informed on the overall goals of the company.
Education
Medical & Dental Receptionist/ Medical Billing
Alaska Technical Institute
Anchorage, Alaska11.1986
High School Diploma -
Chugiak High School
Chugiak, AK05.1985
Skills
- Receptionist & Administrative Support
- Patient Access & Registration
- Acquired Pre-Authorizations
- Insurance Knowledge & Verification
- Medical Terminology
- Medical Insurance Billing & Collections
- Medical Accounts Receivables
- HIPAA Compliance
- Customer Service- Medical & Financial/Insurance
- Client & Customer Relationship Building
- Customer Relationship Management & Conflict Resolution
- Exceptional interpersonal and problem-solving skills
- Attention to Detail & Account Documentation
- Strong Verbal and Written Communication skills
- Analytical Thinking & Problem Solving skills
- Financial Services & Financial Analysis & Planning
- Data Entry Proficiency & High Accuracy
- Detailed-Oriented & Time Management skills
- Team-oriented with success in building relationships to achieve departmental & overall business goals.
- Microsoft Office Suite
Timeline
Financial Services Representative
Charles Schwab Financial Services
2005.01 - 2006.05
Assistant Underwriter
Great West Life Insurance
2004.01 - 2005.01
Assistant Underwriter
Freberg Environmental Insurance (Fruci Financial)
2003.01 - 2004.01
Customer Service Rep Property & Casualty Insurance
USAA - P&C Auto Insurance
2000.04 - 2003.01
Unemployment Claims Specialist I
State Of Washington Dept Of Labor & Unemployment
1997.07 - 2000.04
Medical Insurance Claims Examiner
Group Health Northwest
1995.01 - 1999.01
Chiropractic Assistant/Receptionist/Insurance Coordinator
Dr. Walter K. Mansfield, DC
1992.05 - 1995.06
Patient Financial Services Representative
Sacred Heart Medical Center
1992.01 - 1995.01
Chiropractic Receptionist/Assistant
Dr. Rollie M. Dickerson, DC
1987.06 - 1991.07
Medical & Dental Receptionist/ Medical Billing
Alaska Technical Institute
High School Diploma -
Chugiak High School
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