Communicative Benefits Specialist offering outstanding customer service and data confidentiality skills.
Overview
25
25
years of professional experience
Work History
Benefits Specialist
Lucent Health Solutions
Nashville , TN
08.2024 - Current
I am the contact person for 41 groups with 3900 employees. I work with the group to set up the account with division, medical plan, dental plan, vision plan, and HRA/FLEX card once the plan is sold to the client from our sale department.
I bill the premium and administrative fee for 41 groups.
I set up the portal for the client to enroll, terminate, and update address, phone number, email, or make changes for each group.
I am the contact person if there is in question or concerns about the plan or changes for 41 groups.
Medical Record Clerk
CIOX HEALTH, Health Information Managment
Nashville , TN
03.2019 - 08.2021
Open mailed records requested and upload requested into the work queue.
Process record request for attorney's for law suit, medical insurance company for claims processing, disability claims, and physician for continuation of care.
Answer incoming call regarding what is needed for the requested or status of a request.
Patient Account Representative
Cool Springs Surgery Center
Franklin , TN
03.2017 - 03.2019
Follow up on dented claims payment
Update insurance and resubmit claims if we had wrong insurance info
Answering 60-80 incoming calls for billing inquires from patients or insurance companies.
40-60 outgoing calls to collect on 60-120 outstanding balances.
Medical Collector
Affiliated Creditor
Nashville , TN
08.2016 - 02.2017
Used automated dialer called 90-180 people regarding outstanding balance for hospital or clinic visits.
Set up plan if patient could not pay in full
Update insurance if claim was not filed to insurance still in a timely manner.
Loaded new collection accounts into the collection system.
Was a backup for the reception during break & lunch at the front desk, answering phone and directing them to the correct department.
Patient Account Representative
Middle Tennessee Emergency Physician Billing
Nashville , TN
10.1999 - 08.2016
Answered 80-100 incoming call for billing inquires.
Verified insurance and updated account to resubmit claims
Verified work comp claim, got claim number to submit claims.
Collected on outstanding balances or set up pay plans.
Posted payments
Processed medical records
Backup receptionist answering calls and directing them to the correct department.
Education
High School Diploma -
The Cohn Learning Center
Nashville, TN
05-1992
Skills
Benefits Explanation
Proficient Microsoft Word, Excel, Outlook,
Open enrollments
Problem solving skills
Quick learner
Timeline
Benefits Specialist
Lucent Health Solutions
08.2024 - Current
Medical Record Clerk
CIOX HEALTH, Health Information Managment
03.2019 - 08.2021
Patient Account Representative
Cool Springs Surgery Center
03.2017 - 03.2019
Medical Collector
Affiliated Creditor
08.2016 - 02.2017
Patient Account Representative
Middle Tennessee Emergency Physician Billing
10.1999 - 08.2016
High School Diploma -
The Cohn Learning Center
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