Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
5
5
years of professional experience
Work History
Account Manager
Rethink Billing
08.2021 - Current
Addressed problems with accounting, billing, and service delivery to maintain and enhance client satisfaction.
Communicated with insurance providers to resolve denied claims and resubmitted.
Located errors and promptly refiled rejected claims.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Identified and resolved patient billing and payment issues.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Posted and adjusted payments from insurance companies.
Collected payments and applied to patient accounts.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Precisely evaluated and verified benefits and eligibility.
Patient Representative
Texoma ENT & Allergy
06.2020 - 08.2021
Scheduled appointments for patients and placed reminder calls 48 hours before office visits
Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
Customer Service Advocate
Health Care Service Corporation
10.2018 - 06.2020
Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
Complied with HIPAA guidelines and regulations for confidential patient data.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Assisted patients with understanding personalized insurance coverage and benefits.
Director of Business Development, Director of RCM Customer Success at Rethink Behavioral Health/ABA Therapy Billing and Insurance ServicesDirector of Business Development, Director of RCM Customer Success at Rethink Behavioral Health/ABA Therapy Billing and Insurance Services
NORTH CENTRAL LONDON SUPPORT AFTER SUICIDE SERVICE at Rethink Mental Illness / Listening Ear: AMPARONORTH CENTRAL LONDON SUPPORT AFTER SUICIDE SERVICE at Rethink Mental Illness / Listening Ear: AMPARO