Yoselin Simone
Totowa,NJ
Summary
Successful account representative provided ongoing support to ensure up to date accounts. A smart candidate keeps meticulous details on status of patients accounts. Friendly and engaging with great attention to detail.
Overview
5
5
years of professional experience
Work History
Medical Billing Account Representative
Oasis Medical & Surgical Wellness Group
03.2021 - Current
- Handled day-to-day accounting processes to drive financial accuracy.
- Managed and responded to correspondence and inquiries from Health insurances; Auto Insurance; Attorneys.
- Effectively communicated with Health insurances and Auto Insurance about payment needs and kept updated, detailed and accurate ledgers.
- Developed monthly statements and balance sheets.
- Achieved successful appeal outcomes by meticulously reviewing and analyzing claim denials, identifying errors, and presenting persuasive arguments.
- Improved the appeals success rate by researching legal precedents and staying up-to-date with current industry regulations and guidelines.
- Expedited resolution times for appeals cases by efficiently managing workload and prioritizing urgent matters.
- Collaborated with cross-functional teams to gather necessary documentation and evidence to support the appeals process.
- Reduced claim denial rates with thorough pre-appeal reviews, identifying potential issues before submission.
- Reduced manual data entry errors with accurate payment postings and account reconciliations.
Accounts Receivable Representative
NBW Consultant
06.2022 - 06.2023
- Enhanced cash flow by promptly and accurately processing accounts receivable transactions.
- Streamlined billing processes for improved efficiency and reduced errors.
- Reduced outstanding receivables by diligently following up on overdue payments.
- Maintained strong client relationships through clear communication and timely resolution of disputes.
Motor Vehicle Account Manager
Radiology Center Of Fair Lawn
10.2019 - 02.2021
- Achieved successful appeal outcomes by meticulously reviewing and analyzing claim denials, identifying errors, and presenting persuasive arguments.
- Improved the appeals success rate by researching legal precedents and staying up-to-date with current industry regulations and guidelines.
- Maintained high levels of accuracy in all written correspondence, ensuring clear communication with relevant stakeholders during the appeals process.
- Streamlined daily reporting information entry for efficient record keeping purposes.
- Handled day-to-day accounting processes to drive financial accuracy.
- Effectively communicated with insurances about payment needs and kept updated, detailed and accurate ledgers.
Customer Service Representative (Phone Agent)
PORTX Inc
10.2018 - 08.2019
- Served customers by determining requirements; answering inquiries; resolving problems; fulfilling requests; maintaining database
- Established insurance policies by obtaining client information; determining eligibility; maintaining database.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Streamlined call center processes for improved efficiency and reduced wait times.
- Achieved high satisfaction rating through proactive one-call resolutions of customer issues.
Education
High School Diploma -
William Paterson University (WP / Nursing Administration Major
Paterson, NJ12.2019
High School Diploma -
Academy of Earth & Space Science (PANTHER)/ High School Diploma Equivalent
Paterson, NJ06.2014
Skills
- Accurately Type 55 WPM
- Quick learner who can easily adapt to new responsibilities
- Cooperative and dependable
- Developed skill and competence in many clerical procedures
- Typing
- Filling
- Answering Phones
- Keeping Records
- Account Reconciliation
- Organizational skills
- Medical Terminology
- Information Gathering and Analysis
- Dispute Resolution
- Accounts Receivable Reporting
- Multitasking Abilities
- Microsoft Office Proficiency
Attributes
- Providing the public in general with a service as I have done with both working in retail and in logistics company has made me gain an abundance amount of people skills and furthermore has made me more aware to the attention of detail of the customer's needs.
- A positive attitude is a mindset that for the most part I maintain in order to be proactive in finding a solution to the issue instead of letting it get out of hand.
- Being professional is something I have learned to put into practice with the range of different job environments I have been exposed to. There are jobs that focus in more task-oriented functions that other jobs but completing the tasks as intended illustrates the professionalism.
- Demonstrate accountability.
- Resilient and adaptable.
- Attention to detail and hitting timeliness.
- Strategy and vision: the capacity to envisage/formulate and implement long term/future objectives.
References
- Heather Lakomy ( Medical Records Manager) 973-861-7386
- Sharon Otto ( Medical Records of ImageCareCenter) 410-913-2081
- Phoebe Morgan-Davis ( Medical Biller) 973-997-7638
- Ania Aquino ( Medical Biller ) 973-818-1910
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Accounts Receivable Representative
NBW Consultant
06.2022 - 06.2023
Medical Billing Account Representative
Oasis Medical & Surgical Wellness Group
03.2021 - Current
Motor Vehicle Account Manager
Radiology Center Of Fair Lawn
10.2019 - 02.2021
Customer Service Representative (Phone Agent)
PORTX Inc
10.2018 - 08.2019
High School Diploma -
William Paterson University (WP / Nursing Administration Major
High School Diploma -
Academy of Earth & Space Science (PANTHER)/ High School Diploma Equivalent
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