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Candidate's Name
M. EMAIL AVAILABLEC. PHONE NUMBER AVAILABLEObjectiveSelf motivated professional seeking to obtain a position as Payment Center Rep. with a stable company in a fast-paced environment. Experience including medical terminology, anatomy and physiology, pre-certification and authorizations,conflict resolution, insurance verification, data entry, Type 50 wpp, general office administration. CPT/ICD10 and call center customer service. Strong interpersonal communications and writing skillsSkillsMicrosoft OfficeOutlookMS WordExcelEMR/PMNextGenFaxageClearwaveEducation and TrainingConcorde Career InstituteMedical Billing and CodingExperienceRMB/Wakefield And Associates. January 2015 - May 2023 Customer Service RepCheck overnight voicemails and return callsign a timelymanner..Process credits, payments and adjustments.Respond to customer concerns noting each chart.Set payment plansMaintain patience while speaking with upset or confused callers.(Promotion to Team Lead)As Team Lead I answered all questions from CSR team of seven.Prepare daily collection reports from CSRs to be submitted to client hospital in Wyoming and MontanaManage day to day activities of the team.Organize interview process and inform prospective candidates of interview dates and times.Motivate team to reach organizational goals.(Promotion to Trainer)As company trainer, I collaborated with regional staff to provide positive learning experience.Collect all on-boarding information to be submitted to HR.Use evaluation data to reconstruct changes in instructional design and training flow to management.Active Health ManagementCare Management Coordinator Denver, CO 2010- 2015Answer questions and resolve conflicts via phone calls, emails, and letters from members and providers.Determine medical necessity for request for precertification/ authorizations not handled by clinical staff within timely guidelines.Explain member rights and responsibilities in accordance with contract and company policies and procedures.Physician Health Partners. Denver, CO 2007-2010Intake Coordinator - Promotion ro Care Management CoordinatorDistribute Request for precertification to appropriate staff membersDocument relevant information and utilize criteria to be assessed for medical necessity.Evaluate referral and precertification request for duplication and medical necessity according to ICD10 and CPT codes.Verify insurance.Special Projects- Process al CDOC request for precertification.