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Click here or scroll down to respond to this candidateCandidate's Name
PHONE NUMBER AVAILABLEEMAIL AVAILABLECareer ObjectiveTo utilize my advanced customer service and knowledge in the healthcare/administrative field to deliver exceptional service within a company and succeed. ExperienceOptum Insights Partner of United Health GroupRevenue Recovery Collection SpecialistApril September 2023 Reviewed claims that did not correctly process due to incorrect data input, adjustments, improper coding Corrected information or updated information to correct problems according to the policy Verified claims information and researched reasons for denial of payment Used Epic billing systemThe Loomis Company - Remote PA Customer Service Representative February 2021 January 2023 Professionally answered inbound calls from providers and/or members Verified claims were processed accordingly per Medicare guidelines Accurately escalated complex cases to appropriate departments in leadership Diligently researched benefits/eligibility for commercial insurance membersMedstaffers Carlisle PA Personal Home Care AideOctober 2016 August 2018 Carefully assisted patients with mobility, toileting, bathing and personal hygiene Supported personal needs by handling household services, meal preparation and transportationTracked conditions and behaviors, updated records and daily logs for caregiver. Bureau of Account Management Camp Hill PA Certified Collection Rep February 2009 October 2016 Handled accounts in collection by complying to local, state and federal HIPPA regulations Swiftly reviewed documents for entry accuracy and proper coding Provided solutions regarding financial hardships and resolution of accounts. Process credit and debit card transactions, ACH payment and set monthly recurring payments.Colt Plumbing Mechanicsburg PA Customer Service Representative January 2009 - July 2009 Investigated and resolved customer concerns related to order inquires and delivery tracking Followed up with past customers to offer additional support and verify satisfaction Referred unresolved customer grievances to designated department for further investigation Answered multi-line switchboard and be receptionist for front office EducationCumberland Valley High School Mechanicsburg, Pennsylvania Diploma Skills Customer Service- 10+ Years (2 years remote) Microsoft Word/Excel/IBM Lotus Typing 60+ wpm Data Entry Medicare terminology familiarity (ICD-10, CPTs) Federal and government compliance trained HIPPA AS400/Panorama/Genesys Finance and Administrative Accounting/Clerical for both private and state government Procurement |
