| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidate1Candidate's Name
TennesseePHONE NUMBER AVAILABLEEMAIL AVAILABLEExperiencePathGroupRemote Client AdvocateJanuary 2023 to October 2023 Perform all job responsibilities in alignment with the industry's best security practices and regulatory guidelines to protect the confidentiality, integrity, and availability of protected health information and other sensitive company data. Call clients for valid patient demographics, insurance information, and client bill information, and process client/patient bill accessions. Process TES edits related to client/insurance billing, process monthly direct fees and manually sent client bill charges. Work with clients to resolve any outstanding balances as well as credit balances. Monitor incoming client payments to ensure accurate and timely posting of client payments and resolve any corrections. Search websites for insurance requirements, verify and process monthly client bills for mailing, and process electronic monthly client bills/queries. Communicate with clients regarding billing corrections, account payments, and outstanding balances.CareNowFront Desk Patient Representative PRNJanuary 2022 to October 2022 Completes Daily Balance Checklist after each shift. Includes all forms of payment are accounted for and documented. Ensures all Web Check-in procedures are followed, checks patients promptly, answers phone calls, and provides information to patients, doctors, and other facilities. Insurance verification, ensures the occupational client's preference card is followed and occupational procedures Review all patient paperwork to ensure completeness and ensure the collection of necessary insurance / demographic informationFisk UniversityFinancial Advisor Student EnrollmentJune 2021 to September 2021 - contract Comply with all college rules, procedures, guidelines, and laws/regulations governing public employees, including but not limited to those related to document retention and destruction, FERPA, and confidentiality laws. Assist students and families with financial aid processes or other specific student support services within federal, state, and/or institutional guidelines. 2 Trained employees on Excel, and created a new inside program(s) for enrollment during the pandemic. Resolve administrative issues related to office functions using established policies and procedures, making appropriate referrals as necessary. Provide tech support by setting up different areas for the students/parents for enrollment in classes. Youth Opportunity InvestmentsJuvenile Detention Specialist OfficerAugust 2020 to June 2021 Maintain safety and security for the community, staff, and inmates. Completed training, A, B, and C pods, Central Center. Trained new hires on policy procedures and safety. Cigna HealthSpringSr CSR TierFebruary 2019 to September 2020 Responsible for handling complaints that are too complex to be handled by junior staff. Participating in regular product training exercises to maintain product knowledge for new customers. Data entry of new sales made by field agents, over-creating reports of data accuracy for each field sales agent and upper management. Call Center taking inbound calls de-escalation of customer calls Enrollment for new customers responsible for explaining the policy coverage. Premiere Credit Of North AmericaSenior A/R Specialist / Bad Debt Collection Specialist February 2017 to February 2019 Trained new hires on all systems, protocols for several different states. Dept manager of accounts payables, administrator of 3rd party portal access. Manage a high volume of outbound and inbound calls. Collections on first and third-party unpaid medical claims, automotive loans, and student loans. Knowledgeable with state and federal laws for compliance purposes. Farmers Insurance GroupOffice Manager/ Helpdesk/ Content Management Specialist May 2014 to January 2016 Greeting customers, scheduling meetings for office agents, responsible for bookkeeping, deposits, and renewal of client's policies. Responsible for all social media marketing on all platforms Yelp, Mata, BBB, Facebook, Twitter, etc. Troubleshoot system issues, install new programs and train the agents.PASISelf Pay CollectorApril 2008 to July 20133 Collecting a fast-paced environment, as a patient account representative I was responsible for facilitating the resolution of account issues and collecting balances from patients. Negotiated payment arrangements, and negotiated settlements with the patients, family members of the estates, adjusters for MVAs, Workmen comp & law firms. Collected $650,853.47 within 8 months, Collector of the year 2012. Collections High Rollers 2008, 2009, 2010, 2011, 2012. Collector of the month 9 times in 2012. Urgent Care TeamCollections ManagerJuly 2005 to February 2008 Collections on first and third-party unpaid medical claims. Manage a high volume of outbound and inbound calls. Work in a fast-paced environment, as a patient account representative, responsible for facilitating the resolution of account issues and collecting balances from patients. Negotiated payment arrangements, and negotiated settlements with the patients, family members of the estates, adjusters for MVAs, Workmen comp & law firms. Knowledgeable with state and federal laws for compliance purposes. Trained new hires on all systems, protocols, and procedures for several different states. Education Crockett County High School - Diploma - 1995 Draughons Jr College - Associate Degree in Healthcare Administration - 2002 Certification in Computer Technology - Microsoft isc2 - PresentCPR Plus experience (CPR is the software that they use in home infusion, HME, AND specialty pharmacy offices. |
