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Click here or scroll down to respond to this candidateYGCandidate's Name
Professional SummaryCompetent Medical Customer Service Specialist with 10+ years of experience in handling wide variety of medical recording and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.Work HistoryEOX For Sagesure Insurance Manager - Customer Claims Representative Remote01/2023 - CurrentIntegrated Home Care Services Inc. - A/R Specialist 06/2022 - 06/2023South Florida ENT Associates, PA - A/R SpecialistMiami Lakes, FL06/2015 - 03/2021 Followed up with customers on unresolved issues. Worked productively in fast-moving work environment to process large volumes of claims.Developed in-depth understanding of insurance policies and procedures. Developed and implemented strategies to improve claim processes. Monitored and managed claim expenses to control costs and maximize profitability.Identified, researched, and resolved billing variances to maintain system accuracy and currency.Developed and maintained billing procedures to make timely payments. Worked with multiple departments to check proper billing information. Researched and resolved billing discrepancies to enable accurate billing.Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.EMAIL AVAILABLEPHONE NUMBER AVAILABLEHallandale, FL 33008SkillsMedical BillingPatient Medical Records MaintenanceBilling ProcessesBilling managementHIPAA CompliancePaperwork coordinationInsurance VerificationPatient RelationsOffice AdministrationSchedule CoordinationInformation documentationPatient RegistrationAerotek - Customer Service and Data Entry RepFort Lauderdale, FL12/2014 - 06/2015Pediatrix Medical Group - Collecions Adm II/Call Center Associate Sunrise, FL03/2009 - 09/2014Identified, researched, and resolved billing variances to maintain system accuracy and currency.Developed and maintained billing procedures to make timely payments. Worked with multiple departments to check proper billing information. Researched and resolved billing discrepancies to enable accurate billing.Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.Acted as first point of contact and set appointments for prospective clients. Managed inventory for large commercial business operation. Set appointments with salespeople and potential customers. Received in-bound calls and initiated out-bound daily calls to introduce customers to products and services offered.Used strong analytical and problem-solving skills to develop effective solutions for challenging situations. Entered orders for medical supplies - 25 hours per hour. Performed required tasks on GPMS, OBR, Master Database, electronic claims vendors' software, Medifax, Excel, Word and internet to access payer websites.Answered incoming calls and assisting clients with balance inquiries, payment information, and demographic updates.Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered. Generated monthly billing and posting reports for management review. Used data entry skills to accurately document and input statements. DocumentationMicrosoft OfficeInsurance ClaimsInpatient CareFront Desk OperationsTelephone EtiquetteRecords MaintenanceAccount ManagementEducation1994Hallandale High SchoolHallandale Beach, FLHigh School Diploma |
