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Click here or scroll down to respond to this candidateCandidate's Name
Montgomery, AL Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEAuthorized to work in the US for any employerWork ExperiencePatient Access SpecialistJackson Hospital Montgomery AL - Montgomery, ALMay 2023 to Present Register incoming patient, update patient information, have patient sign all paperwork need for services. Assisted with financial help if patient does not have insurance and unable to pay for service. Escort patient to correct department for services. Process payment for services being rendered.Subrogation CollectorWilber & Associates Law Firm- Remote - Normal, IL2022 to 2023 Activated and worked new subrogation files. Made outgoing collection calls to resolve outstanding balances. Negotiated settlements with claimants. Documented call details.SupervisorAxion Enterprises, LLC- remote - Blue Bell, PA2021 to 2022 Set up and trained new customer service representatives. Supervised customer service team of 8- 15 representatives. Processed payroll Monitor daily production for team members. Handled escalated callsCustomer Service RepresentativePrime Technical Services - Remote2020 to 2021 Answered incoming calls for SAM registration. Assisted applicants with application status inquiries. Answered applicants questions. Resolved applicants issues with applicants. Documented all call detailsCredit representativePeco - Montgomery, AL2019 to 2020 Answer incoming calls for electric and gas customers. Process payments. Assist with taking financial statements to get customers approve for agreements or minimum payment options. Turn on electric or gas service due to nonpayment once payment is made. Educate and advise customers of various assistance programs for their bill. Machine OperatorGENPAK - Montgomery, AL2017 to 2019* Prep machine to produce disposable eating products.* Adjusted machine temperature and speed to produce quality products.* Inspect finished product before distribution.* Preform hourly machine gauge, temperature reading and inform maintenance of unusual readings.* Put out fires when foam or thermoforming machine caught on fire. Machine OperatorThermalex - Montgomery, AL2015 to 2017* Set up machine to run quality coil products.* Input daily production into computer database.* Read and followed work orders, blueprints and drawing of machinery.* Inspect totes of finished product to ensure sending out quality products. Escalation SupervisorDuke Energy - Montgomery, AL2010 to 2015* Handle inbound billing calls from electric and gas customers.* Explained company policies, procedures, and government regulations as they relate to the client.* Deescalate irate callers.* Review account billing details for accuracy.* Supervise a team of up to 8 agents* Maintain clients accounts.Collections Representative/ Insurance specialistIKS Health - Montgomery, AL2008 to 2010* Initiated and manage clinical referrals for pre-authorization.* Verify insurance and pre-authorization process.* Processed patient accounts by stat using claims online via the web or by phone calls to insurance companies and patients.* Re-file corrected claims with supporting documentation as necessary.* Print denied work list to review and research denials to determine reason and send corrected claims and documentation.* Review all explanation of benefits(EOB) denials for zero payment or partial payment.* Assist with various clean- up projects.* Monitor cash collected on a daily basis for location assignments. Pharmacy care advocatePrecision RX specialty solutions(BC/BS) - Plainfield, IN 2007 to 2008* Answered customer and provider questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.* Resolved customer issues with care and concern.* Acted as an advocate for customers by providing support and guidance of their anticipated needs, personal options and decisions.* Showed initiative and resourcefulness in solving problems and meeting customer needs.* Developed relationships with other business units and service partners whose assistance, cooperation and support may be needed.* Used computerized systems for tracking, information gathering and troubleshooting.* Thoroughly documented inquiry outcomes for accurate tracking and analysis.* Mentored new customer service employees.Quality Inspector/ job setterFord Motor Company - Indianapolis, IN1998 to 2007 Assembled parts on a fast pace production line. Maintained production supplies for production specialist. Counted and documented rejected /damaged parts and arranged for their proper return to vendor. Informed management of low stock conditions. Gauged machines to verify operating properly. Communicated to supervisor daily production.Claims processorBlue Cross Blue Shield - Indianapolis, IN1991 to 1998* Data entry of patient demographics and charges.* Keyed, processed, and/or adjusted health claims in accordance with claims policies and procedures.* Liaison for American Health Network account.* Significant understanding of multiple products(HMO, PP0, COB, etc.)* Knowledge of medical terminology, procedure codes and medical office systems, including related computerized applications.* Handled remittances, refiled claims, worked denials and processed refunds.* Responsibilities included coordination of benefits, determination of benefits, extensive provider relations and customer service communication.* Computed and interpreted claims processing.* Made adjustments to claims for proper payment.Office ManagerGeneral Employment Agency - Indianapolis, IN1990 to 1991* Coordinated in office interview process for employers of perspective employees.* Handled account payable and account receivable.* Answered multi line phone system.* Processed payroll for recruiters.* Ordered and maintained inventory and supplies.* Established and maintained file coding system.* Submitted advertisement of job openings to newspaper.* Excellent communication skills, both oral and written. EducationCertificate in Healthcare Claims SpecialistMichigan Computer Institute - Rochester Hills, MI1990 to 1991Studies in Human resource development in management and training Oakland University - Rochester Hills, MI1988 to 1990Skills Microsoft Word (5 years) Microsoft Powerpoint (5 years) Excel (5 years) Typing (55wpm) (10+ years) 10 Key Calculator (10+ years) ICD Coding (5 years) CPT Coding (5 years) ICD-10 ICD-9 Medical Billing Filing Data collection Windows Warehouse experience Clerical experience Negotiation Relationship management Front desk Multi-line Phone Systems Insurance Verification Microsoft Outlook Medical collection Phone etiquette Customer service Accounts payable Accounts receivable |
