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Click here or scroll down to respond to this candidateCandidate's Name
PHONE: PHONE NUMBER AVAILABLEADDRESS: Street Address
EMAIL: EMAIL AVAILABLEPROFILE SUMMARYDedicated, client-oriented and accomplished financial associate professional, offering over 10 years record of success in the medical industry. Demonstrate abilities in coordinating activities utilizing understanding of medical terminologies. Possess proven achievement in executing fiscal and analytical functions, managing organizational and administrative changes, as well as identifying and resolving issues in a prompt manner. Demonstrate excellent interpersonal and communication skills; expert at fostering solid and professional relationships with customers, colleagues, and executives while maintaining high ethical and quality standards, professional demeanor, and a cooperative attitude.CORE COMPETENCIESAccounting and Finance Accounts receivable professional Strong communication skillsDecision Making General ledger accounting Excellent managerial techniquesAccount Reconciliations Problem Solving Exemplary work ethicBilling/Banking Administration Adobe software Outstanding Customer ServicePROFESSIONAL SKILLS Resolved outstanding billing problems. Planned and executed all aspects of a major office move. Promoted to Clinic Coordinator after nine months of employment. Opened Outpatient Psychiatric office from the ground up. Negotiated 90% of fee scale with health insurance carriers. Broad understanding of financial audit requirements and procedures in all business levels, including evaluation, analysis,tracking, and communication of financial data. Extensive background in various aspects of financial reporting, bank reconciliation, and internal accounting controls. Proven expertise in reviewing and preparing financial statements, sales reports, cash flow analyses, payroll, inventorycontrol, internal audits, and accounts receivable and payable. Known for keen eye for details with proven effectiveness to multitask in competitive and fast-paced environments. Possess excellent verbal and written communication skills, with proficiency in all Microsoft Office applications.pPROFESSIONAL EXPERIENCECustomer Service Representative - Marshfield Clinic - Security Health Plan, Marshfield, WINov 2023 - Jan 2024 Answer incoming call center questions about insurance policies and insurance coverage issues, as well as consumercomplaints and general inquiries. Demonstrate accuracy in processing client policy modifications based on the data given. Verify new customers coverage and present policy holders with proof of insurance paperwork. Keep track of all customer inquiries and follow up to verify that all questions are answered regarding customer policies. Stay up-to-date on new marketing efforts to answer insurance product inquiries utilizing all the resources available. Handle complaints, present appropriate solutions, and alternatives within the time frames set, and follow up to ensure thatthe issue has been resolved. Knowledge of Microsoft Office and customer relationship management software. Excels in active listening, interpersonal, and communication skills. Knowledge of all Medicare and Medicaid guidelines. Document fulfillment of requirements on each incoming call.Customer Relations Representative, Level II - Belmont Finance LLC, Plover, WIJul 2020 - Nov 2023 Handle outbound and inbound calls with professionalism and knowledge of company protocols, following scriptswhen necessary. Consistently demonstrated exceptional customer service skills. Negotiate payment and settlements with customers based on client-specific parameters, aiming for mutuallybeneficial agreements. Resolve customer disputes. Forwarded complex escalating issues through appropriate channels. Work areas and equipment maintained according to department standards. Prioritized safe operation of assignedequipment, adhering to relevant safety protocols. Exhibit a courteous, conscientious, and business like manner in the workplace, when interacting with customers,visitors, and colleagues, fostering a professional work environment. Foster effective working relationship with team members and other departments, collaborating to achievedepartment and company goals and objectives. Process customer payments accurately and efficiently, ensuring proper documentation, and compliance with financialprocedures. Provide knowledgeable, accurate responses to customer inquiries regarding contracts, terms, and conditions,clarifying any uncertainties. Train new customer service representatives, sharing knowledge and guiding them to support their success in the role.Office Manager - Rent Wisco, LLC, Stevens Point, WISep 2018 - Jul 2020 Collected rent payments and security deposits from tenants, ensuring accurate record-keeping and timely collection. Received and prioritized maintenance and repair requests from tenants, communicating with vendors and contractors,and assuring prompt resolution of issues. Conducted property tours for potential tenants, highlighting key features, and addressing inquiries to attract suitabletenants. Generated accurate invoices for utility services provided to tenants, and collected payments. Maintained accurate, current financial records for rent transactions. Created and posted advertisements for vacant properties, utilizing various marketing channels, to attract prospectivetenants. Responded promptly to tenant inquiries and concerns regarding lease terms, property maintenance and other relevantmatters. Researched financial history and completed background-check for tenant applicants. Appeared in court for eviction cases. Accompanied law enforcement during eviction process. Maintained communication between owner and on-site managers. Enforced rules assessed by Rent Wisco and the City of Stevens Point.. Assessed condition of apartment at check out. Security deposit refund based on completed checklist. Computerized and uploaded paper records.Financial Associate - Portage County Finance/Health & Human Services, Stevens Point, WIJul 2014 - Sep 2018 Prepared/Billed patients, third party billing service and insurance companies, collected balances, maintained currentinsurance information. Prepared proper forms for reimbursements. Rejected claims reviewed, corrected and resubmitted for reimbursement. Prepared and mailed monthly statements. Completed prior authorizations, updated computer records, installedsoftware updates as needed, and while completing all other general office duties. Back up biller for Portage County Nursing Home, billing for Room & Board, Medicare B billing for therapies. Turned over accounts to collection agency for tax intercept.Office Manager - Atlas Psychiatry, Stevens Point, WIDec 2007 - Jun 2014 Accurately entered procedure codes, diagnosis codes and patient information into billing software. Ensured accurate coding, sequencing of diagnoses and procedures. Promptly responded to insurance inquiriesregarding CPT codes. Corrected identified errors and resubmitted denied/rejected insurance claims. Analyzed patient medical records to determine billable services. Interpreted medical reports applying appropriate ICD-9 and ICD-10 codes. Confirmed patient information, collected copays and verified insurance. Evaluated the accuracy of provider charges,completed appeals, and prior authorizations, completed and submitted claims. Posted charges, payments and adjustments including billing, accounts receivable and/or clearing house. Submitted refunds for claims paid in error. Ensured timely and accurate charge submission and patient statements. Meticulously tracked and resolvedunderpayment. Maintained current requirements for insurance programs, including details of patient financial responsibilities,fee-for-service, and managed care plans. Prepared and attached all required claims documentation including referrals, treatment plans and other requiredcorrespondence, to reduce incidence of denials.Mental Health Assistant/Clinic Coordinator - Aspirus Psychiatry, Wausau, WIDec 2005 - Dec 2007 Recorded and filed patient data and medical records. Strictly followed all federal and state guidelines for release of information. Documented detailed clinical phonemessages for physicians. Directed patient flow during practice hours, minimizing patient wait time. Obtained insurance prior authorizationsfor medication, procedures, and tests ordered by the attending physician. Prepared prescription refill requests per protocol of the physician. Proofread physician correspondence retrieved from dictation service. Scheduled patient appointments. Completed registration quickly for all new patients. Provided Administrative support for three practitioners. Resolved issues with patient medications collaborating withlocal pharmacies. Demonstrated knowledge of HIPAA Privacy and Security Regulations by complying with appropriate handling ofpatient information.REFERENCESAnna CothronPsychiatrist/Owner Atlas Psychiatry (former)PHONE NUMBER AVAILABLECheryl ButkusPortage County Health & Human Services - Accounts Receivable SupervisorPHONE NUMBER AVAILABLEWendy VanmeterBelmont Finance, LLC - Current SupervisorPHONE NUMBER AVAILABLE/pre> |
