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EXPERIENCECollections representative 08/2023 to 08/2024Bank of America | Jacksonville, FL Maintained high volume of calls and met demands of busy and productive group Negotiated to collect balance in full. Handled Number outbound and inbound calls daily with goal of collecting owed debt. Processed payments and applied to customer balances. Worked in call center environment handling manual and automatically dialed outbound calls.PRIOR AUTHORIZATION SPECIALIST 07/2022 to 07/2023Humana | Jacksonville, FL Verified eligibility and compliance with authorization requirements for service providers. Fostered positive relationships with healthcare providers by ensuring transparent communication throughout authorization process Improved patient satisfaction with timely and accurate processing of prior authorizations for medications and procedures. Streamlined prior authorization processes by implementing efficient tracking systems. Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.ABSTRACTOR 01/2022 to 05/2022MD Abstract | Jacksonville, FL Transcribing orders into stem for patients upcoming appointments, billing the correct insurance with the correct procedure for that patient Abstracting 30 to 40 files a day ICD 10, medical coding, EOBCUSTOMER SERVICE REPRESENTATIVE 10/2020 to 12/2021Centene Health | Jacksonville Beach, FL Working from home in a call center environment answering calls from customers in regard to their current or upcoming open enrollment plan Taking 80 to 100 calls per shift, helping customers pay their bills, EOB, insurance authorization and finding a doctor in their network.ASSISTANT TO PROPERTY MANAGER 05/2021 to 09/2021Millennia Housing Company | Jacksonville, FL Assistance to the property manager handling duties such as answering phones, receiving rent payments, in charge of handing out late notices to Residents and receipts of money orders or checks received for rent applications and Work orders for an apartment complex of 94units.HUD compliance, One-site CUSTOMER SERVICE SPECIALIST 03/2020 to 08/2020ADT Security | Jacksonville, FL Working from home handling inbound and outbound calls from customers with existing security alarm systems or inquiring information about at security services Answering questions about bills, troubleshooting alarms and tech support.BENEFITS SPECIALIST 08/2019 to01/2020Florida Blue Jacksonville, FL Enrolling and educating customers on the upcoming year healthcare benefits the company has to offer Adding or making changes to their current plan of benefits.CUSTOMER SERVICE SPECIALIST 05/2018 to 07/2019Akumin| Jacksonville, FL Answering inbound and making outbound calls to patients to schedule their radiology appointments Medical billing, IC9 10, Medical coding Insurance verifications and insurance authorizations for patients to be seen by our facility.Education High School Diploma William M. Raines High School, Jacksonville, FL 1995SKILLS Recording data Team Player Goal- Oriented Financial Counseling Data Entry Negotiation Accounting skills Payment arrangements Goals and performance Collections Account Reconciliation
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