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Click here or scroll down to respond to this candidateResumeCandidate's Name
Street Address Weyanoke LnNewport News, VA Street Address
Phone: PHONE NUMBER AVAILABLEEmail: EMAIL AVAILABLEOverviewCurrent: Medical Insurance Biller at Diamond Healthcare Corporation/Business Office,Williamsburg, VAPast Collections Specialist/Harbor Point Behavioral CenterSales Support Representative/Nextel Communications/Sprint Nextel Call Center Senior Collector/GE Capital Credit Services, Inc.EducationLimestone University-Present Social WorkThomas Nelson Community CollegeBenedict CollegeKingstree Senior High SchoolSummaryOffering an extensive background based on experience and some formal education, with over 6 years experience in a business office environment, demonstrating leadership initiative, business building knowledge on operations enhancement creativity, and award-winning performance success.Proficient in the analysis, management and collections area to facilitate claims from start to finish in a timely manner. Experience in payment posting, charge entries, reviewing of accounts for necessary adjustments per contractual or on an administrative level for credit balances.Skills:Supervisory Skills Training Compliance Loans Mortgage Lending Sales Credit AnalysisCollections Sales Finance Financial Analysis Recruiting Finance Coaching Call Center Experience Cash Handling Experience, Reimbursements and AdjustmentsPC literate in a variety of industry-proprietary and off-the-shelf software applications for all correspondence, word processing, database administration, multi-media presentations and spreadsheet reporting essentials. ICD-9 and CPT coding. Microsoft Word, Excel, and OutlookExperience05/2012-11/2023: Diamond Healthcare CorporationInsurance BillerProcess medical insurance claims, electronically and manually. Follow up on claims, denials by appealing them and gathering necessary information to correct and resubmit the denied or rejected claims. Volunteered to take on special project assignment of cleaning up the A/R aging reports. Reviewing accounts for unapplied funds and submitting refund check requests where it has been determined it is due. I bill inpatient and outpatient medical insurance claims both electronic and paper within a timely filing manner. Collect co-payments and deductibles from clients. Knowledge of processing Temporary Detention Orders, Community Service Board claims, Medicaid and Medicare crossover claims. Thorough understanding of the internal revenue cycle development process.4/2010-03/2012: Harbor Point Behavioral Health CenterCollections SpecialistVerify medical benefits and process new admissions insurance coverage and benefits to determine eligibility. Collect up front co-payments and other needed documents to complete benefit packages. Follow up on all medical insurance claims for payments and non-payments. Process and recoup any overpayments received by clients and insurance carriers. Process all accounts payable and account receivables, follow up on claim disputes, reimbursements, account adjustments authorizations for treatments, schedule and coordinate all outside appointments for residents to include transportation. Process weekly and monthly reports as instructed and provide to CFO and Business Office Manager and comptroller per request. Prepare and process all business office correspondence to clients and insurance companies upon request and needs.10/2008-2009 TRG Customer SolutionsInbound Call Customer Service RepresentativeTook inbound calls in a call center environment processing orders for existing and new customers ordering FIOS Internet, cable and telephone service in their homes.03/2000-7/2005 Sprint Nextel CommunicationsProfessional Sales Support/Activation RepresentativeCall center environment processing equipment returns, assisting customers via incoming calls with issues regarding personal cell phones, processing sales orders from sales agents, swapping cell phones per orders request, programming and troubleshooting phones with customers on line per incoming calls, explaining contracts, answering customers questions, initiating claims per customer request to resolve issues and notifying clients of the outcome and closing cases once resolution came in to place. Answered general warranty and insurance questions as well as activating purchased mobile equipment.05/1994 - 06/1996 GE Capital Inc.Senior Financial Account Collections RepresentativeManaged delinquent accounts within a call center, contacting customers by telephone in reference to delinquent accounts, skip tracing and setting payment arrangements with a sense of urgency to bring accounts current, resolving delinquency goals and documenting accounts in a call center environment.03/1990-12/1991 Peninsula Behavioral Hospital Hampton, VAPatient Accounts Representative/Medical Insurance BillerMedical business office environment; verification of insurance coverage and benefits, processed medical insurance claims and follow up, assisting patients upon checking out, kept inventory of patients personal belongings and distribution as they were patients in hospital, processed physician referrals as needed; processing of temporary detention orders. |
