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Title Customer Service Prior Authorization
Target Location US-IL-Chicago
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
CONTACTPHONE NUMBER AVAILABLEEMAIL AVAILABLEOak Brook, IL Street Address
CAREER OBJECTIVECommitted to providing the highest quality service and creating a positive customer and provider experience. Detail-oriented professional with interpersonal and creative thinking skills. Proven ability to remain calm and professional in high-stress situations while being able to quickly and effectively resolve customer complaints. Possesses exceptional communication, organizational and multitasking skills.EXPERIENCEJanuary 2024 - July 2024Client Account and Collection RepresentativeRobert HalfPrinted and reviewed invoices to be sent to clientsPursued collections of overdue balances of clients accounts viaphone and lettersMonitored clients on credit hold accountsResolved client issues/complaint in a professional mannerEstablished reasonable payment plansPrepared list of accounts for referral to outside collection agencyTelephoned doctors office for required information as neededCommunicated with practitioners office regarding declined credit cardsAnswered incoming calls from clients regarding billsInvestigated any billing discrepanciesProcessed credit card paymentsInvestigated validity of refundsMarch 2023 - July 2023Customer Service SpecialistIKS Health, Burr Ridge, ILReceived 150 to 200 inbound and outbound calls daily and provided resolutionManaged 50 tasked accounts daily regarding patient complaintsCommunicated and collected outstanding balancesInitiated acceptable payment agreements and pursued past due payment arrangementsCompleted accurate and precise documentation on all accountswithin appropriate systemsProvided daily productivity to supervisor/manager regarding open and resolved accountsCollaborated with management ways to improve processes and proceduresJuly 2022 - November 2022Authorization SpecialistAstor Carter, Elmhurst, ILReached out to insurance carriers to obtain prior authorization for DME EquipmentInput all patient data regarding claims and prior authorizations into system accuratelyObtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnelTracked referral submission during facilitation of prior authorization issuanceInputted all gathered information and researched data on applicants into computer system using Bright TreeJuly 2019 - June 2020Medical Account Receivable SpecialistSenior Well, Buffalo Grove, ILProcessed billing calls and answered questions from patients and third-party carriersCompleted and processed claims for multiple payerAssisted in reconciling deposit and patient collections.Handled account payments and provided information regarding outstanding balances.Executed billing tasks and recorded information in company databasesProduced and mailed monthly statements to customers and assisted with related requests for information and clarificationOctober 2017 - May 2019Medical Billing SpecialistRevMD Partners LLC, Westmont, ILExamined patients insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicableResearched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracyCommunicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.Prepared billing correspondence and maintained database to organize billing informationNovember 2014 - October 2017Fire Billing SpecialistSuperior Ambulance Service, Elmhurst, ILHandled high volume of in-bound calls pertaining to reconciliation of delinquent accountsResponded to customer concerns and questions on daily basisGenerated accounts payable reports for management review to aid in financial and business decision makingUtilized talents and expertise to complete on-time and accurate monthly closing processes, journal entries and accrualsMonitored outstanding invoices and performed collections dutiesGenerated financial statements and reports detailing accounts receivable statusEDUCATIONHigh School DiplomaSouth Shore High School.

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