Customer Service Insurance

VALERIE SMITH

Phone: 708-***-****

Cell: 708-***-****

**** ****** ***., ****** ****, IL 60130 ***********@*******.***

[pic]

QUALIFICATIONS

Highly professional Cash Application and Financial Specialist with over

20 years experience in overseeing and performing a variety of accounting

functions including Vendor Invoices, AP/AR, Cash Application, Financial

Reporting, Collections, Call Center, CSR, Data Entry, Refund Process and

Audits. Fast learner with proven adaptability to new work environments.

Well-organized and excels at setting priorities, managing time, and

completing multiple projects effectively.

Computer Skills: MS Office Suite (Word, Excel, Access), McKesson CSI Star

System, Meditech, AS400; utilize Avality through Nebo for Blue Cross/Blue

Shield, Medicare, and Medicaid, Sagitta System.

CAREER ACHIEVEMENTS

Special Projects: Known for accepting difficult assignments and creating

wholly accurate entries, monthly reports, and tax reporting documents.

Nominated on numerous occasions to assist in special audits for

organizations, such as United Airlines, CTA,, Cook County, City of Chicago.

Superior Organizational Skills: Officially recognized by management for

being well organized; promoted 2 times at Dental Network of America

(BCBSIL) for organizational and special project skills.

PROFESSIONAL EXPERIENCE

ST MARY ELIZABETH MEDICAL CENTER, Chicago, IL Nov 2007-July 2010

PFS Cash Application Specialist

. Post and balance payments to customer accounts on a daily basis as

received by lockbox, wire transfer, credit card, and ERA payments for

Medicare, Medicaid and Blue Cross.

. Analyze all patient and insurance payments, insurance write-offs, charge

adjustments, deductibles, co pays, and non-covered or denied amounts in a

timely and accurate fashion.

. Monitor payment activity by managed care payers to assure compliance with

insurance billing contract.

. Update host system patient account database system.

. Reconcile all electronic posting, maintain daily A/R balance, and

interface with G/L team.

. Audit and balance hospital and general ledger batch accounts.

. Process payments / return checks.

. Research customer accounts for unidentified payments; process and refund

insurance and patient payments.

DENTAL NETWORK OF AMERICA (BCBSIL), Oakbrook Terrace, IL June 1998-Mar 2006

Financial Specialist II / CEO & Executive Reporting

. Implemented dental policy administration for nationwide clients,

including Blue Cross of Illinois, Cook County, Blue Cross of Texas,

Colorado Life Insurance, Fort Dearborn Life Insurance, AutoZone, and many

more.

. Created financial statements and analyses and prepared cash flow

projections and worksheets for executive management (President, CEO,

Director of Client Finance).

. Executed payable accounting tasks including accounts payable, vendor

management, and check processing.

. Maintained deferred revenue schedules, forecasted bad debt expense,

managed customer collections process and generated customer dunning

letters, membership audits.

. Supported corporate compliance policies: researched accounting issues,

recommended internal account policy and complied with internal controls.

. Performed end-of-month closings for Managed Care and Fee for Service

clients, bank reconciliations.

MACNEAL HOSPITAL, Berwyn, IL Apr 1995-Jun 1998

Cash Application, Billing

. Performed a variety of accounting functions, including Patient Account,

Patient Registration, and Customer Service.

ALLSTATE INSURANCE COMPANY, Skokie, IL Dec 1984-Apr 1995

Policy Rater, Customer Service Rep

. Supported insurance billing tasks and ensured corporate policies and

procedures were followed.

Contact this candidate