Customer Service Insurance

PATRICIA DURANDISSE

813-***-****

*******@***.***

OBJECTIVE: Seeking a challenging and rewarding position where training,

leadership, stability, flexibility, growth, and a commitment to

professionalism are valued.

EXPERIENCE:

Robert Taylor MD (03/2004 - 05/2009) Tampa, FL

Sr. Billing Rep

. Prepared and submitted claims to various insurance carriers (Group

Health, Medicare, Medicaid, etc) electronically or by mail

. Communicated effectively and constructively with office personnel,

insurance carriers, and patients to coordinate billing

. Reviewed eligibility/benefits/coverage

. Updated demographics to ensure prompt payment from insurance carrier &

patients

. Verified insurance and obtained authorization /pre certifications if

needed, scheduled patient visits, and accepted co-pays

. Prepared, reviewed and mailed patient statements

. Performed various collection actions including contacting patients and

insurance carriers by phone

. Researched unpaid bills and unapplied cash

. Followed up on rejected claims, resubmit & appealed if denied

. Identified and resolved patient billing complaints and discrepancies

. Processed payments from insurance carriers and prepared a daily deposit

. Performed daily backup on office computer

. EOB, HCFA 1500 & UB 92/04 forms

. CPT 4 - ICD 9 Coding

. Third party payers

. Electronic Data Interchange (EDI), Electronic Medical Records (EMR),

Internet Data Exchange (IDX), Direct Data Entry (DDE), Florida Shared

Services (FSS), Availity, Advance MD, Medifax, Medisoft, Allscripts

. Maintained strict confidentiality, and adhered to HIPAA

guidelines/regulations

IBM (09/01 - 09/03) Milwaukee, WI

Customer Service Rep

.Processed and assisted customer needs related to product and services

offered based on workshops offered

.Entered corresponding data into system

.Coordinated and tracked product deliveries

.Processed and resolved customer complaints in a timely manner

SEDONA (10/98 - 08/01) San Diego, CA

Auto Collections Rep

. Contacted customers regarding past due auto loans for top notch client

. Timely and effective collections on delinquent accounts 30, 60, and 90

days past due

. Skip traced and outsourced companies to handle repossessions out of state

. Educated customers on timely future payments

. Third party regulations, collection laws (FDCPA), collection techniques,

auto/consumer/commercial collections

LAKE FOREST HOSPITAL (07/96 - 07/98) Lake Forest, IL

ER Registrar/Billing

. Registered patients in emergency room, admissions, day surgery,

outpatient, and oncology

. Interviewed patients to obtain account information

. Insurance verification and authorization

. ICD 9 - CPT 4 coding during registration process

. Electronic billing, third party billing, Group Health, Medicare,

Medicaid, Tricare, Work Comp, Self Pay, Private Pay, and commercial

insurance billing

. EOB, UB 92 and HCFA1500 forms

. Posted payments to accounts

SKILLS: Excel, WordPerfect, MS Word, MS Outlook, Lotus Notes, Access, Power

Point, Peachtree, Novell, AS/400, Internet, Medical Terminology, Medical

Manager, Medifax, Medisoft, 10 key

REFERENCES: Available Upon Request

Contact this candidate