Customer Service Insurance
Resume:
* * * * * R O N G W O O D R O A D O W I N G S M I L L S, M A R Y L A N D 2 111 7
* * * * * 4 5 6 7 5 O R 4 4 3 74 0 0 7 5 3 • J A N I C E P E E T E B E Y @ Y A H O O . C O M
JANICE PEETE BEY
OBJECTIVE
To obtain a position in an established company where I can utilize my
financial, analytical abilities, customer service and management skills.
SUMMARY OF QUALIFICATIONS
April 6,2010 to Present
Medstar Health Patient Financial Service WhiteMarsh, MD
* Process and resolve partial payer denials for Medicaid insurance and
obtain final resolution to ensure prompt payment and reduction of bad
debt.
• Process and Key claims (HCFA 1500) through the state
eclaim system, as well as verify insurance(evs).Updating and
Verifying key information for all patient demographics.
• Responsible for updating all tracking reports with completion dates
and notes if applicable
• Reconciliation of all claims, request bills and redirect any claims to its
appropriate insurance entity.
• Determines the difference between patient liability and acct balance
that is due from patient.
• Verify all authorizations have been updated for respective facilities to
be reprocessed for payments.
• Confirm that 3808 (spans)are online with the state,so that claims can
be billed in a timely matter
• Follow up on all claims via phone, email or correspondence for
eligibility and provider payment verification.
Nov 9,2009 to Feb 27,2010 Huntvalley, Md
Aerotek/Bank of America Collections I
Responsible for assisting BOA customers who are experiencing
financial difficulties in an inbound call center setting.
Resolve routine billing inquiries and negotiates arrangements to cure
delinquent accounts as well as educate customer on account terms and
alternate payment programs.
Contact delinquent, charge off or high risk account customers an
establish payment plans and settlements.
Assist credit card and consumer loan customers with the use of credit
origination and credit lost strategy skills.
June,2006 to July 21,2009 Baltimore, Md
Maryland Baptist Aged Home Admin Assistant/Hr Manager/ Medical
billing Specialist
Responsible for all AR/AP and Trial balances for this
•
Facility, as well as vendor payments, collections and projects.
Responsible for electronic (adjudicated files, stat bill, RFMS (Resident
Funds Management System) )billing process and review billing claims
for 33 bed nursing home facility. Knowledge of ICD9, CPT coding as well
as third party insurance billing.ie HMO, Commercial, medical assistance
and Medicare carriers.
Responsible for insurance verification of all types, processing
UB92(adjustments)and EOB’s from the agency. Responding to
Bankruptcy and denials. Tracking and collections of pending Medicaid
accounts. Tracking payor source /private pay, etc.
Responsible for admissions, representative payee forms and interacting
with social workers in a professional manner.
Strong ability to coordinate work flow, maintain accounts, accounts
receivable information using peach tree system, maintaining of bank
deposits for payments and resident accounts.
Self motivated and willing to go the extra mile.
Responsible for biweekly payroll for 45 plus employees. Management of
staffing and conducting interviews, benefit packets and back ground
checks on potential new hires.
Responsible for annual performance reviews, AR/AP reconciliations,
Able to work in a fast pace environment using multiple computer skills.
Able to prioritize and meet dead lines independently.
Responsible for typing notices and responding to correspondence in a
timely manner as well as communicate with sales vendors associated
with the facility
Responsible for ordering all office supplies.
July,2003 to
June,2006 WhiteMarsh, Md ADP (Automated Data
Processing) Client Services Representative
Responsible for maintaining of payroll accounts while implementing out
standing customer service in a call center setting.
Responsible for taking inbound calls as well as making out bound calls
to follow up with issues doing high volume periods at times.
Responsible for weekly reports for all terminated and terminating clients
and retention.(saving the client from wanting to leave the company)
Responsible for taking payroll, making changes to accounts, computing
with holdings and deductions associated with net earnings.
Responsible for setting up garnishments, resolution to delinquency
notices, contacting agencies and perform other duties as required.
Aug,2000 to July 2003 Aon Risk Services Owings Mills, Md. Business
Analyst/Financial Control Analyst
• Responsible for maintaining all activities to several accounts at a
time. AR/AP, Payment application, reconciliation and verify details
of the account.
• Responsible for charge entries, making in bound and out bound
calls to clients.
• Review of all trial balance reports on all large accounts, research,
collections and manage report files.
• Using lostus notes perform cash posting of invoices, check runs,
void checks, third party checks and any return checks.
• Posting of direct bill payments to the proper department. Generating
checks for clients and carriers and vendor payments. Assist with any
office projects as required.
EDUCATION
July,2010 Walden University Baltimore, Md.
Continuing Education Associate degree July,2006
Ashworth College Norcross, Ga. Continuing
Education Associates Degree June, 2004 Baltimore City
Community College Baltimore,Md Principals of Accounting I, II
Certificates:
Impact Committee (AON) Oct,2004 to July 2005
White Marsh Association (ADP) Oct,2005 to June,2006
Cedarmere Elementary School PTA Audit Committee March 2010 to
Present.
REFERENCES
Jeff Kim Aerotek 410-***-**** recruiter
Matt Levin Aerotek 410-***-**** recruiter
Ellen Waller Administrator(MBAH) 717-***-****
Felicia Anthony Administrator(MBAH) 410-***-****
Lavern Jones Administrator (MBAH) 410-***-****
Sonja Jefferson Account Executive 443-***-****
Contact this candidate