Customer Service Insurance
Resume:
M elissa Brown
Decatur, AL 35603
Home Telephone: 256-***-****
Cell Phone: 256-***-****
***************@*********.***
Objective: To obtain a position where I can utilize my current job skills as well as
obtain new skills.
Education:
University of North Alabama, Florence, AL
Major: Biology Minor: Chemistry
Fall 1995- Spring 2001
Skills:
Typing 55 wpm Ten Key
Microsoft Word 2003 Medicaid Certification/Billing
Microsoft Excel 2003 CMS Systems
Microsoft PowerPoint 2003 Traverse Billing Systems
Microsoft Access 2003 Medicare Billing
Windows XP Blue Cross/Blue Shield Billing
FoxProSystems FE Systems
Internet Explorer AS 400 Systems
Passport One Source Systems Billing
Fair Debt Collection Act Collections
Data Entry Hippa Regulations
Accounts payable/receivable Filing
Inbound/Outbound Customer Service Multiple phone lines
Oral/Written Communication Skills Customer Service
Training Specialist Team Leader
Audio Dialer Call System Advanced MD Medical Systems
Greenway Prime Suite Medical Systems
Experience:
6/2009-present Alabama Pain Center, Huntsville, AL
Patient Account Specialist
Responsibilities includes interview patients, determine if patient is eligible for any
financial assisted programs, assist patient in applying for programs, complete with full
follow up, working with insurance companies and local department of health services, to
obtain any insurance or Medicaid information that may be missed at time of admissions,
keep in appliance with hospital and hippa regulations, data entry, problem solving,
receiving and placing telephone calls to patients and guarantors regarding account
balance due, billing accounts, skip tracing, cash, check or credit card handling, pull daily
census, pull daily reports, pull credit reports, collection of coinsurance and co-payments
after insurance has paid, Understanding of healthcare reimbursements, insurance
contractual arrangements and patient responsibility. Knowledge of managed care program
and billing requirements.
Sleep & Pulmonary Care Center, Decatur, AL
2008-6/2009
Medical Assistant
Responsibilities includes patient care, dictations, scheduling, billing, coding, collect-co-
payments, perform Chest X-rays, take patient vitals, filing, instruct patients about
medications and special diets, prepare and administer medications as directed by a
physician, authorize drug refills as directed, telephone prescriptions to a pharmacy,
arrange examining room instruments and equipment, purchase and maintain supplies,
keep waiting and examining rooms neat and clean, greet patients, handle correspondence,
handle billing and bookkeeping, update and file patients medical records, fill out
insurance forms, arrange for hospital admissions and laboratory services, explaining
treatment procedures to patients, preparing patients for examinations, assisting physicians
during examinations, CPAP machine set-ups, pull charts, answer phones, pulmonary
function testing, data entry, pull daily census, pull daily reports, build charts.
2005-1/31/2008 Healthcare Fiscal Management Inc, Decatur, AL
Patient(Advocate)Representative /Training Specialist
Responsibilities include to contact self-pay accounts, interview patients, determine if
patient is eligible for any government assisted programs, assist patient in applying for
programs, complete with full follow up/ field visits if necessary, working with insurance
companies and local department of health services, to obtain any insurance or Medicaid
information that may be missed at time of admissions, keep in appliance with hospital
and hippa regulations, data entry, problem solving, receiving and placing telephone calls
to patients and guarantors regarding account balance due to client, mail bills for self-pay
accounts, skip tracing, cash, check or credit card handling, pull daily census, pull daily
reports, pull credit reports, collection of coinsurance and co-payments after insurance has
paid, Understanding of healthcare reimbursements, insurance contractual arrangements
and patient responsibility. Submitted and updated paperwork for patients to be approved
or recertified for Medicaid. Knowledge of managed care program and billing
requirements. Trained new Healthcare Fiscal Management, Inc. patient representative
when hired on with the company, filled in for area representative when needed.
Uptain Group/Medco Services Inc, Huntsville, AL
2002-6/2005
Team Leader-TRS Collections Representative
Responsibilities include training representative on collections, other questions
representative my have doing his/her shift, data entry, receiving and placing telephone
calls to patients regarding account balance due to clients, skip tracing, third party
collecting. Understanding of healthcare reimbursements, insurance contractual
arrangements and patient responsibility. Knowledge of managed care program and billing
requirements.
Mutual Saving Life Insurance Company, Decatur, AL
2002-8/2002
Accounting/Customer Service Representative
Responsibilities include receiving incoming calls to credit payments to life polices.
Assisted customers in an inbound call center with insurance claims, benefits and refund
on life polices.
Summary of Qualifications:
10+ years experience in billing, collections and accounting.
10+ years experience in accounts payable/receivable
A patient listener who fully focuses on speaker and understands a variety of accents
A strong leader and team player; adept supporting team members to achieve personal
and professional goals.
A confident and concise communicator; able to deliver enthusiastic presentations with
clarity and humor to diverse audiences.
An organized and effective collector, skilled at seeing the big picture and identifying
tasks to facilitate on time and cost efficient completions.
Awards:
2003 Uptain Group/Medco Services Tele-Recovery Specialist Award; Top Producer
collected 667,239.03.
2004 Uptain Group/Medco Services Top Instant Units Awards; Instant Unit collected
205,071.28.
2005-2006 Healthcare Fiscal Management Inc. 100% Budget Award
2006 Healthcare Fiscal Management Inc. Presidents Award
2007-2008 Healthcare Fiscal Management Inc. Monthly Budget Awards
2010 Alabama Pain Center Quarterly Monthly Budget Collections Award
References:
Available Upon Request
Contact this candidate