Customer Service Insurance

Tyla Bolton

Email: *********@********.***

Address: **** ****** ******

City: Davenport

State: IA

Zip: 52803

Country: USA

Phone: 563-***-****

Skill Level: Experienced

Salary Range: $43,000

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Tyla L. Bolton

1215 Bridge Avenue - Davenport Iowa 52803

Phone: 563-***-****

Cellular: 563-***-****

E-mail: *********@********.***

Objective:

To obtain a challenging career as a customer service supervisor with a professional company, that would allow me the opportunity to grow and that offers career development and advancement opportunities.

Education:

Associate of Arts Degree 1995 -Major Science Scott Community College, Bettendorf, IA.

Diploma 1991-Professional Collectors School, Rockford, IL.

Work Experience: Twenty-two of experience in medical billing, customer service, collections, insurance follows up, third-party collections, self-pays patients, bad debt, and delinquent receivables. Proven techniques that will decrease outsourcing of accounts, and increase the revenue. Skilled in patient registration forms and why patient information is important to the collection process. Expert in all areas of collections and knowledgeable with the Federal and State laws, I have excellent written, oral communications, interpersonal skills and work well in a team or independently.

Certified Collection Specialist

ORA Orthopedics, Moline, Illinois July 1997-September 2012

* Experienced in working on high volume dollars over 2 million

* Management of Task Management and Collections Plus

* Counsel patients in person as to account resolution options

* Implemented collection polices

* Responsible for lowering Accounts Receivable

* Assist physicians by locating community resources to help patients with no insurance

* Knowledgeable in Medical Terminology

* Knowledgeable of ICD-9, ICD-10, and CPT codes

* Appear in court to adjudicate liens and provide proof of medical service

* Responsible working self-pay and liability aging reports

* Assist patients with applying for Medicaid, SSI disability, Crime Victims, and Kid Care

* Coordinate and schedule pharmaceutical meetings with the physicians

* Responsible for downloading and outsourcing collections accounts bi-monthly

* Knowledgeable with all insurance carriers

* Write appeal letters to insurance companies to demand payments

* Physician Credentialing, applying for their licenses, and hospital privileges

* Provide customer service inquiries with proper follow up

* Report payments to collection agencies and Post Collection payments

* Analyze and investigate legal documents for court

* Complete expense verification forms for low income housing

* Write off bad debt and bankruptcies

* File probates and file proof of claims to the bankruptcy courts

* Work with other medical facilities to process referrals

* Investigate refund request and process refunds to insurance companies

* Schedule charity appointments and calculate compassionate need

* Coordinated and presented four collection seminars to educate other medical facilities

Collections Manager

Radiology Group, Davenport Iowa August 1992-July 1997

* Responsible monitoring collection accounts

* Managed the collection process and ran reports to identify bad debt

* Investigated insurance refunds and processed refund request

* Investigate and resolved patient complaints

* Responsible for outsourcing collections and reporting payments

* Assist with answering phones

* Responsible for balancing credit card terminal

* Verify and load insurance information

* Complete legal paperwork and provide follow up for disputed accounts

Certified Collection Specialist

Credit Bureau Enterprises February 1991-May 1992

* Responsible for contacting delinquent debtors through dialer system

* Evaluating credit reports and communicating with credit reporting agencies

* Responsible for making established monthly quotas

* Skip Tracing and Internal Software to locate hard to reach debtors

* Verify employment and wages to prepare legal documents

* Responsible for all third-party collections

* Set up payment plans and activate monthly ACH debits

Awards:

2010 Veteran of the Year at ORA Orthopedics

Computer Skills

Microsoft Word

Microsoft Outlook

Microsoft Excel

Memberships: Former Member of American Collector`s Association

Former Member of Healthcare Services Professionals

Vice President of Quad-City Heritage Society

References Available Upon Request

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