Customer Service Insurance

Trina R. Threatt

Objective:

To acquire a position within a company where I am able to use my healthcare skills and extensive experience to be an asset to that company.

Summary of Qualifications:

CPAR Certification Received

Patient Advocate Experience

Knowledge of Pathology & Ambulance CPT codes

Knowledge of Hospital CPT codes

Work correspondence and insurance denials

Performed various Customer Service duties

PC Skills –Microsoft Windows, Word, and Excel

Professional Experience:

Brookwood Baptist Health Birmingham, Alabama

Credit Balance Specialist May 2015 - Present

Checked accounts for credit balances

Investigated Credit Balances on accounts

Corrected adjustments on accounts

Refunded patient or insurance companies

Answered patient questions & advocated for them

Brookwood Baptist Health Birmingham, Alabama

Refund Representative May 2013 – May 2015

Completed Credit Balance Reports

Completed Refunds for Insurances & Patients

Handled Customer Service Issues From Patients

Completed Return Mail

Lifeguard Ambulance Service Birmingham, Alabama

Insurance Follow-up July 2008 – April 2013

Helped educate patients on their benefits & rights

Promoted & coordinated patient medical needs

Promoted patients with the nescient for transports

Promoted & helped with the complexities of mental health illnesses

Helped promote healthcare to minority populations

Conducted patient calls to assure proper medical treatment received

Physicians Carraway Medical Center Birmingham, Alabama

Audit Control Clerk October 2006 – July 2008

Posted Medicare payments to patients’ accounts

Posted Medicare CRNA payments to patients’ accounts

Transferred balances to secondary insurance

Noted accounts and forwarded denied accounts to follow-up

Opened daily mail for Blue Cross and Medicare

Posted Private Pay payments to patients’ accounts

Wrote off any Medical Nescient that appeared on patients’ accounts

American Family Care Birmingham, Alabama

Insurance Payment Account Representative June 2006 – October 2006

Processed BCBS electronic remittances

Corrected remittance errors

Balanced batches

Completed overpaid reports

Performed customer service duties as needed

DST Healthcare Solutions (Via Spherion Employment Agency) Birmingham, Alabama

Charge Entry Clerk September 2005 – June 2006

Entered charges into the system

Indexed charges by patient number within the system

Organized payments for processing by the Payment Department

Prepared charge documents to be scanned into the system

Pathology Associates Birmingham, Alabama

Data Entry Clerk & Internal Client Service Representative May 2001 – May 2005

Performed data entry of pathology and diagnostic charges

Performed A&R and batch charges

Performed Medicare & Blue Cross electronic remittances

Prepared insurance payment denial letters and other patient correspondences

Ordered office supplies & HCFA forms for medical billing

Performed courier duties when needed

Conducted training with new employees

PageNet Birmingham, Alabama

Payment & Charge Entry Clerk May1998 – May 2001

Setup new accounts for new customers for the Memphis branch

Entered payments for the Memphis branch account

Prepared and submitted ‘month-end’ accounting reports

Trained new employees

Warren-Reed, Incorporated Birmingham, Alabama

Payment Entry Clerk April 1996 – May 1998

Posted payments to customer accounts

Entered customers’ orders

Education:

University of Phoenix Online Phoenix, Arizona

Studied: Health Care Administration April 2004 – May2005

University of Alabama at Birmingham Birmingham, Alabama

Studied: Criminal Justice September 1994 – May 1995

Jacksonville State University Jacksonville, Alabama

Studied: Criminal Justice August 1987 – May1993

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