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Precertification Representative

Location:
Irving, Texas, United States
Posted:
May 14, 2019

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Resume:

Regina Yellets

ac9dko@r.postjobfree.com

214-***-****

Objective:

Obtain a position in the health care field with an opportunity for growth.

Education:

Diploma 1980

Langley High School

University of Phoenix (Psychology) 2013

Skills:

●Customer Service

●Health Insurance

●Microsoft Office Skills

●Typing speed: 70WPM

Professional Experience:

State Farm Richardson, TX

02/2019- Temporary

Customer Service Associate-Auto

Handle large call volumes customer auto inquiries

Speak with customer about initial auto claim loss

Assist claimant in set up of car rental and tow service

Issue payments to insured and service providers claims

Medix Staffing Service Irving, TX 08/2018 to 02/2019

Provider Enrollment Appeals Specialist/Collector

Daily calls to insurance carriers check claim status

Appealed and rebilled claims either by telephone, fax, electronic, or by paper

Submit write off to manager for past timely filing issues

Baylor University Medical Center 09/2000 to 04/2018

Collector/Biller/Insurance Verification Team Lead

Obtain all precerfications for services prior to admission

Verify patient eligibility prior to medical appointments

Admit and discharge patient accounts with correct payor

Contact insurance carriers to check claim payment status

Correct billing errors to ensure clean claim submission

Reviewed high dollar monthly age trial balance reports

Received customer calls to answer all billing concerns

Submitted written appeals to payers on denied claims

Assigned daily tasks to staff to meet turn-around-times

Inform patients of benefits and financial responsibilities

Organized all orientation and training for new hires

Provide positive and constructive feed back to teammates

Assist business manager with monthly staff performance



Contact this candidate