Stephanie Key

*** ***** **, *** *

Clayton, NC

ac9esf@r.postjobfree.com

919-***-****

Work Experience

Charge Analyst –(Contract)

FastMed Urgent Care - Clayton, NC

January 2019 to April 2019

Communicating with customers with billing issues

Responsible for review of daily patient visits and documentation Ensure the reported accounts are received

Establish accurate procedure and diagnosis codes

Enter in the appropriate modifiers and any other additional data required by insurance companies

Responsible for answering incoming patient/clinic calls, email and skype messages

Claims Resolution Specialist – (Contract)

PFS Group - Morrisville, NC

April 2018 to January 2019

Assist patients and their insurance carriers to resolve open account balances.

Assess each account and take the appropriate actions necessary to obtain complete adjudication of

the patients claim.

Review an average of 70+claims per day.

Verifying insurance with carriers and deductible information for processing

Medicare Advantage Representative – (Contract)

BroadPath Healthcare Solutions

January 2018 to April 2018

Responsible primarily for inbound and outbound member inquiry calls

Exceptional customer focus and customer relations

Dedicated to client satisfaction and acts with customers in mind

Quality performance and results driven

Claims Processor – (Contract)

Beacon Healthcare Options - Morrisville, NC

June 2017 to November 2017

Process claims meeting department performance standards for production and quality for Medicare

Parts A & B.

Report claims adjudication and/or claims systems issue to management.

Proactively identify client service improvement opportunities, as appropriate.

Work in collaboration with the unit supervisors to resolve problems.

Contribute to a team environment by consistently exhibiting interpersonal skills and demonstrating

flexibility with daily operations/functions

Customer Service Professional

Blue Cross Blue Shield - Durham, NC

September 2016 to May 2017

Maintain membership records, both paper and electronic • Schedule the release of ID Cards, Member

Guides, and invoices • Process billing inquiries and reconciliation. Research billing errors and perform

or initiate reverse transactions as necessary, verify insurance to make sure that service was covered.

Research and respond to enrollment errors by telephone or in writing, communicate errors, corrective

actions being taken, and/or policies and procedures being enacted.

Receive and place telephone calls to answer questions or obtain information relating to membership

and enrollment, individual records. Handle billing and enrollment inquiries agents, benefits administrators, and members.

Process back-end error reports not related to electronic enrollment.

Benefits Advocate

United Healthcare - Morrisville, NC

September 2015 to September 2016

Reviewing ICD-9/10 coding for member to understand how they were billed for services

Submitted claims for review for corrections

Intervene with care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connect with internal specialists for assistance when needed and verifying insurance to confirm that visit is authorized and covered.

Own problem through to resolution on behalf of the customer in real time or through comprehensive

and timely follow-up with the member • Research complex issues across multiple databases and work

with support resources to resolve customer issues and/or partner with others to resolve escalated issues

Provide education and status on previously submitted pre-authorizations or pre-determination requests

Benefits Service Center Specialist

Suntrust Bank Employees - Cary, NC

January 2013 to June 2015

Responds to telephone inquiries and complaints using standard scripts and procedures.

Research and provide information in reference to payroll checks and direct deposits via ADP.

Gathers information, researches/resolves inquiries and logs customer calls.

Providing assistance with payroll questions and processes.

Assisting with accessing ADP for information on pay checks • Assisting with Health and Welfare and

enrollment with various insurance carriers.

Education

BS in Accounting

Strayer University - Philadelphia, PA

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