Manager Customer Service

Dear Human Resources Professional:

I am seeking A Census position in a medium to large organization which will challenge my ability to impact on the needs of my colleagues and others with whom I will interact, whether they are in mid level positions or Senior Management. I want to work with peers who respect openness, honesty and display a sense of professional integrity and ethical conduct in their interactions with other staff and myself. I want to work for an organization which attaches importance and value to the development of every individual and itself, as well as realize that I bring a wealth of knowledge, accomplishments and skills which will contribute to enhancing the effectiveness of the organization in meeting strategic initiatives. I would like to continue to be employed in the DC Metropolitan area and maintain a work schedule, which allows me to be flexible in the number of hours I put in over and above what is normally expected.

I have experience in the area of Risk Management and served on a Hospital Utilization Review Committee, also a Hospital Hill Burton Fund for 10 years. I am proficient with several types of programs in the Microsoft Windows environment.

My expertise is primarily in healthcare but I am adaptable to any situation.

I will be delighted to meet with you and discuss employment prospects. Please call me at my home telephone number to arrange a personal interview.

Sincerely,

David H. Lively

CAREER OBJECTIVE: A Billing Position at a large corporation with long term career potential and upward mobility.

AREAS OF EXPERTISE: Meditech A/R System, McKesson Bar Electronic Billing System, Paragon Billing, System, CA Electronic Billing System, Florida Shared Electronic Medicare System, NX View Collection System, SMS System, ICS Electronic Billing, and HBOC Electronic Billing Systems, IBM System MED 38, IBM Display Write, Electronic Billing (all types of carriers), MS Word, MS Excel, MS Outlook and MS Access, WordPerfect for Windows, Paradox for Windows, Lotus 123, DOS Environment programs, Data Base programs, AS 400, Report Writer Function, Adding Machines, PBX Switchboard, Cannon Fax Machine, Toshiba Copier

EMPLOYMENT HISTORY:

2006 – 2014 Selman Company formerly ASI (Association & Society Insurance Corporation) 2301 Research Blvd., Suite 300, Rockville, MD 20850 - Customer Service Representative: Answers incoming call center calls, reviews callers history and claims, resolves billing and claims inquiries; open ASI System inquire mode, write up claims examiners errors for submission to call center manager; escalate repeat callers or irate supervisors calls to call center manager; write up call-in sheets, follow-up as necessary with underwriting, billing, claims, and/or other areas of the company

2005 – 2006 Target, 12000 Cherry Hill Road, Silver Spring, MD 20904 Overnight Logistics Responsible for: restocking store using various location tools and marketing techniques.

2003-2005 Suburban Hospital, 8600 Old Georgetown Rd., Bethesda, MD, 20814 - Collection Representative: Responsible for reduction of accounts receivable for commercial HMO accounts, analyze collection reports and carry out necessary electronic and manual rebilling, follow up with insurance companies to effect payment and or resolution of patients accounts, handling incoming patient inquiries-calls and requests for information from insurance companies Meditech Patient Accounts System with CMS Electronic Billing System and Microsoft Windows Environment

2001–2003 Shady Grove Adventist Hospital, 6930 Carrol Ave., Suite 300, Takoma Park, MD, 20912 Reimbursement Specialist: Responsible for the monitoring analysis and evaluation of claims and agreements which the hospital has with various health insurances, identify what is the current status on an account, monitor trends and how accounts are getting paid, identify various codes and their usage, i.e.: rejections, account types, type of bill, insurance codes, financial class, and activity codes; provide proper documentation when doing follow-up, verify insurance/patient information, handle insurance correspondence and provide updates, handle special projects, SMS and document imaging.

1999-2001 Childrens National Medical Center, 111 Michigan Ave., NW, Washington, DC, Assistant Collections Manager/Trainer: Maintained statistics on all collectors in the Business Operations Dept., trained all new incoming collectors on HBOC System, sustained collection goals that must be met on a monthly basis.

1998-1999 Montgomery General Hospital, 18101 Prince Philip Dr., Olney, MD 20832, Insurance Biller: Responsibilities include: follow-up for all insurance carriers with primary emphasis on Blue Cross receivables.

EDUCATION:

B.S. Degree, Sociology, minor in Psychology - University of Wisconsin, Whitewater, Wisconsin;

Certificate: Montgomery College, Takoma Park, Maryland Campus; Computer Applications (Windows environment)

Certificate: Wolpoff & Abramson, LLP - Paralegal Debt Collection Course

I

SPECIAL STUDIES:

Attended several HFMA and AAHAM Health Care Service seminars

PERSONAL:

Lion's Club, music, fishing and all sports

*Additional Information Upon Request

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