Customer Service Insurance

Pam Mack-Wells

**** ******* *****, *******, ** **906 706-***-**** ************@*****.***

PROFESSIONAL PROFILE

I am a self-starter with a can do attitude, loyal, and dedicated individual who has a great deal of ambition. Willing to learn and always up to a challenge. I get along well with others while also working efficiently on my own.I am seeking a position that will utilize my skills and offer the chance for advancement as well as allow me the opportunity to gain additional skills and experience.

● Multi-task

● Proficient in problem solving

● Proficient computer skills.

● Proficient in Microsoft word and Excel.

KEY QUALIFICATIONS

● Highly personable, excellent customer service and communication skill

● Talent for identifying customer needs and presenting appropriate company service offering established good working relationship with customer/clients

● Ability to organize, prioritize and work under extreme work pressure, high workload and deadlines

● Demonstrated ability to gain customer trust and provide exceptional follow-up. EDUCATION

Glenn Hills High School-Augusta, Ga.

● Graduated 1987 High School Diploma

Georgia Southern, Statesboro, Ga.

● General Studies 1987-1989

PROFESSIONAL EXPERIENCE

Medac - North Augusta, SC 10/2018 – 7/2019

Accounts Receivable Specialist

● Correct and reconcile denied.

● Verify patients coverage and benefits.

● Manage accounts Receivable to ensure timely and maximum reimbursement. Perfect Health Urgent Care – Augusta, GA 06/2017 – 10/2018 Front Desk

● Greet and check-in patients, and collect personal, medical, and insurance information.

● Coordinate physician schedules and maintain patient flow by communicating patient arrivals or delays.

● Collected patient co-payments and recorded payment transactions and communicated outstanding balances to insurance companies and patients.

● Use EMR software to manage patient records and files; reinforce and uphold patient confidentiality as required by HIPAA and clinic.

● Answer multiple telephone lines.

Doctor Hospital/Parallon – Augusta, Ga. 12/2009-05/2017 Registrar

● Registering patients as they come in for ER services, updating personal information and insurance

● Secure all signatures necessary for treatment and obtain copies of identification and insurance cards. Enter into database for medical records.

● Verify patient’s insurance eligibility

● Collecting Co-pays

● Communicate with DR/RN while admitting

University Hospital-Augusta, Ga 02/2002-2/2010

Reimbursement Analyst

● Manage Accounts Receivable to ensure timely and maximum reimbursement

● Correct adjustments and move money between accounts to correct billing errors when needed

● Re-verify patients coverage and benefits

Medical College of Georgia – Augusta, GA 06/1995 – 02/2002 Scheduling Coordinator

● Scheduled office visits, tests, and imaging appointments as well as follow-up appointments

● Answered phones and scheduled or rescheduled appointments; routed to appropriate persons

● Faxed patient referrals to other specialists

● Contacted insurance companies for patient benefits and prior authorizations

● Collected co-pays and past due payments

References Available Upon Request

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