Customer Service Medical

Marion Simonson

**** ******** ***, *******, ** **759 Cell: 732-***-**** *********@*****.***

PROFESSIONAL SUMMARY Motivated goal objective individual with over 10 years of dedicated customer service, medical claims resolution expertise, and ability to multi task with the professional tools needed to effectively deliver problem resolutions and sound judgment.

EDUCATION AND TRAINING HIPPA Compliant LiveVox Navinet Insta Med Artiva

SKILL HIGHLIGHTS

Claims analysis and review specialist

PROFESSIONAL EXPERIENCE Resolutions Supervisor, 06/2005 to 08/2014 NCO Financial Systems Inc. - Gibbsboro, NJ Investigate,bill, and resolve outstanding medical claims Knowledge of MVA, workers compensation, patient, and secondary insurance claims resolutions. Ability of obtaining pre cert or retro authorizations with all insurance carriers. Managed a portfolio of accounts over 10 million averaging $425K in revenue annually. Understanding of EOB's for follow up, secondary billing, and patient's responsibility for payment. Direct dealing with attorneys and or para legals. Medicare and Medicaid claims. Experience with Virtua Health, Inspira, AtlantiCare Regional Medical Center, Penn Medicine, Lady of Lourdes, and Princeton Medical Center

Collections Supervisor, 12/1999 to 05/2005 Sterling Recovery LLC - Avon By The Sea, NJ Management of high volume of accounts Direct contact with patients regarding insurance and obtaining payment. Trained and developed account representatives Direct client and attorney contact Medicare and Medicaid resolutions Goal objective and monthly achiever

REFERENCES Available upon request

Conflict resolution

Sound decision making

In-depth claims knowledge