Customer Service Insurance Verification Rep
Resume:
KORIE LABOVE
*** *.*********** **, *******,TX ***91 • 713-***-**** • ***********@*****.***
ko
A Patient Account Representative/Insurance Verification position in the Health Care Industry
OBJECTIVE
where my expertise in customer care and first and third party medical collections and insurance
verifications could be fully utilized with attainable career advancement.
● Experienced Medical Collections/CSR/Insurance Verification Representative motivated
SUMMARY OF
to maintain customer satisfaction and contribute to company success.
QUALIFICATIONS
● Competent and reliable professional, committed to top quality work.
● Medical collector versed in customer support in high call volume environments.
● Superior computer skills and telephone etiquette with advanced attention to detail and
documentation.
● Demonstrated ability to adapt to new equipment & technology yet also self motivated
and able to further learning and complete tasks on own initiative.
● Proven ability to maximize resources to identify, analyze and solve problems to
maximize customer satisfaction and account resolution with minimum call backs.
● In depth knowledge of Insurance claim forms and codes such as: UB04, HCFA 1500,
CPT codes, HCPC codes and revenue codes that pertain to UB92 and HCFA claim
forms and also proper utilization of hospital and physician IDX systems.
● Quick learner, receptive to constructive criticism and eager to advance my knowledge
and experience in Insurance Billing.
● Enforce and adhere to HIPAA regulations on each and every call made or received.
LaBove Family, uston,TX 2013 to present
Ho 5/
EXPERIENCE
Volunteer Caregiver for Grandparents (Grandmother expired 1/2014 and Grandfather
expired 7/2014)
● Cleaned, fed and administered medication according to doctors orders on a consisted
time schedule for bed ridden grandmother.
● Prepared meals, cleaned the home daily, deep cleaned bi weekly and laundered
sheets and clothing as needed.
● Ran errands for my grandfather, whom had a stroke and heart attack in 2012, set and
transported to and from doctors appointments as well as assisting him in getting around
the house and in and out of bed.
● Dropped off and picked up prescriptions and put them in container, according to
doctors orders, making sure medications were taken on the day and time allotted.
● Organized a filing system by calender month which included: Paid and unpaid utility
bills, doctors billing with EOB attached making sure each amount matched before
payment was made and retirement pension pay stubs.
Getix Health (formerly Xerox/ACS) ouston,TX, H 1/
2012 to 4/2013
Patient Account Representative
● Outbound/Inbound Medical Collections/CSR where responsibilities included: Outbound
calling to patients with balances remaining on hospital and physician accounts,
answering inbound calls from patients/insurance companies/attorneys regarding
statements received and answering inquiries in which quick problem solving skills were
implied that would best fit each patients financial situation.
● Supervisor approved training, within 6 months of employment, for new hires,
department leads and veteran employees with properly accessing and efficiently
navigating through Hospital and Physician IDX Systems so patient information was
quickly accessed, which improved patient satisfaction and account resolution and
decreased patient complaints and hold times by 10%. Trainees were also advised of
non disclosure of medical record information and given contact numbers to give to
patients so that they would be able to receive the information requested depending on
individual client guidelines.
● Exceeded company goal of 250 calls per day by 75+ calls with a minimum of
200 guarantor contacts and a minimum of 75 insurance claims filed.Scored between
98 100% on all Quality Assurance reviews weekly.
XAM/MAX Resolutions ouston,TX, H 5/
2011 to 1/2012
Patient Account Representative
● Outbound Medical Collections/CSR where responsibilities included: Outbound calls
contacting patients regarding balance resolution to hospital or physician balances,
setting up payment plans with initial payment or promise to pay, taking payments by
phone with credit,debit check or bank account information or updating insurance
information to be sent to correct department for billing. Accounts included balance after
insurance, self pay(no insurance), workman's compensation and automobile accidents.
● Achieved Top Collector within Outbound Department 6 months out of the 9 months of
employment which included 100% grade average on weekly Quality and Assurance
Reviews and most revenue collected on open accounts.
FMA Alliance LTD. ouston,TX, H 2006 to 9/2010
6/
Collector (Hospital Early Out and Credit Card Bad Debt)
● Outbound calling to patients in reference to balances due on various hospital accounts
in the early out/ first party collections department which included updating patients
demographic info, interviewing patients and advising them of their status on financial
assistance from hospital, setting up payment arrangements and securing initial payment
on accounts with payment by phone. During employment, assistance in bad debt/ third
party collections was needed for Household bank in which rotation between both
departments occurred.
● Conducted training sessions with new hires within both departments, giving tips on
being assertive and aggressive when speaking with customers in bad debt while still
applying customer service skills but also being able to analyze accounts and decide
best resolution for each individual. Also trained on skip tracing accounts and contacting
the customers to obtain correct information if possible.
Health and Human Performance rairie View A&M University,P Ja
n 2006
EDUCATION
Prairie View,TX No degree obtained
Diploma ooker T. Washington High School, Houston,TX, B M
ay 2004
High School for Engineering Professions
Overall GPA: 3.4/4.0
MS Excel, Word, PowerPoint
COMPUTER
MS Access, CUBS,
SKILLS
IDX Systems(Hospital and Physicians) and 10 key
Available upon request
REFERENCES
Contact this candidate