Customer Service Home Health

Krystal King

Qualifications

*+ years of medical collection and customer service experience.

Successfully collected more than $90,000 monthly on past due accounts.

Knowledge of collection processes with an ability to adhere to policies and procedures.

Experience working in a fast-paced and numbers driven environment.

Excellent computer skills. Knowledge of: MedAssets, Centricity, GroupCast, CMS, ECare, HealthWare,

Collect Logics, MediTech, SSI Database.

Employment

Christus Health July 2013 – July 2016

Patient Financial Services/ Collections

Responsible for collecting $90,000+ monthly on accounts that were 45+ past due.

Attempt to collect on accounts by executing 20 – 90 outbound calls daily.

Received 20 40 inbound insurance company calls daily.

Successfully reached goals of touching 40+ accounts daily.

Applied collected payments via credit cards and check by phones on accounts

Provided reimbursement service s of Claims and Duties to hospitals supported by the Revenue Cycle Business Service.

Ensured that all claims billed and collected met all government mandated procedures for Integrity and Compliance. Complete job functions using Collect Logics, SSI Database and Meditech programs.

Verified benefits via CMS and/or Ecare.

Transition Healthcare Inc. Feb 2011 Dec 2015

Client Services Advocate (Part-Time)

Acted as a liaison between participants and home health service providers.

Advised of the functions/ benefits of Medicaid and Medicare.

Provided customer service while assisting with Election Notices. HIPAA, Medicare, and Medicaid t rained.

Assisted clients and families in overcoming enrollment or coverage problems.

Exceptional Home Health Care Jan 2010 – Dec 2012

Patient Advocate and Biller

Collected on 90+ days past due medical services from patients through queue of 60 – 100 calls daily.

Collected an average of $85,000 monthly. Followed up with insurance carriers on past due claims.

Worked inbound queue with 40 100 calls daily.

Applied customer payments from credit cards, debit cards, and check by phone.

Verified services to patients through Centricity and GroupCast.

Ensured claims were properly billed/coded through HealthWare and SSI to insurance carriers for proper payments. Escalated billing disputes to Team Leads.

Blessed King Home Health Care Apr 2010 May 2011

Claims Rep

Quota met of accessing 60+ accounts per day.

Verified processed payments of medical claims of commercial, liability, and Medicare Replacement insurance.

Ensured claims that were not processed correctly were sent back for processing or reconsideration by the insurance carrier. Prepared appeals for claims denied in error. Prepared/Sent patient letters for pending claims

Issued refunds on credit balanced accounts. Updated patient files and records.

Education: High School Diploma Green B Trimble High School Graduated

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