Resume

Sign in

Customer Service Representative

Location:
Middletown, Connecticut, 06457, United States
Posted:
October 17, 2016

Contact this candidate

Resume:

SUZAN S. ANDERSON

Middletown CT (H) 860-***-****

acw3fo@r.postjobfree.com (C) 203-***-****

SUMMARY

Skilled business professional with experience in medical billing and health insurance. Extensive knowledge of all aspects of patient, client and insurer billing inquiries. Expertise in researching billing issues to achieve full resolution and client/customer satisfaction. Consistently met or exceeded production standards in a high-volume environment with strict metrics and control measures. Strong knowledge of accounting adjustments and benefit administration.

PROFESSIONAL EXPERIENCE

NUMOTION, Rocky Hill, CT 2016

Cash Posting Coordinator

Responsible for accurately and timely posting of manual/auto 835 revenue receipts for government, commercial and private payers into A/R system for nationally-centralized billing department.

Accurately and timely posted revenue related receipts and denials.

Converted payer-specific denial/payment codes from EOB’s into HIPPA compliant

reject codes.

Balanced each posted batch and participated in mid-month and month end balancing.

Researched, tracked and trended revenue discrepancies and communicated items

requiring attention to manager.

STEWART STAFFING SOLUTIONS, Hartford, CT 2015-2016

Temporary Staffing Agency/Recruitment Company

Temporary placement during search for permanent position.

Placed at Numotion, Rocky Hill, Ct

Responsible for data entry for posting of deposits, receipts and denials as described above.

QUEST DIAGNOSTICS, Wallingford, CT 2002 - 2015

Billing Coordinator I (2007-2015)

Responsible for evaluating and responding to all aspects of billing inquiries to insure timely collection of revenue and reduction of bad debt.

Applied payments and denials to invoices in all media types.

Administered secondary invoice filing and adjustments for National, Local, Medicaid and Medicare carriers.

Resolved electronic billing rejections to update incorrect information and demographics for resubmission to carriers for reprocessing.

Completed refunds and adjustments to customer’s accounts, while providing necessary back-up information in order to maintain accuracy.

Verified and obtained insurance and pre-authorization coverage for non-routine laboratory testing.

Client Services Representative (2002-2007)

Responded to customer inquiries.

Reported laboratory results to business clients and patients using established protocols.

Documented reporting or call history in required format and maintained accurate records.

Contacted clients to resolve routine matters related to patient testing and reporting.

UNITED HEALTHCARE, Hamden, CT 2000 – 2002

Accounting Analyst (2001-2002)

Investigate and correct payment errors.

Recovered purged data for Medicare reclamation projects resulting in $1.33M savings.

Identified and recovered overpayments.

Aided litigation department by compiling claim payment histories.

Benefit Specialist/Customer Service Representative (2000-2001)

Responsible for responding to inquiries from health plan members and medical providers.

EDUCATION

Associate of Science, Tunxis Community College, Farmington, CT

PROFESSIONAL DEVELOPMENT\TRAINING\TECHNOLOGY

Dean Vaughn Medical Terminology

Kaset International: “Achieving Extraordinary Customer Relations”

Microsoft Word, Excel, Outlook and Windows



Contact this candidate