JACQUELINE WALRATH

**** ******* **** ** ● Jefferson, Oregon 97352 ● 503-***-**** ● acwjb3@r.postjobfree.com CUSTOMER SERVICE

EDUCATION & TRAINING

VOCATIONAL DEGREE MEDICAL FRONT OFFICE ASSISTANT June 1993 ROGUE COMMUNITY COLLEGE Grants Pass, Oregon

KEY COMPETENCIES

● Reading Comprehension

● Speaking

● Writing

● Mathematics

● Time Management

● Active Learning

● Equipment Selection

● Installation

● Operation Monitoring

● Active Listening

● Instructing

● Negotiation

● Social Perceptiveness

● Critical Thinking

● Complex Problem Solving

● Troubleshooting

PROFESSIONAL EXPERIENCE

ACCOUNT RECEIVABLE SPECIALIST August 2014 February 2015 KFORCE Portland, Oregon

● Responsible for Insurance follow up on commercial payers

● Managed denied claims and claims still pending within Epic system

● Communicated by email or phone with insurance to discover reason for denial

● Made edits to denied claims

● Handled 40 60 claims per day

CUSTOMER SERVICE REPRESENTATIVE November 2010 October 2013 SWEDISH HEALTH SERVICES Seattle, Washington

● Assisted members with issues involving billing questions and payment processing

● Explanation of EOB and denied claims to members

● Qualified members for financial assistance and initiated application

● Maintained 1 call resolution

● Answered and triaged up to 75 calls per day

● Assisted billing department when needed in managing Worker's Compensation claims CUSTOMER SERVICE REPRESENTATIVE II February 2005 October 2010 WACHOVIA,LLC Salem, Oregon

● Answered customers questions regarding ICS/IRA accounts

● Helped with Retail Phone Bankers when needed

● Assisted with questions regarding financial statements and balances ACCOUNTS RECEIVABLE SPECIALIST June 2003 September 2004 SILVERTON HOSPITAL Silverton, Oregon

● Billing of secondary insurances

● Coordination of benefits with primary insurance to insure accurate payment

● Followed up on denied claims and incorrect payments received

● Worked with commercial payers such as Regence, Humana, Aetna, Medicare and Medicaid CUSTOMER SERVICE SPECIALIST I June 2001 May 2003 REGENCE HMO OF OREGON Salem, Oregon

● Answered customer's inquiries regarding policies and benefits

● Assisted members with billing problems and ways to resolve them

● Walked new members through applications process and assisted with any discrepancies MEDICAL INSURANCE BILLER March 1997 June 2001

SALEM MEMORIAL HOSPITAL Salem, Oregon

● Billing of secondary insurances after Medicare payments

● Experience with CMS 1500 and WC HICFA forms

● Utilization of automated scanning system for document archives MEDICAL INSURANCE BILLER June 1996 February 1997 HOME MEDICAL, INC Medford, Oregon

● Billing of primary and secondary insurances

● Verification of ICD 9 and HCPC codes for accurate billing

● Customer service representative operations and insurance problem resolutions PATIENT CARE COORDINATOR June 1994 March 1995

DR. HELEN TREW Medford, Oregon

● Billing of primary and secondary insurances

● Verification of ICD 9 and HCPC codes for accurate billing

● Back up Office Manager when the Office Manager was not available or away from the office. ACCOMPLISHMENTS & AWARDS

● Medical Front Office Assistant Certificate, 1993 TOOLS & TECHNOLOGY

● Epic System

● Maintain records in standardized data environment

● Utilize multi line phone system

● Bookkeeping and 10 key

● Filing (Color Coded, Alphabetically)

● Utilized standard office machines (Copier & Fax)

● Transcription of Letters, Memos, & Reports

● Effective at working in a team or group or by myself

● Efficient at working with difficult people

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