Customer Service Insurance

GAIL J. DANIEL

**** ******* ****** **. *******, Georgia 30360 770-***-**** ****.*.******@*****.***

PROFESSIONAL SUMMARY

Dedicated Accounts Receivable Representative motivated to maintain customer satisfaction and contributed to company success. Over 35 years' experience investigating and processing medical insurance claims. Excel in analyzing denial trends, interpreting contract guidelines and payment resolution. Takes pride in exemplary customer service. Result oriented and solution focused professional.

SKILLS

Account reconciliation Analytical reasoning

Seasoned in conflict resolution Research

Creative problem solving Active Listening Skills

EOB Interpretation Claim reports and documentation

WORK HISTORY

Account Coordinator, 06/2015 to 09/2015

In Health –Atlanta, Georgia 30360

Entered reported invoices each day into the in-house accounting software.

Entered patient data into computer programs and filing systems.

Processed patient admission and discharge information into billing program for rental equipment

Audited records for accuracy

Created new computer-based files.

Accounts Receivable Collector / Commercial Insurance Claims, 05/1999 to 08/2012

CCS Medical –Lawrenceville, GA 30045

Exceeded in meeting challenging quotas for productivity and accuracy of work.

Instructed through lectures, discussions and demonstrations the proper insurance verification dialogue when verifying if DME products were covered prior to shipping supplies.

Effectively managed multiple, high priority Insurance accounts.

Maintained up-to-date knowledge of insurance documentation, billing and appeal process.

Reviewed collection reports to determine the status of collections and the amounts of outstanding balances.

Handled all inbound business and patient requests for information on my assigned insurance carriers.

Accounts Receivable Manager / Commercial Insurance, 03/1981 to 04/1999

Atlanta Georgia Anesthesia Group – North Atlanta, GA 30338

Interviewed patients to obtain medical histories.

Documented patient information obtained from interviews.

Verified anesthesia benefits prior to surgery and collected necessary deductibles.

Followed up on all commercial insurance claims more than 30 days old for status.

Responsible for monthly financial reports for practice.

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