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Customer Service Insurance

Location:
Charlotte, NC
Posted:
February 13, 2017

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Resume:

Reginald Marsh

***** ******* ******, ***. *** 980-***-****

Matthews, NC 28105 acys8d@r.postjobfree.com

Career Summary

Qualified professional with experience in the Banking/Finance industry with diverse skills in Compliance, Analyzing Risk, Quality Assurance, and Problem Solving. Achieves company objectives with the ability to positively adapt and manage constant change in the current business environment. Reliable and results-driven with a proven record of providing strong written and oral communication with appropriate parties.

Areas of Proficiency

•Banking Management

•Banking knowledge and analytical skills

•Data Analysis/ Record Keeping

•Organizational Business Management

•OSHA Regulation/Compliance

•Assessing and Mitigating Risk

•Development and Training

•Communication and Interpersonal skills

Professional Experience

Patient Account Representative III –Novant Health – Thompson Child & family Focus-Account Receivables Specialist- Premier Healthcare Resources- Charlotte, North Carolina

June 2016 – Present

oProcesses billing for all patients and insurance providers.

oInteracts with patients to explain account related questions and make necessary payment arrangements and ensured that patients are in compliance with EOBs.

oContacts the appropriate payor (patient, guarantor or insurance company); established payment arrangements or determine action needed to satisfy outstanding balances.

oHandles all patient and insurance related correspondence, including denials, for assigned specialty practice.

oPerforms follow up and collection activity to resolve unpaid accounts.

oReceives calls from the appointment schedule to prepare patient to pay at time of appointment.

Surgical Support Coordinator

Greenhagen Medical, Inc. (Zimmer Biomet) Cary, North Carolina

June 2004 – September 2015

oMaintained records for consignments, upgrades, conversions and long-term loans for government, corporate laws and regulations.

oPrepared and included documentation to show inventory ready to be shipped for surgery.

oAudited inventory-processing reports for errors with missing inventory.

oEstablished positive relationships with new clients while delivering an on-time and accurate product/service

oMaintained accurate records of account standing and levels of completion

oPerformed the tasks of preparing and filing various bi-weekly, monthly, quarterly, and annual reports.

Financial Advisor/Consultant

Healthcare Resources Associates Charlotte, North Carolina

October 2003- June 2004

oHeld responsible for the administration and efficient daily operation of financial solutions to patients, product sales, customer service, and in accordance with company objectives.

oPerformed account related transactions, such as opening new accounts and resolving any customer account related issues.

oConducted financial results to plan through the proper execution of company policies and procedures.

oProduced consistent customer growth through effective selling and collections practices, with an emphasis on customer service.

oEnsured company operations comply with all local, state and federal laws and regulations.

oFocused on account management and collections on reporting analysis of self-pay, aging receivables and patient liability balances.

oSucceeded on extensive proper training of new employees to maintain productivity standards.

Credit Analyst/ Loan Review Analyst

Wells Fargo Raleigh, North Carolina

November 2000 – October 2003

oPerformed extensive research of credit issues as evidence in writing challenge/ appeals to government investors for requesting repurchase.

oSubmitted claimable fees with supporting invoice documentation in order to recoup fees paid to various mortgage insurance companies, investors, and third party vendors.

oReceived recognition cards and praise efforts received from management and teammates for maintaining positive attitude facing challenging obstacles, knowledge and skill sharing with business partners, and helping fellow teammates in times of need.

oPerformed audit reviews of underwritten loans to identify errors, trends, & variances, make recommendations for process improvements and indemnify training opportunities for staff development.

oEnsured audit reviews were completed in a timely manner for daily/monthly reporting and communicated findings to management.

Financial Counselor Manager/Auditor

Duke Raleigh Hospital Raleigh, North Carolina

November 2000 – January 2003

oCoordinated patient refunds, settling balance discrepancies, assisting with payment arrangements and authorizing medical insurance claims.

oResponsibilities included taking inbound calls or walk ins from Patients while deepening relationships through providing the highest level of customer service by answering questions and fulfilling various Patients requests.

oUtilized healthcare knowledge, and problem solving skills to successfully overcome customer concerns and/or objections in regards to account balances.

oWorked collaboratively with case management administrators to provide authorizations for inpatient and outpatient visits.

oAssisted patients with a wide variety of healthcare billing questions and plan features via information accessed through the computer.

oPrepared verbal and written communication to provide information personal policies and compensation for employees.

oMaintained knowledge of Medicare, Medicaid, Worker’s Compensation, commercial insurance, and third party billing rules and regulations to ensure clean claims for accurate reimbursement for payment.

oManaged inpatient/outpatient charge posting, billing, and collections procedures while ensuring all policies and procedures are complied with the development of business plans in daily business within compliance guidelines.

Education

Bachelors of Science in Business Administration concentration Human Resources

Saint Augustine’s University May 1999



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