Customer Service Representative

Dedicated customer service representative, motivated to maintain customer satisfaction and contribute to company success. Proven ability to establish repore with clients and exceed quotas. Reliable and driven individual with time management and prioritization abilities. Accomplished analyst skilled in achieving operational efficiency, continuous process improvement and data analysis that lead to cost savings.

Experience:

Seattle Cancer Care Alliance (2005 to 2013) (2016 to current)

Financial Coordinator

Obtain authorization for hospital services

Insurance verification and documentation of medical benefits

Understanding of diagnosis and procedure codes used for medical services

Transplant Case Rate Coordinator

Transplant billing and claims reconciliation

Strong knowledge of transplant billing contract details

Monthly tracking and reporting of transplant data and trends

Clear understanding of company compliance for payment dispute resolutions

Patient Assistance Advocate- Billing Specialist

Patient Assistance Advocate and pharmacy claims resolution

Expedited patient applications for medication assistance programs

Exceptional customer service with dedication to quality compliance of pharmacy regulations.

Seattle Children's Hospital (2013 to 2016)

Patient Account Specialist Lead

Communicate with insurance Provider Relations for complex account resolution

Track denial trends to promote reimbursement and industry compliance

Facilitate new staff training and lean process for continuous performance improvement

Utilization Review Specialist

Performed Medical reviews for Inpatient admits, with a high level of accuracy.

Clear communication with insurance case managers to obtain Hospital authorization

Successfully work under pressure to resolve conflicts and prioritize my workload

Swedish Medical Center (2000-2005)

Financial Counselor

Detailed Verification and documentation of insurance benefits.

Obtaining prior authorization for medical services

Pharmacy Billing Specialist / Admin Assistant

Accurate payment posting and account reconciliation .

Professional communication to solve billing and payment issues.

Maintained and updated department compliance policy and procedures

Education: Sammamish High School, Diploma, PIMA Medical Institute, Pharmacy Assistant

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