Customer Service Business Office
Resume:
Cheryl Chiles
Oxnard, CA *****
******.******@*****.***
Trifecta Employment Agency
San Francisco, CA
February 2023 to March 2023
Ventura County – Business office, correspondence, heavy phones customer service. Assisted where needed through out business office as a temp.
Senior Collector
Cliffside Malibu - Malibu, CA
October 2018 to October 2022
Revenue Cycle - Commercial / HMO accounts. appeals, denials, customer service, large volumes of phone calls and correspondence. Claims follow up, resubmission of corrected claims and or denied claims due to coding and other claim denial issues such as incorrect authorization, patient demographics information. Excellent verbal and customer service skills as well as an excellent collector and team player. Handled appeals, deniasl, refunds, payment posting. EOB analysis for timely follow up and resolution. Received an Employee of the Month award for excellent collections and customer service. Insurance verification. Researched credit balances for possible refund. Applied adjustments, transferred balances to patient or secondary insurance for payment.
Pavilion’s – Part Time
Malibu, CA 90265
January 2020 to July 2020
Bakery Assistant - Prepared baking products, packaging, customer service. Transferred to Thousand oaks store. Customer service.
Pavilion’s – Part Time
Thousand Oaks, CA 91362
July 2020 to October 2020
Courtesy Clerk - Assisted customers with groceries, inventory, stocking and all other amazing customer service needs.
MedAssets - El Segundo, CA
May 2015 to July 2018
Patient Account Rep / Collector
Followed up on Commercial / HMO claims from billing through final resolution resolved denials. Insurance verification. Followed up on payment status, researched denials to expedite payment processing.
Research accounts for payment errors, underpayments, denials, and credit balances. Claims follow up, resubmission of corrected claims and or denied claims due to coding denial other issues such as incorrect authorization, patient demographics information. Adjust and adjudicate accounts upon review of EOB's. Insurance verification. Researched credit balances, applied adjustments, transferred balances to patient or secondary insurance. Followed up on claims from billing through final resolution until paid, resolved denials.
Followed up on payment status, reviewed and researched denials to expedite timely payment.
Researched accounts for billing and payment errors, underpayments, overpayments, appeals, denials and credit balances for resolution.
Special Accounts Representative Lead / Collector
Providence Health System - Torrance, CA
October 1999 to May 2015
Business Office - Accurately process a minimum of 60 claims. Billing Commercial / HMO electronically and paper. Reviewed denied and rejected claims for resubmission. Reviewed claims for authorization errors. Followed up with correspondence. Insurance verification. Heavy in-out going phone calls. Worked high dollar claims. Reviewed aged balance reports for over and under paid claims for timely follow up, resolution and or appeal. Reviewed underpayments for resubmission or appeals. Researched credit balances for possible refund, applied adjustments, transferred balances to patient or secondary insurances for payment. Front desk rotation.
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