Customer Service Follow Up
Resume:
Tara King
***********@*****.***
OBJECTIVE:
Seeking a position where I can contribute my skills as well as my great organizational and problem-solving skills to provide quality results for any role.
QUALIFICATIONS:
Over 25 years of insurance billing and collections.
Ability to multi-task while paying attention to details and problem-solving skills.
Strong customer service skills.
Positive professional relationship building with clients and co-workers.
Familiar with medical coding and billing terminology.
Knowledge of Medicare, Medicaid, and commercial billing requirements and fee schedules.
Computer skills: Microsoft Office Word, Excel, Outlook, Skype.
PROFESSIONAL EXPERIENCE:
Aerotek/Contractor Washington University 2/2020 to 09/2020
Claims Specialist
Professional claims follow up and collections.
Determining correct health insurance and eligibility.
Submitting claims to payors for adjudication.
Understanding denials and taking steps to resolve claims.
Parallon 12/2014 to 08/2019
Client Representative
Hospital claims follow up and collections.
Determining correct health insurance and eligibility.
Submitting claims to payors for adjudication.
Understanding denials and taking steps to resolve claims.
Robert Half/Contractor Magellan 4/2013 to 7/2014
Insurance Claims Specialist
Processing mental and behavioral health claims for payment.
Resolve claim edits and suspended claims.
Adjudicate claims and adjustments.
Maintain and update required reference materials to adjudicate claims.
Dell Financial Services/Contractor 8/2010 to 2/2011
Medical Claims Associate
Contacting Medicare/Medicaid and private insurance companies to follow up on past due claims from closed hospital throughout the United States.
Making adjustments in multiple software programs to adjudicate and reflect insurance companies’ response on the claims in question.
Responsible for keeping track of my daily write-offs and adjustments to individual patient accounts.
Sending patients letters to inform them of their responsibly of the hospitals services.
Medicine Shoppe/Contractor 7/2008 to 6/2009
Medical Claims Associate
Coordinating or conducting investigations on prescription insurance claims, identifying claims with possible recovery from third parties and making adjustments to adjudicated claims.
Performed various collection actions including contacting patients by phone or sending letters and statements.
Processing payments made by the patient via phone or from insurance companies.
Appealing denied claims using proper documentation.
Impact Directories 2/2007 to 12/2007
Billing and Collections Supervisor
Responsible for collecting and setting up payment arrangements on past due accounts from business owners who have placed ads in our directory.
Preparing, reviews and sending out monthly invoices.
Making adjustments and/or settlements for unsatisfied clients from mistakes made in ads.
Responsible for hiring, training, and supervising one employee to assist me in the daily operations of the company needs.
Client Services 8/2005 to 1/2007
Collector Recruiter
Contacting debtors via phone to collect on past due and charged off credit card balances.
Assisted Human Resource Department in recruiting, screening, hiring, and scheduling orientations.
Midwest ENT 6/2003 to 5/2005
Medical Biller/Receptionist
Contacting Medicare/Medicaid and private insurance companies to follow up on past due claims.
Electronic billing of physician claims. Correcting and rebilling of rejected claims.
Processing payments from insurance companies and prepared daily deposits.
Evaluates patients financial status to establish budget payment plans.
Pulling and filing charts for patients scheduled to see one of the four physicians in the office.
Answering multi phone calls to assist in scheduling appointments to see the physicians.
Check-In/Check-In duties such as entering patient demographics, collecting insurance information: referrals, co-pays, etc.
EDUCATION AND ASSOCIATIONS:
Ross Medical Educational Center, Medical Assistant, 1995
Jackson Community College, General Core, 1998
University of Phoenix, Business Communications, 2009-2010
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