Customer Service Representative

SINETRA RIZZUTO

***** **** ******** **** ****. UNIT 512,

SURPRISE, AZ 85374

CELL: 516-***-****

*****-************@*****.***

** ***** ** * ******** customer service representative, twenty-nine with Northwell Health. Seeking new employment after a relocation to Arizona. Thrives in a fast-paced workplace that allows me to utilize the skills I have developed over my career.

EXPERIENCE:

Senior PFS Representative for Banner Health, Gastroenterology March 2023-Pesent

•Oversees and assists with patient intake, insurance verification, appointment scheduling,

and patient checkout process.

•Oversees and assists with incoming phone calls and appointment requests.

•Oversees and assists with verification of incoming patients’ insurance and referrals.

•Coordinates, trains, and motivates team of nine people in daily office policies and

procedures.

•Responsible for daily payment deposit, facility maintenance, office supply distribution,

Accounts Receivable Representative-October Northwell Health, October 2016-March 2023

•Responsible for appealing claims for higher reimbursement.

•Requested medical records and coding review when necessary.

•Submitted insurance claims for processing.

•Charge corrections, write offs and adjustments as needed.

•Completes Medicare project assignments.

Commercial & Managed Care A/R Representative Northwell Health November 2008-October 2016

•Conduct extensive follow-up on all unpaid Commercials & Managed care claims.

•Requested medical records and coding review when necessary.

•Followed up with patient and/or insurance issues until resolved.

•Submitted insurance claims for processing.

•Manage multiple priorities and maintain effective results in a quota driven workplace.

•Responsible for appealing claims for higher reimbursement.

•Charge corrections, write-offs, and adjustments as needed.

•Assisted management daily with trends.

Clinical Practice Plan Cash Application Clerk Northwell Health March 1994 – November 2008

•Provided effective and timely resolution of a range of customer inquiries.

•Process third party refund check with accuracy.

•Coordinate and calculate Medicare deposits.

•Post responsible party payment checks.

•Assisted in the training of new customer service representatives.

•Apply payment to outstanding claims, which updates the Accounts Receivable.

•Monitor delinquent payments and troubleshoot problems as they arise.

SKILLS: Word, Excel, PowerPoint, Outlook, and various Medical Billing Software.

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