Customer Service Call Center

Theresa Cartwright

**** ******** *****, **************, ********* 37072

1-615-***-**** *************@*****.***

PROFESSIONAL SUMMARY

Experienced Receptionist bringing 0ver 10 years of experience in the healthcare filed being back up person for lunch and break. Worked as receptionist as temp Talented in performing high volume of outbound calls to secure correct calls goes to the correct person and being friendly and team player. Well-versed Providing excellent customer service skill. Team player, knowledge of collection and claims procedures with strong communication skills utilized in resolving customer queries.

SKILLS

Credit & refunds Collections

Hospital and Physician claims billing (UB & HCFA 1500) EOB review

Medical Billing

High volume revenue recovery and collection

Medicare Part A& B, Medicaid, Workers Compensation claims

Call center (Inbound/Outbound

WORK HISTORY

COLLECTIONS SPECIALIST 1 10/2014 to Current

Community Health Systems, CHS - ANTIOCH, TN

Responsible for 45 accounts

Delivered exceptional customer service on collection calls and maintained calm and professional demeanor as well Ins Payor.

Researched accounts and completed due diligence to resolve collection problems.

Achieved performance goals on consistent basis.

Processed payments and contracts on accounts.

Relationship Building

Medicaid TN

Call Tn Medicaid to follow up on secondary claims

Rebill secondary claim if not on file

Verified Insurance information

Resolve all issue

Report any delays in processing the claim for payment

FEE PRO BILLING ANALYST II 07/2009 to 07/2010

Community Health Systems, CHS - ANTIOCH, TN

Executed billing tasks and recorded information in company databases.

Kept all patient information secure and confidential.

Followed up with appropriate parties to obtain prompt payments.

Checked insurance eligibility by making appropriate phone calls and .

Follow up on Physician claims HCFA 1500

Complete billing for Cardiologist, Radiologist, Emergency Room Setting

Resolving overpayment, COB issues, refunds, adjustments

Relationship building

BILLER COORDINATOR 04/2014 to 10/2014

Rezult Group/Congent - Brentood, TN

Researches and revolves denials from insurance carriers

Professional fee claims edits or denials using variety of proprietary and external tools while maintaining strict compliance with all applicable guidelines. Responsible 50 accounts

PHI patient information secure and confidential.

Followed up with appropriate parties to obtain prompt payments.

Checked insurance eligibility by making appropriate phone calls and W

Works closely with billing partner on issues which prevent claims from final billing

Established relationship

LINE OPERATOR 10/2013 to 01/2014

NoVita Technology - Hendersonville, TN

APPOINTMENT SCHEDULER 04/2013 to 07/2013

Equity Staffing Group/Inspires, UHC - Brentwood, Tennessee

Acted as first point of contact and set appointments for prospective clients.

Addressed client inquiries and updated database information.

Established and maintained client rapport by utilizing quality customer service.

Set appointments for nurse's to do in home care, Explaining program Optima, receiving medication in mail

75 calls day

Enrollment Specialist 07/2010 to 10/2010

FRESENIUS MEDICAL CARE RX (SNELLING PERSONAL)

Traveling Healthcare Consulting July 2009 to July 2010

Frasier Healthcare Consulting Inc

CHS South Texas Regional Medical Center- Biller/Collector

Caritas Christi Health System- Revenue Cycle- Collection Specialist

Northwest Physicians, LLC- Medicare Specialist

DaVita Inc- Medicare Credit Balance Specialist -Brentwood, TN May 2006-2009

Medicare Credit Balance Specialist in

EDUCATION

Erlanger Health System - Erlanger, KY No Degree

CPAR, 10/2006

National Health Career Association - Nashville, TN No Degree

Certificate of Certified Medical Administrative A, 09/2005

Hume - Fogg High School - Nashville, TN High School Diploma

07/1981

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