Michelle Lynn Richard

717-***-****

ad3uo9@r.postjobfree.com

Career Objective

To utilize my advanced customer service and knowledge in the healthcare/administrative field to deliver exceptional service within a company and succeed. Experience

Optum Insights – Partner of United Health Group

Revenue Recovery Collection Specialist

April – September 2023

● Reviewed claims that did not correctly process due to incorrect data input, adjustments, improper coding

● Corrected information or updated information to correct problems according to the policy

● Verified claims information and researched reasons for denial of payment

● Used Epic billing system

The Loomis Company - Remote PA Customer Service Representative February 2021 – January 2023

• Professionally answered inbound calls from providers and/or members

• Verified claims were processed accordingly per Medicare guidelines

• Accurately escalated complex cases to appropriate departments in leadership

• Diligently researched benefits/eligibility for commercial insurance members

Medstaffers – Carlisle PA Personal Home Care Aide

October 2016 – August 2018

• Carefully assisted patients with mobility, toileting, bathing and personal hygiene

• Supported personal needs by handling household services, meal preparation and transportation

Tracked conditions and behaviors, updated records and daily logs for caregiver. Bureau of Account Management – Camp Hill PA Certified Collection Rep February 2009 – October 2016

• Handled accounts in collection by complying to local, state and federal HIPPA regulations

• Swiftly reviewed documents for entry accuracy and proper coding

• Provided solutions regarding financial hardships and resolution of accounts.

• Process credit and debit card transactions, ACH payment and set monthly recurring payments.

Colt Plumbing – Mechanicsburg PA Customer Service Representative January 2009 - July 2009

• Investigated and resolved customer concerns related to order inquires and delivery tracking

• Followed up with past customers to offer additional support and verify satisfaction

• Referred unresolved customer grievances to designated department for further investigation

• Answered multi-line switchboard and be receptionist for front office Education

Cumberland Valley High School Mechanicsburg, Pennsylvania Diploma Skills

• Customer Service- 10+ Years (2 years remote)

• Microsoft Word/Excel/IBM Lotus

• Typing 60+ wpm

• Data Entry

• Medicare terminology familiarity (ICD-10, CPTs)

• Federal and government compliance trained HIPPA

• AS400/Panorama/Genesys

• Finance and Administrative

• Accounting/Clerical for both private and state government

• Procurement