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Patient Care Representative, Quality Assurance, Funding Analyst, Fraud

Location:
Dallas, TX
Posted:
March 24, 2024

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Resume:

Shara Kindler

Work Experience

Orthofix

Patient Care and Billing Representative REMOTE May 2018 to December 2022

• Educate patients on science and necessity of medical device prescribed for their specific injury.

• Explain co-insurance and out of pocket expense to patients per their insurance coverage.

• Provide payment assistance and billing options.

• Coordinate patient and local sales representatives for fitting of medical device.

• Troubleshoot functioning of medical device.

• Place wholesale orders for hospitals, clinics, other medical facilities.

Capital One Auto Finance

Fraud Prevention Specialist September 2017 to May 2018

• Investigate credit bureau alerts reported on Equifax, Experian and TransUnion.

• Social Security verification.

• Research Suspicious activity reports and OFAC alerts.

• Analyze Document concerns.

• Prevent Anti-Money Laundering.

• Intercept Identity Theft using Lexis Nexis and Innovis.

Customer Service Representative June 2012 to February 2013, March 2016-Jan 2017

• Educate customers on finance and refinance programs.

• Advise customer of offer, requirements, next steps and documents needed.

• Assist team members with questions regarding quality and policy and procedures.

• Provide exceptional customer service while exceeding metrics.

Quality Assurance Coordinator 2008 to April 2008

• Perform audit reviews of vendors, internal funding, and sales to identify and document developmental

opportunities, redundancies, and fraud.

• Collect data for management to monitor compliance and forecast trends.

• Offer recommendations to management to minimize cost and reduce risk.

Funding Analyst November 2001 to January 2008, Feb 2013-March 2016, Jan 2017-Sept 2017

• Collect, review and verify consumer documents.

• Communicate with consumer and dealership on status of funding.

• Verify vehicle documents for completeness and pricing accuracy.

• Ensure all state and federal requirements are met.

• Investigate potential fraud.

Skills

• Call Center (10+ years)

• DME (4 years)

• Medical billing (4 years)

• Customer Service (10+ years)

• Customer satisfaction (10+ years)

• patient satisfaction (4 years)

• Creative problem solving (4 years)

• Fraud prevention and detection (9 years)

• Interpersonal skills (10+ years)

• Healthcare industry (4 years)

• Service-level Agreements (10+ years)

• Phone etiquette (10+ years)

• Computer literacy (10+ years)

• Data entry (10+ years)

• 10 key typing (10+ years)

• Typing (10+ years)

• Collaberated problem solving (4 years)

• Software testing (1 year)

• Microsoft Word (10+ years)

• Microsoft Excel (9 years)

• Analytical skills (9 years)

• Communication skills (10+ years)

• Organizational skills (10+ years)



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