Customer Service Specialist
Resume:
YG
Yolandria Green
Professional Summary
Competent Medical Customer Service Specialist with 10+ years of experience in handling wide variety of medical recording and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Work History
EOX For Sagesure Insurance Manager - Customer Claims Representative Remote
01/2023 - Current
Integrated Home Care Services Inc. - A/R Specialist 06/2022 - 06/2023
South Florida ENT Associates, PA - A/R Specialist
Miami Lakes, FL
06/2015 - 03/2021
● Followed up with customers on unresolved issues. Worked productively in fast-moving work environment to process large volumes of claims.
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Developed in-depth understanding of insurance policies and procedures.
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● Developed and implemented strategies to improve claim processes. Monitored and managed claim expenses to control costs and maximize profitability.
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Identified, researched, and resolved billing variances to maintain system accuracy and currency.
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Developed and maintained billing procedures to make timely payments.
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● Worked with multiple departments to check proper billing information. Researched and resolved billing discrepancies to enable accurate billing.
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Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
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**************@*****.***
Hallandale, FL 33008
Skills
Medical Billing
Patient Medical Records Maintenance
Billing Processes
Billing management
HIPAA Compliance
Paperwork coordination
Insurance Verification
Patient Relations
Office Administration
Schedule Coordination
Information documentation
Patient Registration
Aerotek - Customer Service and Data Entry Rep
Fort Lauderdale, FL
12/2014 - 06/2015
Pediatrix Medical Group - Collecions Adm II/Call Center Associate Sunrise, FL
03/2009 - 09/2014
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
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Developed and maintained billing procedures to make timely payments.
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● Worked with multiple departments to check proper billing information. Researched and resolved billing discrepancies to enable accurate billing.
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Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
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Acted as first point of contact and set appointments for prospective clients.
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● Managed inventory for large commercial business operation.
● Set appointments with salespeople and potential customers. Received in-bound calls and initiated out-bound daily calls to introduce customers to products and services offered.
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Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
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● Entered orders for medical supplies - 25 hours per hour. Performed required tasks on GPMS, OBR, Master Database, electronic claims vendors' software, Medifax, Excel, Word and internet to access payer websites.
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Answered incoming calls and assisting clients with balance inquiries, payment information, and demographic updates.
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Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
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● Generated monthly billing and posting reports for management review.
● Used data entry skills to accurately document and input statements. Documentation
Microsoft Office
Insurance Claims
Inpatient Care
Front Desk Operations
Telephone Etiquette
Records Maintenance
Account Management
Education
1994
Hallandale High School
Hallandale Beach, FL
High School Diploma
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