Call Center Customer Service
Resume:
Deborah Canibano
Pinson, AL *****
***************@*****.***
Authorized to work in the US for any employer
Work Experience
Patient Eligibility
Navigant, a Guidehouse Company - Birmingham, AL
January 2022 to Present
• High Volume call center
• Screened patients for program Eligibility
• Assisted patients with the completion applications, assisted in coordinating efforts between the patient, hospital, doctors and third-party agencies to obtain info needed for eligibility process • Scheduled interviews with Social Security for patients and followed thru on completion of interviews • Sent medical records for patients when requested from SSA office
• Completed Institute Medicaid applications for patients that qualified
• Assisted obtaining medical and sending records when requested from Medicaid office • Updated demographics to reflect up to date information
• Abided by all HIPPA rules and regulations
• Kept accurate and detailed notes regarding information obtained from patients • Researched diagnosis of patients to qualify for Government and State agencies • Verified insurance for commercial and work comp
• Communicated with Social workers/Case managers to obtain Dr. Letters when needed for patients family to complete SSA interviews
• Completed SSA interviews for patients when patient is unable
• Uploaded all necessary documents in system needed for Federal, Government, State and local agencies • Assisted in obtaining signatures for Consent to Treat and Information of Important Message from Medicare forms
• Approved and denied Financial Assistance applications by verification of income and accurately accounting for all documents submitted by patient that was required
• Followed up with Emergency room discharged patients to provide Financial assistance or obtain insurance information
Leasing Assistant
Somerset Pacific - Temporary job through staffing agency - Boise, ID August 2021 to August 2021
• Assisted the Leasing Consultant in daily pre-leasing activities.
• Completed administrative duties for the office.
• Obtained prospects and performed cold calls for leasing opportunities.
• Processed tenants and applicants payments using our Property Management and accounting software systems
• Worked aging reports
• Obtained certification in Fair Housing rules
• Obtained signatures for lease agreements
• Applied excellent customer service
• Handled maintenance requests
• Provided information on leasing terms
• Developed strong working relationships with clients and colleagues
• Communicated effectively, strong written and verbal presentation skills used • Problem solved and worked efficiently
• Applied time management skills daily
• Learned quickly and enjoyed taking on new clients and projects Accounts Payable/Receivable Clerk - Temporary job through staffing agency CTI Foods - Boise, ID
December 2020 to March 2021
• Printed purchase orders and matched to Invoices
• Obtained approval and coded invoices
• Posted invoices and paid through ACH in accounting system
• Multi tasked with accuracy
• Managed excel spreadsheets with accurate up to date balances
• Calculated customer invoices
• Maintained aging reports
• Called clients to obtain payments
• Maintained records of invoices, debts and credit reports
• Kept organized and detailed documentation of all correspondence with clients • Handled customer disputes regarding payments, credits and invoices
• Provided administrative support
• Worked independently and collaboratively in a fast paced environment
• Used strong communication skills
• Applied excellent customer service
• Enforced time management skills
• Paid strong attention to detail and accuracy
Billing Representative - Temporary job through staffing agency Saint Alphonsus
September 2019 to November 2020
• Obtained verifications and prior authorizations for commercial and work comp insurances • Acted as a liason between physicians, clinic managers, ownership companies and insurance payers • Responsible for audit and recovery of reimbursement deficiencies between payer and Saint Alphonsus Medical
• Collaborated and took directions from director of clinic business
• Confirms billing guidelines and claim form requirements, corrected accounts as needed, identified related problems
• Audited accounts as incorrectly paid by the health plan and followed accounts until resolutions • Audited accounts based on contractual agreements
• Ran selected reports through system to identify accounts for aud based on contract, account type, procedures or diagnosis, service type, service dates or any other criteria
• Gathered all signatures on all applications in a timely manner Accounts Payable Clerk
Vanmark, LLC - Temporary job through staffing agency - Boise, ID May 2016 to August 2019
• Prepared work by gathering and sorting through documents and related information • Paid invoices by verifying transaction information. Scheduling and preparing disbursements;obtaining authorization of payment
• Obtained revenue by verifying transaction information; computing charges and refunds • Prepared and mailed invoices
• Identified delinquent accounts and insufficient payments
• Collected revenue by reminding clients of delinquent accounts and insufficient payments • Prepared financial reports by collecting, analyzing and summarizing account information and trends • Maintained accounting ledgers by posting account transactions
• Verified accounts by reconciling statements and transactions
• Resolved account discrepancies by investigating documents; issuing stop payments, payments or adjustments
• Maintained financial security by following internal accounting controls
• Secured financial information by completing data base backups
• Maintained financial historical records by filing accounting documents
• Contributed to team efforts by accomplishing related results as needed
• Assisted in obtaining product orders, including receiving deliveries
• Planned and managed logistics, warehouse, transportation and customer service • Directed, optimized and coordinated full order cycles
• Liaison between suppliers, manufacturers, retailers and consumers
• Kept track if quality, quantity, stock levels, delivery times, transport costs and efficiency • Planned routes and processes fir shipping in country and out of country shipments Recruiter
Gem State Staffing - Boise, ID
June 2015 to April 2016
• Interviewed candidates for a variety if hib roles
• Prepared new hire paperwork ensuring legislation requirements were met
• Posted job descriptions on career websites, newspapers, and universal boards • Followed HR best practices
• Brought innovative ideas to the company
• Maintained consistently full recruitment cycle, ensuring that all needs were met for staffing requirements
• Accurately posted time cards and issued weekly payroll
• Managed scheduling needs to assure all needs were met
• Completed employee reviews
• Maintained excellent customer service skills
• Assisted in cold calls for business recruitment
• Assisted in issuing yrly W2's
• Maintained quality control on issuing equipment
• Evaluated and screened resumes and cover letters
• Used tests recruiting tools like tests and Assisted to assess candidates skills • Conducted phone, Skype, Microsoft teams or in person interviews
• Assisted hiring teams with recruiting and interview questions AR/AP Clerk
Richard C Smith, Accounting - Lewisville, TX
February 2011 to May 2014
• Reconciled payment receipts in multiple ERP systems
• Resolved issues with billing
• Account reconciliations
• Generated client invoices
• Applied account credits to invoices
• Followed up with clients regarding overdue balances
• Applied payments to clients accounts
• Generated client invoices
• Analyzed customer payment trends and identified opportunities for improvement • Recorded financial transactions pertaining to business
• Account reconciliations
• Worked aging reports
• Prepared and submitted monthly financial reports
• Continuously built relationships with clients
Billing Clerk/Receptionist
Dr. Dale Jackson - Lewisville, TX
March 2000 to January 2011
• Responsible for answer inbound and completing outbound calls
• Evaluated physicians schedules to organize appointments
• Processed high volume of referrals
• Verified Insurance for commercial and work comp insurances
• Submitted prior authorizations for required services for commercial and work comp insurances • Collect copayments
• Performed administrative tasks as needed
• Answered all patients inquiries in a professional manner
• Explained benefits (co-pays, coinsurance, deductibles and out of pocket information) to patients • Collected demographic information from patients in person or via phone with accuracy • Confirmed patients appointments and rescheduled cancellations
• Scheduled procedures
• Completed patient referrals if needed
• Responded to emails
• Organized conferences and meetings for all personnel
• Greeted patients when arriving for appointments
• Abided by all HIPPA rules and regulations
• Assisted in collections of past due payments
• Provided instructions to patients to ensure that they were prepared for examinations or procedures Education
Administrative and Business Associates in Business Northwestern State University - Leesville, LA
August 2012 to May 2014
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