Customer Service Patient Access
Resume:
Letecia Brown
Montgomery, AL *****
***************@*****.***
Authorized to work in the US for any employer
Work Experience
Patient Access Specialist
Jackson Hospital Montgomery AL - Montgomery, AL
May 2023 to Present
• Register incoming patient, update patient information, have patient sign all paperwork need for services.
• Assisted with financial help if patient does not have insurance and unable to pay for service.
• Escort patient to correct department for services.
• Process payment for services being rendered.
Subrogation Collector
Wilber & Associates Law Firm- Remote - Normal, IL
2022 to 2023
• Activated and worked new subrogation files.
• Made outgoing collection calls to resolve outstanding balances.
• Negotiated settlements with claimants.
• Documented call details.
Supervisor
Axion Enterprises, LLC- remote - Blue Bell, PA
2021 to 2022
• Set up and trained new customer service representatives.
• Supervised customer service team of 8- 15 representatives.
• Processed payroll
• Monitor daily production for team members.
• Handled escalated calls
Customer Service Representative
Prime Technical Services - Remote
2020 to 2021
• Answered incoming calls for SAM registration.
• Assisted applicants with application status inquiries.
• Answered applicants questions.
• Resolved applicants issues with applicants.
• Documented all call details
Credit representative
Peco - Montgomery, AL
2019 to 2020
• Answer incoming calls for electric and gas customers.
• Process payments.
• Assist with taking financial statements to get customers approve for agreements or minimum payment options.
• Turn on electric or gas service due to nonpayment once payment is made.
• Educate and advise customers of various assistance programs for their bill. Machine Operator
GENPAK - Montgomery, AL
2017 to 2019
* Prep machine to produce disposable eating products.
* Adjusted machine temperature and speed to produce quality products.
* Inspect finished product before distribution.
* Preform hourly machine gauge, temperature reading and inform maintenance of unusual readings.
* Put out fires when foam or thermoforming machine caught on fire. Machine Operator
Thermalex - Montgomery, AL
2015 to 2017
* Set up machine to run quality coil products.
* Input daily production into computer database.
* Read and followed work orders, blueprints and drawing of machinery.
* Inspect totes of finished product to ensure sending out quality products. Escalation Supervisor
Duke Energy - Montgomery, AL
2010 to 2015
* Handle inbound billing calls from electric and gas customers.
* Explained company policies, procedures, and government regulations as they relate to the client.
* Deescalate irate callers.
* Review account billing details for accuracy.
* Supervise a team of up to 8 agents
* Maintain clients accounts.
Collections Representative/ Insurance specialist
IKS Health - Montgomery, AL
2008 to 2010
* Initiated and manage clinical referrals for pre-authorization.
* Verify insurance and pre-authorization process.
* Processed patient accounts by stat using claims online via the web or by phone calls to insurance companies and patients.
* Re-file corrected claims with supporting documentation as necessary.
* Print denied work list to review and research denials to determine reason and send corrected claims and documentation.
* Review all explanation of benefits(EOB) denials for zero payment or partial payment.
* Assist with various clean- up projects.
* Monitor cash collected on a daily basis for location assignments. Pharmacy care advocate
Precision RX specialty solutions(BC/BS) - Plainfield, IN 2007 to 2008
* Answered customer and provider questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
* Resolved customer issues with care and concern.
* Acted as an advocate for customers by providing support and guidance of their anticipated needs, personal options and decisions.
* Showed initiative and resourcefulness in solving problems and meeting customer needs.
* Developed relationships with other business units and service partners whose assistance, cooperation and support may be needed.
* Used computerized systems for tracking, information gathering and troubleshooting.
* Thoroughly documented inquiry outcomes for accurate tracking and analysis.
* Mentored new customer service employees.
Quality Inspector/ job setter
Ford Motor Company - Indianapolis, IN
1998 to 2007
• Assembled parts on a fast pace production line.
• Maintained production supplies for production specialist.
• Counted and documented rejected /damaged parts and arranged for their proper return to vendor.
• Informed management of low stock conditions.
• Gauged machines to verify operating properly.
• Communicated to supervisor daily production.
Claims processor
Blue Cross Blue Shield - Indianapolis, IN
1991 to 1998
* Data entry of patient demographics and charges.
* Keyed, processed, and/or adjusted health claims in accordance with claims policies and procedures.
* Liaison for American Health Network account.
* Significant understanding of multiple products(HMO, PP0, COB, etc.)
* Knowledge of medical terminology, procedure codes and medical office systems, including related computerized applications.
* Handled remittances, refiled claims, worked denials and processed refunds.
* Responsibilities included coordination of benefits, determination of benefits, extensive provider relations and customer service communication.
* Computed and interpreted claims processing.
* Made adjustments to claims for proper payment.
Office Manager
General Employment Agency - Indianapolis, IN
1990 to 1991
* Coordinated in office interview process for employers of perspective employees.
* Handled account payable and account receivable.
* Answered multi line phone system.
* Processed payroll for recruiters.
* Ordered and maintained inventory and supplies.
* Established and maintained file coding system.
* Submitted advertisement of job openings to newspaper.
* Excellent communication skills, both oral and written. Education
Certificate in Healthcare Claims Specialist
Michigan Computer Institute - Rochester Hills, MI
1990 to 1991
Studies in Human resource development in management and training Oakland University - Rochester Hills, MI
1988 to 1990
Skills
• Microsoft Word (5 years)
• Microsoft Powerpoint (5 years)
• Excel (5 years)
• Typing (55wpm) (10+ years)
• 10 Key Calculator (10+ years)
• ICD Coding (5 years)
• CPT Coding (5 years)
• ICD-10
• ICD-9
• Medical Billing
• Filing
• Data collection
• Windows
• Warehouse experience
• Clerical experience
• Negotiation
• Relationship management
• Front desk
• Multi-line Phone Systems
• Insurance Verification
• Microsoft Outlook
• Medical collection
• Phone etiquette
• Customer service
• Accounts payable
• Accounts receivable
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