Customer Service Physical Therapy
Resume:
Roslyn M. Moore
Indianapolis IN 46222
*********@*****.***
SUMMARY
Professional with strong interpersonal and organizational skills with an ability to multitask in a variety of challenges and responsibilities. Experience in working in a fast paced environment and maintaining a high level of confidentiality and integrity.
PROFESSIONAL EXPERIENCE
CorVel Corporation
Bill Review Specialist March 2020 to August 2024
Make determination on physical therapy bills
Pay physical therapy bills
Pinnacle Partners – CorVel Corporation December 2019 to March 2020
Billing Specialist
Sorted mail to correct site
Make determination on therapy bills
Pay bills
Ajilon – Riley Hospital for Children at IU July 2019 to November 2019
SPA-Registration (Contract)
Registered direct admitted patients
Verified demographics and insurance
Helped work triage desk
Worked as a liaison from both Indiana University Hospital and Riley for bedded patients
Worked in the Emergency Department to register and admit patients
Axelon –Tyco Securities September 2017 to July 2019
Customer Service Support Coordinator
Reviewed and processed emails, letters, and faxes on a daily basis to perform cancellation request from clients
Enforced cancellation and reinstatement policies
Worked efficiently in multiple applications in order to support customer issues across all areas of business
Communicated with internal/external customer and multiple departments to resolve issues and concerns.
Provide formal written communication to internal/external customers summarizing results
Aerotek - Freedom Mortgage Corporation January 2016 to August 2017
Document Recovery Specialist (Contract)
Work with incoming/outgoing mail; count, sort, open and distribute mail such as payments for monthly mortgage payments, escrow and shortages.
Photo copy mailings and send letters from other departments to borrowers and prep files for loss mitigation, bankruptcy and other areas throughout the company.
Scan the physical mail in the computer system to load information into different systems such as EDMS and create CITs for cash management teams.
Kelly Services – Stericycle June 2015 to January 2016
Customer Care Coordinator I (Contract)
Answered inbound/outbound calls for customers for recalls on different products
Contacted providers for customers to have their product serviced or repaired
Data entry in computer system to update files
That’s Good HR-- Surgical Care Affiliates May 2015 to May 2015
Payment Clerk (Contract)
Answered incoming calls for patients wanting to pay on their facility bills
Verified if patients insurance was billed and/or check to see if there was a secondary insurance to bill
Took payments over the phone, worked with patients if they needed financial assistance
KForce Inc – IU Health March 2015 to April 2015
Customer Service Representative (Contract)
Answered phones
Verified patient’s demographics and insurance coverage.
Made adjustments if necessary on patient’s bill, took payments over the phone, adjusted medical bills when necessary.
Provided financial assistance, submitted bills to collection office and other customer service duties
Kelly Services --Renaissance Dental June 2014 – February 2015
Operations Specialist/Customer Service Representative (Contract)
Ensured dental claims payments were correctly matched
Adjusted claims when necessary
Indexed mail
Checked eligibility of members
Gave providers benefit information on members
CNO Financial Inc (formerly CONSECO, LLC) February 2006 – February 2014
Disability Claims Adjuster II
Worked daily from a queue and exceeded daily goals
Adjudicate claims for disability, heart and hospital claims
Utilized HCFA 1500 forms in billing out claims
Established proof of loss by studying the proof from outside sources such as and including claimant/policyholder, physician, employer, hospital and possibly other insurance companies
Worked with other adjusters and policyholders to return insurer back to work
Documented medical claims and completed forms and reports related to claim such as logs and records
Interpreted policy contracts, medical records and other medical documentation
Resolved claims by either denying or approving based on the documentation received
Long Term Care Claims Adjuster
Adjusted benefit payments on claims for home health care, assisted living and nursing home care
Comprehended and interpreted insurance contracts and policies, medical records and other medical documentation
Checked the certification on the policyholder’s policies to make sure they are still eligible for benefits
Liberty Mutual July 2000 – February 2006
Disability Claims Case Manager Associate
Processed short term disability claims under general supervision
Worked with nurses, doctors and employers to return employee back to work
Assessed claim details, determined appropriate claim liability, and issued benefit payments
Called employees, employers and doctor’s offices to get medical records and other information to process claims
Taught procedure on how to do payments for benefits on Liberty Mutual account
Technical Assistant
Processed medical bills and payments to vendors
Processed benefit payments for coordinated workers compensation claims
Opened and filed mail
Provided excellent customer service over the phone
Wrote office duty procedures for office assistants
Sr. Office Assistant
Opened and filed mail, including UPS orders
Purged files going to storage
Ordered office supplies
Provided excellent customer service over the phone
EDUCATION
Indiana Business College – Health Claims Examiner (continued studies)
Durham Nixon-Clay Business – Associates Degree in Accounting (school closed – records destroyed)
Team Leadership Certificate – CNO Financial
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