Customer Service Patient Coordinator

Simonia Craten

Houston, TX *****

Email: *************@*****.***

Phone: 469-***-****

Work Experience:

Medical A/R Patient Coordinator

Health Help- Houston, TX

February 2019- Present

• Manage a high volume of incoming calls, addressing inquiries and directing them to the appropriate

departments for efficient resolution.

• Collect payments from patients, ensuring accurate processing and recording of transactions.

• Verify patient coverage eligibility and insurance details to provide accurate information and

services.

• Call insurance companies about claims, seeking clarification or additional information for

processing.

• Collect outstanding balances from patients or insurance companies, following up to ensure timely

payments.

• Research potential fraudulent insurance claims, communicating with insurance companies to

investigate and resolve issues.

• Post payments to patient accounts, ensuring accurate recording and reconciliation.

• Update fee schedules to reflect current rates and align with billing guidelines and regulations.

• Create and submit claims to insurance companies, including all necessary information for prompt

processing.

• Handle complaints by providing solutions and alternatives within time limits and follow up to ensure

resolution.

• Keep records of interactions, process accounts, and file documents systematically for accuracy and

accessibility.

• Follow up on communications to address issues and resolve customer inquiries promptly.

• Verify insurance information to ensure accuracy before processing claims or providing services.

• Process insurance claims, including Medicare and Medicaid, for all fifty states, adhering to

regulations.

• Fax documents to relevant parties as needed, ensuring prompt and accurate communication.

• Schedule appointments efficiently, coordinating with patients and service providers for timely

arrangements.

Customer Service Representative

Spectrum - Irving, TX

January 2016 to February 2019

• Handle inbound residential calls. Resolving any billing issues and answering any questions pertaining

to account such as rate increases, Incorrect charges, and seasonal suspend requests.

• Helped customers save money by reducing and or removing al la carte services.

• Received recognition with Spark points and "level up" for exceeding the call centers metric

requirements.

• Assist with troubleshooting equipment over the phone to resolve technical issues with cable, internet,

and home phone.

• Provided assistance with scheduling trouble call appointments for service issues and or installation of

new services and or equipment.

Education:

High School Diploma in required

Lake Providence High - Lake Providence, LA

2001 to 2004

Skills:

Skills

• Customer Service

• Customer Care

• CSR

• Call Center

• Billing (1 year)

• Data Entry

• Microsoft Excel

• Microsoft Powerpoint

• Microsoft Office

• Data Management

• SharePoint

• Metadata

• Front Desk

• Medical Billing

• Dental Receptionist

• Document Management

• Medical Office Experience

• Insurance Verification

• Epic

• Customer support

• Oracle

• Typing

• Data collection

• Salesforce

• Process mapping

• Visio

• Microsoft Access

• Live chat

• Customer service

• Front desk

• Data collection

• SharePoint

• Research

• Document management

• Live chat

• Typing

• HIPAA

• Epic

• Windows

• Metadata

• Microsoft Access

• Accounting

• Oracle

• EDI

• Data analysis skills

• Analysis skills

Contact this candidate