Human Resources Medical Insurance

Charlene Lowry 832-***-**** // **********@*****.***

OBJECTIVE

To commit my strong work ethic, sharp attention to detail, loyalty, sound leadership and decision making capabilities to further the goals and objectives of a dynamic organization while serving in a responsible and challenging position. RELEVANT SKILLS

Work from home/call center experience

Excellent verbal/written/interpersonal communication skills Detailed oriented multi-tasker

Type 45 wpm - 10 key touch/sight

Team leader/player and first call resolution specialist De-escalation of stressful situations

Medical front/back office skills/medical terminology Microsoft Office skills/CRM/ASTracker 4000/LiveOps/Epic/Patient Plus HIPPA Compliant/Medicare/Medicaid/Private Insurance/MedConnect/Avaya WORK EXPERIENCE

MMC Group//AmeriSourceBergen // Medical Insurance Verification (09/2023 - 02/2024) Input patient’s initial demographics via Patient Plus.Verified medical insurance via phone,MedConnect and IVR Systems.Faxed eligibility and benefits documents to the patient’s Doctor’s office in a timely manner. Spectraforce/AmeriSourceBergen // Medical Insurance Verification (11/2022 - 02/2023) Verified medical insurance via phone,MedConnect and IVR Systems.Faxed eligibility and benefits documents to patient’s Doctor’s office in a timely manner to show patient’s medical coverage for their scheduled appointments. Greenberg, Grant & Richards // Commercial Collections Specialist (05/2022 - 09/2022) Handled inbound/outbound calls and resolved complex financial issues. Negotiated/collected/posted payment arrangements on B2B accounts.

Care XM // Patient Care Advocate (10/2021 - 01/2022) Triaged patients/determined status of call. Checked eligibility/benefits verification for treatments, hospitalizations, and procedures. Obtained referrals and pre-auths as required for procedures // Followed up on claims. Reviewed EOBs and initiated appeals as necessary.

Sutherland Global (Lending Club) // CSR (05/2019 - 06/2020) Handled inbound/outbound calls and resolved complex financial issues. Negotiated/collected/posted payment arrangements on consumer loans.

Iqor (The Home Depot) // CSR/Service Advisor (02/2017 - 04/2018) Outbound calls to consumers for review of satisfaction with services rendered. Insured claims were processed in a timely manner. Receipt/dissemination of complaints from consumers. The Brachfeld Law Group // Arbitrator/Collections Specialist (12/2007– 05/2017) Handled Medical, Legal, Commercial and Retail Accounts. Investigated, reviewed and validated delinquent debts/Skip-traced. Followed up on EOBs and ensured follow up with insurance companies for claims resolution. EDUCATION

University of Arizona Global Campus - Business Administration (current) Academy of Healthcare Professionals - Medical Billing/Coding Certificate 1997 Texas Southern University - Business Administration 1988 Willowridge High School - Diploma 1988

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