Customer Service Prior Authorization
Resume:
BLENDA BROOKS
CONTACT
*.******@*****.***
Oak Brook, IL 60523
CAREER OBJECTIVE
Committed to providing the highest quality service and creating a positive customer and provider experience. Detail-oriented professional with interpersonal and creative thinking skills. Proven ability to remain calm and professional in high-stress situations while being able to quickly and effectively resolve customer complaints. Possesses exceptional communication, organizational and multitasking skills.
EXPERIENCE
January 2024 - July 2024
Client Account and Collection Representative
Robert Half
Printed and reviewed invoices to be sent to clients
Pursued collections of overdue balances of clients accounts via
phone and letters
Monitored clients on credit hold accounts
Resolved client issues/complaint in a professional manner
Established reasonable payment plans
Prepared list of accounts for referral to outside collection agency
Telephoned doctor’s office for required information as needed
Communicated with practitioner’s office regarding declined credit cards
Answered incoming calls from clients regarding bills
Investigated any billing discrepancies
Processed credit card payments
Investigated validity of refunds
March 2023 - July 2023
Customer Service Specialist
IKS Health, Burr Ridge, IL
Received 150 to 200 inbound and outbound calls daily and provided resolution
Managed 50 tasked accounts daily regarding patient complaints
Communicated and collected outstanding balances
Initiated acceptable payment agreements and pursued past due payment arrangements
Completed accurate and precise documentation on all accounts
within appropriate systems
Provided daily productivity to supervisor/manager regarding open and resolved accounts
Collaborated with management ways to improve processes and procedures
July 2022 - November 2022
Authorization Specialist
Astor Carter, Elmhurst, IL
Reached out to insurance carriers to obtain prior authorization for DME Equipment
Input all patient data regarding claims and prior authorizations into system accurately
Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel
Tracked referral submission during facilitation of prior authorization issuance
Inputted all gathered information and researched data on applicants into computer system using Bright Tree
July 2019 - June 2020
Medical Account Receivable Specialist
Senior Well, Buffalo Grove, IL
Processed billing calls and answered questions from patients and third-party carriers
Completed and processed claims for multiple payer
Assisted in reconciling deposit and patient collections.
Handled account payments and provided information regarding outstanding balances.
Executed billing tasks and recorded information in company databases
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification
October 2017 - May 2019
Medical Billing Specialist
RevMD Partners LLC, Westmont, IL
Examined patients insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy
Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
Prepared billing correspondence and maintained database to organize billing information
November 2014 - October 2017
Fire Billing Specialist
Superior Ambulance Service, Elmhurst, IL
Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts
Responded to customer concerns and questions on daily basis
Generated accounts payable reports for management review to aid in financial and business decision making
Utilized talents and expertise to complete on-time and accurate monthly closing processes, journal entries and accruals
Monitored outstanding invoices and performed collections duties
Generated financial statements and reports detailing accounts receivable status
EDUCATION
High School Diploma
South Shore High School
.
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