203-***-**** Email: email@example.com
OBJECTIVE: To pursue employment with a progressive organization in Credit & Collections, Finance or related capacity offering challenge and growth potential, utilizing background and career motivation.
BTX GLOBAL LOGISTICS Shelton, CT April 2015 – November 2019 Credit & Collections Specialist
Responsible for all Credit & Collection functions on assigned portfolio of approx. $25 Million, including Client companies such as Estee Lauder, Clinique & Nordstrom.
Consistently achieve 93 % current rating while working to resolve delinquent accounts.
Heavy interaction with BTX Station owners & staff, sales personnel, as well as Corporate Office personnel to resolve pricing/billing issues, write-offs, payment discrepancies & customer issues.
Direct financial reporting to Credit & Collection Manager, as well as recommendation of Credit Holds, repayment plans, and other action plans to resolve delinquent client accounts.
Set up new customers in BTX system, including initial Credit Limits, securing key documents such as BTX Credit Application, Terms & Conditions, etc.
Review Cash Receipts & Wire Transfers daily; document pertinent information in Client’s records.
Complete Vendor Forms, submit BTX’s W-9 and any other information required by Client companies in order to set BTX up in their Accounts Payable system. UNITED HEALTH CARE Trumbull, CT April 2011 – June 2014
(Position eliminated; outsourced to India)
Senior Provider Data Specialist November 2012-June 2014
Promoted to this role from the COB Claims Analyst position detailed below.
Inputted Healthcare Provider database information, performed maintenance, reporting and analysis.
Developed and maintained standards to ensure database accuracy, integrity and quality.
Coordinated corrective activities to clean database and retain users.
Managed communication processes with other departments regarding database improvement.
Responsible for the resolution of coding errors, billing discrepancies, etc. Coordination of Benefits (COB) Claims Analyst April 2011 –November 2012
Initiated telephone calls to Membership, providers, groups and other insurance companies to gather Coordination of Benefits data.
Reviewed claims for recovery/reprocessing due hierarchy of benefits (ie. Primary vs. Secondary).
Updated Member's eligibility information according to COB guidelines.
Kept informed of new policies and procedures regarding COB rules and regulations.
Educated Members & Insured Parties on COB rules and regulations. HEALTH NET Shelton, CT May 2008 – November 2010
(Company relocated to California)
Accounts Receivable Representative
Responsible for Accounts Receivable functions on assigned portfolio of approx. $2 – 3 Million.
Consistently achieved reconciliation to 90% on 200+ small group accounts on a monthly basis.
Provided Customer Service on a wide variety of potential inquires & topics.
Answered billing questions, handled & resolved member discrepancies, coding issues, etc.
Heavy phone volume with Client Companies; Managed group issues. GREGORY & HOWE / DR. SUSKI Shelton, CT April 1996 – May 2008 Medical Review Officer Assistant
Responsible for reporting and follow-up of drug test results.
Reviewed and kept informed on various drug testing policies, including strict enforcement of Department of Transportation criteria and guidelines.
Entered drug test results and other confidential client information into computer system.
Interacted closely with doctors and clients.
Maintained records and files containing clients’ personal information. WEBSTER BANK (Shelton Savings Bank) Shelton, CT March 1993 – April 1996 Bank Teller
Interacted with customers, in-person and on the phone.
Responsible for the selling and redemption of savings bonds and selling traveler’s checks.
Maintained and updated customer account information.
Assisted customers with closing checking and savings accounts. GREAT COUNTRY BANK Shelton, CT January 1992 – March 1993 Bank Teller
Heavy interaction with customers on the phone and in-person.
Responsible for opening and closing savings/checking accounts, IRAs and CDs.
Sold and redeemed savings bonds and sold traveler’s checks.
Maintained and updated customers’ confidential account information. EDUCATION
St. Vincent’s College, Health Care Reimbursement Specialist Stone Academy, Accounting Certificate
REFERENCES - Will provide upon request.