SHELLY A. OWEN

**** ****** **.

Sand Rock, AL *5983

CELL:

***/***-****

E-MAIL:

adp2vf@r.postjobfree.com

SKILLS: EDUCATION:

Microsoft Office proficient including Word and Excel

General administrative tasks, including account documentation

Payment processing and account posting

Medical billing & coding knowledge, CPT and ICD-9/10

Superior phone etiquette

Trained in De-escalation

Understating of medical cost mitigation through evidence-based cost management

East Florida State College

(Brevard Community College)

Associate in Arts, Melbourne FL

WORK EXPERIENCE:

Quality of Life Health Services

4055 HWY 9

Cedar Bluff, Al. 35959

April 29, 2021- Present

Patient Services Representative

Perform all office administrative tasks necessary for a successful patient experience.

Verify Insurance, benefits, and co-pay collection

Schedule Patient appointments

Patient check- in and check-out requirements

Copy, fax, email, correspondence

Effectively communicate with office Clinical Staff

Christian Care Ministry

4150 W. Eau Gallie Blvd

Melbourne, FL. 32935

800-***-****

November 12, 2018 –February 5, 2021

Billing Specialist

Collect and accurately process credit card payments and document, and scan, checks for deposit, complete check deposits, for Member’s Monthly Share

Verify and release assessed late fees, per request of Members

Assist in the account delinquency documentation and Member notification

Assist in the Member withdrawal and cancellation processes

Meets projected production needs

Provides world-class customer service

NohBo labs via Kelly Services (Temporary)

7805 Ellis RD.

West Melbourne, FL. 32904

321-***-****

September 17, 2018 – November 2, 2018

Production Assistant

Quality assurance of product, prior to shipping to retailer

Packaged product according to retailers requirements

Coded product containers in preparation of shipping to retailer

Evicore HealthCare, Inc.

1420 S. Babcock St., Melbourne, FL 32901; 321-***-****

August 2005 – September 2018

QUEST Team Coordinator-Physician Support Unit Specialist

Supervised intake representatives on escalated calls and trouble-shooting issues

Served as a Subject Matter Expert (SME) when researching health plan specifics

Handled inbound and outbound calls per health plan contractual obligations

Coordinated pre-decision consultations between internal medical directors and external physicians for appeal processes

Established point of contact for denied cases and advisement of appeals process with members and healthcare professionals

Eligibility Coordinator

Researched patient benefits and other health plan details for coverage of services

Data entry and case completion per internal and external contracts

Intake Coordinator

Maintained documentation and organization of insurance cases via telephone or web support

Served as support personnel in regards to inquiries from medical professionals and policy-holders

ABOUT ME:

Being in administrative support in the healthcare field, I have cultivated my skills and honed my expertise on insurance protocol and processes. My experience allowed me to become part of an integral circle of patient wellness via the health insurance aspect. With my dedication to service and “can do” attitude, I am seeking to be a valuable player on an administrative team who shares my vision of striving for excellence.

REFERENCES: Available upon request

Contact this candidate