Customer Service Insurance Verification
Resume:
Sonya Carroll
Lufkin, Texas *5904
***************@*****.***
OBJECTIVE
To secure a challenging position with an established company that will allow me to utilize and apply my abilities and experiences in healthcare.
PROFILE
Dedicated healthcare professional with more than 20 years of experience in the medical field. Excel in customer service, verbal and written communication, 10 years insurance verification and collection follow up experience. Familiar with CPT and ICD10 codes. Organized, with the ability to multi task, prioritize and complete task in a timely manner.
KEY SKILLS
-Highly motivated with strong analytical -Experience with Medicare, Medicaid,
And research skills commercial and PPO payers
-Policy interpretation -Utilization of Excel Spreadsheets
-Insurance verification -Ability to interact with other departments
-Pre-certification and Authorization -Adherent to HIPAA
-Claim status, follow-up and appeals -Committed to Patient information Privacy
EXPERIENCE
Dr. Carlton Lewis March 2011-Present
Referral and Scheduling Associate
Close collaboration with the doctor and other office staff. Issue patient referrals to visit specialists based on their healthcare needs as directed by the doctor. Interpretation of chart notations, schedule appointments, answer incoming calls and service the patient needs in a professional and cordial manner. Experienced using all office equipment to successfully execute task. Interact with insurance companies as needed.
Woodland Heights Medical Center
Accounts Receivable Collector September 2007- March 2011
Responsible for maintaining claim status, notating accounts, in a timely manner. Experience handling insurance companies stall tactics regarding claim appeals. Work various reports, spreadsheets and work closely with management to ensure all facet of, or problems with my AR were known.
PERSONAL TRAIT & STRENGTHS
Punctual Detail Oriented
Quick Leaner Critical Thinker/Problem Solver
Organized Ability to work individually or in a group environment
COMPUTER PROGRAMS/OFFICE EQUIPMENT
Meditech Medifax
HCA Patient Accounting HCA Collections
HMS (Green Screen) Windows
Excel Outlook
Microsoft Word PowerPoint
TMHP/TexMedConnect Fax
Scanner/Copier 10 Key
EDUCATION
Graduate – Lufkin High School
References Furnished Upon Request
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