Data Entry Customer Service

Resume of Shirley Fossett

SKILLS

Medical Terminology High Volume Customer Service Billing Inbound Calls Insurance Verification Patient Information Patient Accounts Data Entry Benefits Collections AP/AR

Over 10 years of medical administrative experience including billing and collection

Team first mentality

Experience in multiple high volume, fast paced job environments

Experience working with COVID-19 related information

Great personality, I have really enjoyed interacting with her, very responsive and outgoing

A previous Manager said, “Anyone would be lucky to work with Shirley, she is a hard worker, goes out of her way for others, and always gets the job done.”

PROFESSIONAL EXPERIENCE

Cian Diagnostics, Specimen Processor November 2020 to January 2021 (Contract)

Received COVID-19 samples and input patient information regarding the samples

Entered data regarding patient information into system before sending off to lab

Packed kits of COVID-19 testing kits to be sent out

Worked at high volume as samples were continuous

Tropical Smoothie Café, Customer Service November 2015 to January 2018 (Retired)

Worked with customers to provide exceptional service

Worked in a fast-paced team setting

Helped supervisor newer employees

Displayed positive working attitude

Financial Health Strategies, Patient Service December 2012 to August 2013 (Health Reasons)

•Walked patients through questions via telephone or email

•Handled inbound calls at a high volume

•Handled questions regarding any billing issues

•Reviewed accounts for collections and created reports

Aetna/Abeo, Accounting Specialist August 2011 to December 2012 (Left for FHS)

Handled four (4) primary clients

Reviewed accounts for collections, search for other insurance via hospital websites and small client insurance

Received and made phone calls for billing and setup budget plans

Took credit card payment

Sent out billing statements

Did follow-up with insurance or member on claims and payments

Did verbal and written appeals to get authorization for processing of claims

Updated members information and rebilled insurances as needed

Requested medical records

Did weekly reports for all four clients

Special projects as assigned

Preferred Health Care, Patient Service December 2007 to August 2011 (Closed)

Serviced 10 different clients, their members, doctor offices, laboratories, radiology, brokers, or any other parties via telephone, written communication or face to face, concerning processing of claims or contracts

Received or made approximately 65 calls per day

Wrote overpayment letters, did claims tracers, interpreted contracts and benefits

Helped supervised 15 customer service representatives

Did all above in addition to interpreting policies and contracts

Working knowledge of diagnosis and cpt codes, to determine, if claims paid correctly

Took approximately 20 escalated calls, per day, concerning problems with claims, interpretation of contracts and benefits

Sertoma Off the Street Basketball League 2000 to Present

Administrative/HR support functions, budgeting, maintained policies and procedures for 26 teams and 250/300 children of Frederick County and surrounding areas

Typed memoranda, letters, reports, forms (for usage of school and Frederick county buildings)

Maintained personnel files, did requested for equipment and supplies, billing, maintained logs for all 26 teams, track scores, points and referee performance for 152 hours during the season

Training schedules, setting up of meetings, phone communication, filing and doing reports for 15 years

Then recruited qualified personnel for the positions of secretary, treasurer, marketing, fundraising, and coaching staff

EDUCATION

HS Diploma

Frederick High School

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