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Service Representative Customer

Location:
Bay Shore, NY
Posted:
December 24, 2022

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Resume:

Cynthia Aldrich *** connetquot ave

East islip, ny 11730

631-***-****

adt8jt@r.postjobfree.com

Talented Team Leader experienced and dedicated to enhancing employee satisfaction and business success. Hardworking team player bringing necessary experience and knowledge to tackle any operational demand. Experienced Customer Service Representative bringing skills in oral and written communication, active listening and analytical problem-solving skills.

Skills:

● EMR experience ( EPIC )

● Excellent verbal and auditory skills

● HIPPA compliance certificates

● Microsoft Excel

● EPIC learning certificate of completion

● Excel spreadsheet

EXPERIENCE- Catholic Health Services

Melville, NY 11743

04/2009-12/2021

EDI Team Lead 05/2011-12/2021

● Responsible to review all assigned third party claims, ensure that responsible payers are billed and remit payment in a timely manner, and to document claims status and actions appropriately in the patient account system

● Identifies, monitors and communicates complex claim issues, clean claim rates, and rejection to leadership

● Recommends and assists with developing process improvements and solution to improve billing compliance, e ciency, and financial performance

● Directed daily work and monthly job reviews

● Collaborates with internal department and IT for issues, resolution and operational e ciency

● Prepared weekly and monthly reports of unbilled accounts, held claims

● Coached team in techniques necessary to complete job tasks.

● Evaluated employee skills and knowledge regularly, training and mentoring individuals with lagging skill

● Prepared detailed reports on updated to project specifications, progress

● Minimized resource and time losses by addressing employee or vendor issues directly and implementing timely solutions

● Slashed numbers of aging unpaid claims by 30%

● Improved employee satisfaction

● Improved processes for cleaner claim rates

SKILLS

Microsoft o ce

EMR experience ( epic )

Excellent verbal and auditory

skills

HIPPA compliance certificates

EPIC -Learning Certificate of

completion

Interim Supervisor, Outpatient follow up 04/2009-05/2011 Catholic Health Services/Melville NY

● Review all assigned accounts requiring action.

● Responsible for timely filing guidelines, review rejections of non payment, Responsible for all daily reconciliation of all unpaid

/unanswered claims.

● Responsible for meeting and/or exceeding productivity and quality standards. Collaborates with internal

departments,external vendors.

● Delegated tasks to support sta to organize and improve o ce e ciency

● Resolved issues through active listening and open-ended questioning escalating major problems to leadership

● Developed and implemented o ce management procedures to increasing training team productivity and accuracy

● Achieved specific team objectives and collection activity

● Coordinated individual duties after careful evaluation of each employee’s skill level and knowledge.

Customer Service Representative /Follow up 03/2004-04/2009 Catholic Health Services/Melville NY

● Consult with outside parties to resolve discrepancies and create solutions for payment

● Initiated phone calls and website inquires

● Communicate professionally with colleagues, vendors and clients

● Promptly responded to inquiries and request from all payers/vendors

● Sought ways to improve processes and services provided

● Enhanced productivity levels by outstanding follow up skills to resolve and complete billing issues

● Record actions taken, issues resolved and billing information to e ectively manage aging accounts

Remote work for the last two years.

EDUCATION

Brentwood High School



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