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Service Representative Insurance Specialist

Location:
Derby, KS
Posted:
February 27, 2023

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Resume:

Barbara Milligan

A highly talented Medical biller.

Derby, KS 67037

advlrr@r.postjobfree.com

+1-316-***-****

A highly talented Medical Biller with experience in Billing and provider follow-up. I am looking for a work at home career with a reputable company..

Authorized to work in the US for any employer

Work Experience

Provider Support Specialist

Liveops

October 2020 to Present

• Answer any question’s a patient may have regarding their prescription and or account concerns

• Guide patients in a step by step manner to complete their cancer screening test

• Ensure strict HIPAA guidelines

• Contact providers with abnormal testing results

• Perform miscellaneous job-related duties as assigned Customer Service Representative

NexRep

2019 to 2020

• Assist customers in returning orders and return label issues on a multi-line phone system

• Transfer calls to the appropriate department when needed

• Look up orders to determine delivery time frame

• Interact and assist co-workers via slack with account questions

• Attend team meetings to discuss possible improvements for campaign

• Process incoming emails and respond accordingly to emails within my scope

• Provided assistance to clients

• Answered phone and assisted customers with changes

• Maintained up-to-date knowledge of customer accounts

• Explained products and benefits

• Resolved payment and order disputes

Billing Specialist

Rose Hill Chiropractic Clinic - Rose Hill, KS

2009 to 2013

Maintain insurance records of processed claims and payments for reconciliation.

• Reconcile and deposit daily patient and insurance payments.

• Sort, copy, prepare, assemble and file records, payments and claims.

• Maintain disk and disk back-up system; order supplies and report equipment operational problems.

• Post payments received from insurance companies.

• Prepare accounts for a collection agency.

• Answer multi-line phones and assist with questions patients have on their accounts.

• Assist with patient chiropractic care with ultra-sounds and the tens-unit.

• Ensure strict confidentiality of financial records.

• Process paper claims and electronic work queues, including complex HCFA 1500 and UB92.

• Interpret and process adjustments and review basic pended claims to determine the appropriateness of the claim status and takes necessary action based on status.

• Examine information including authorizations, payments, denials, coordination of benefits, eligibility and resolve outstanding issues

• Perform other duties as required

Insurance Specialist

Via Christi Regional Medical Center - Wichita, KS

1999 to 2009

• Lead and guide employees performing related work; training process of new Insurance Specialists.

• Oversee daily activities of the refund department to optimize productivity and quality of work.

• Verify accuracy of patient information such as name and identification number; verify accuracy of daily deposit.

• Respond to inquiries for release of medical information, ensuring that legal requirements are followed and proper consent has been obtained.

• Maintain logs of insurance payments to insure proper processing.

• Follow established departmental policies, procedures, and objectives, continuous quality improvement objectives.

• Sort, copy, prepare, assemble, and file records, payments and claims.

• Ensuring strict confidentiality of financial records.

• Perform miscellaneous job-related duties as assigned.

• Answer multi-line patient phones to assist patients with account questions. Education

Certificate in Medical Transcription

Cowley Community College

2011

Associates in Business Administration

Butler County Community College

Skills

• Office experience

• Customer service

• Computer skills

• Typing

• Computer literacy

• Front desk

• Organizational skills

• Time management

• HIPAA

• Medical terminology

• Word processing

• Insurance verification

• Multi-line phone systems

• Medical office experience

• Medical billing

Certifications and Licenses

Medical Transcription Certificate

Additional Information

• More than 15 years experience in Medical Field.

• Great typing skills

• Deep knowledge of medical terminology, anatomy and physiology, and the various medical specialties as required in areas of responsibility.

• Excellent communication skills (both verbal and written) necessary to perform the essential functions of the position (including but not limited to English usage, grammar, punctuation, and sentence structure).

• Ability to work and communicate in a positive and cooperative manner with management and supervisory staff, medical staff, co-workers and other healthcare personnel as well as patients and their families when providing information and services, seeking assistance and clarification in resolving problems.

• Ability to understand diverse accents and dialects and varying dictation styles.

• Knowledge of medical guidelines and practices and ability to use designated reference materials.

• Strong ability to operate designated word processing (e.g., PC, word processing and other software), dictation, transcription equipment, and other equipment as specified for the department's needs.

• Excellent eye, hand, and auditory coordination necessary to perform the essential functions of the position.



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