Center Representative Call

angiekuhl**@ANGELA gmail.com 330-***-**** KUHL Cuyahoga Falls, OH 44223

Dedicated employee known for punctuality, work ethic and willingness to go beyond the expected pursuing employment options where good customer service and positive attitude will make a difference. Job costs reports

General accounting

Accounting processes

Billing

Insurance verification

Customer service

Scheduling

Management

Microsoft excel

Call center telephone support

Cuyahoga Falls High School Cuyahoga Falls, OH 06/1996 High School Diploma

Financal Billing Auditor Liberty Healthshare - Canton, OH 07/2018 - Current Analyzed balance sheets for mistakes and inaccuracies. Researched and implemented best practices to improve audit results. Monitored new trends and technologies related to audit areas to implement modifications in processes and procedures.

Performed audits of operational and financial areas to check compliance. Presented audit results to management teams, delivering information in non-technical terms for easy understanding.

Cross-trained employees, enabling completion of all priority tasks during personnel absences. Audit medical bills from providers and members

Office Manager Premier Family Practice - Massillon, OH 09/2014 - 03/2016 Performed front desk duties, including answering phones, scheduling appointments, greeting patients and ordering supplies.

Oversaw patient registration, insurance verification, form completion and appointment scheduling to maintain operational efficiency.

Implemented inventory tracking system to maintain product accessibility and lower equipment cost. Tracked and managed inventory for exam rooms and maintained vaccine and expiration logs. Assisted back office patient processes to reduce customer wait time Completed and submitted clinical documentation in accordance with agency guidelines. Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.

Assisted with technical treatments and entered information within patient records and charts. Contacted pharmacies to submit and refill patients' prescriptions. Performed routine tests such as urine dip stick, vision and hearing tests. Objective

Skills

Education and Training

Experience

Handled scheduling and managed timely and effective allocation of resources and calendars. Supervised 5 legal assistants and offered assistance in to promote optimal productivity. Culled knowledge of federal and state-level mandates to assess compliance across areas of operation\. Coordinated travel arrangements, including booking hotel rooms, car rentals and airfare for staff traveling to domestic and international locations.

Mitigated regulatory risks by to keep program requirements in line with Administrative Office of Court's compliance standards.

Communicated with patients to resolve inquiries, schedule appointments and address billing questions. Trained 10 employees on best practices and protocol while managing teams to maintain optimal productivity.

Collections, Call Center, Insurance Ver, Medical Cardinal Health - Twinsburg, OH 05/2002 - 05/2014 Processed payments over phone and set up recurring drafts. Met demands of busy collections group by performing high volume of daily calls. Negotiated rates with customers and entered payments into accounting system. Conveyed current account information and obtained payments by using pre-scripted statements. Recorded and updated customer personal accounts with accurate contact information. Negotiated credit extensions to assist customers in paying overdue accounts. Reviewed accounts to determine payment plan compliance. Arranged for debt repayment and established repayment schedule based on customer finances. Received payment and posted to appropriate customer accounts. Located and monitored overdue accounts using billing system to begin collections process. Notified customers of delinquent accounts with attempt to collect outstanding amounts. Remained calm, stayed professional and provided exceptional service on all calls, even when interacting with difficult individuals.

Call Center Representative

Met or exceeded call speed, accuracy and volume benchmarks on consistent basis. Boosted productivity by maintaining strong call control and quickly working through scripts to address diverse problems.

Pursued opportunities to advance client relations skills and further enhance customer satisfaction in every interaction.

Resolved average of 100 plus inquiries per dayto consistently meet performance benchmarks, including speed, accuracy and volume.

Data entry, Scanning, Indexing

Compiled, sorted and verified digital data against source documents. Compiled, sorted and verified digital data against source documents. Transferred completed work to for review and approval. Maintained quality levels above prescribed minimums to support team productivity and efficiency. Executed data verification to ensure expedient error detection. Input client information into spreadsheets and company database to provide leaders with quick access to essential client data.

Communicated with coworkers regarding deadlines and project milestones. Medical Necessity Dept.

Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.

Conducted patient interviews to gather health history, vital signs and information about current medical issues.

Prepared, reviewed and submitted patient statements to determine factual accuracy. Collect Cms from doctors offices

Make calls to doctors offices

Call patients

Count log books

Insurance Verification

Updated all patient and insurance data regularly and carefully inputted changes into company's computer system.

Followed specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information.

Instructed clients on amounts covered under benefits plans in easy-to-understand terminology. Handled billing related activities focused on medical specialties. Signed payment approvals accepted claims.

Checked documentation for appropriate coding, catching errors and making revisions. Retained strong medical terminology understanding in effort to better comprehend procedures. Examined claims, records and procedures to grant approval of coverage. Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.

Delivered supplies to customer locations.

Worked closely with team members to deliver project requirements, develop solutions and meet deadlines. Medical Biller

Managed benefit contract pricing, processing, policies and procedures. Investigated denials and collaborated with internal team members and third-party representatives to identify solutions.

Assigned CPT procedure and evaluation and management (E&M) codes for services to assure appropriate billing and reimbursement.

Analyzed patients' encounter forms diagnosis codes to validate accuracy, completeness and specificity. Applied HIPAA Privacy and Security Regulations while handling patient information. Verified accuracy and integrity of motor vehicle and workers' compensation claims through careful research and analysis.

Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.

Performed with precision by entering data accurately and researching to resolve questions. Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.

Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.

Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.

Effectively coordinated all communications between patients, billing personnel and insurance carriers. Reviewed all claims for accurateness and appropriateness. Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules. Completed and submitted appeals.

Submitted claims to insurance companies.

Assessed billing statements for correct diagnostic codes and identified problems with coding. Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.

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