Phone Representative Customer Service

Chemia N. Foster

**** ******** ***** ***** · Kay, Texas · 77449

314-***-**** · *******@*****.***

Results-driven customer service professional with more than 10 years of experience and a proven ability to self-direct, provide team leadership, assists with department improvement and quality initiatives, known for contributing to the efficiency and profitability of the organization.

PROFESSIONAL EXPERIENCES

BJC Healthcare, St. Louis, Missouri October 2019-Present

Patient Account Rep.

Completes accounts receivable insurance collections and follow-up on claims to expedite payment from assigned insurance companies.

Contacts insurance companies regarding claims, updates account information, and completes basic administrative tasks on accounts.

Completes necessary follow-up tasks in a timely manner while maintaining departmental quality and productivity standards.

Confirms patient benefits with insurance carrier and re-files insurance claims as necessary to ensure timely and accurate payment.

Mercy Medical Group, St. Louis, Missouri

Account Coordinator 2 August 2018 – June 2020

Account Coordinator 1 April 2014 – August 2018

Self-directed professional working remotely from home office using a business landline, high-speed Internet, and top-of-the-line computer equipment.

Responsible for the management and coordination of my day-to-day activities.

Trained and guided new team members to achieve weekly, monthly and annual goals.

Acted as a liaison between the company and the payors helping to establish long-term partnerships.

Successfully managed a high volume of patient accounts with great accuracy

Consistently achieved and exceeded department production and quality standards.

Researched and determined the status of medical claims, handled cash postings and credit resolutions, resolved medical claims that had been processed incorrectly.

Researched revenue cycle procedures and processes to help improve department processes.

Patient Account Specialist January 2013 - April 2014

Managed incoming and outbound calls in a timely and efficient manner.

Reviewed and researched credits and balances on monthly aging accounts for accuracy.

Administered check and credit card payments through trust Commerce, responsible for posting of account payments and adjustments.

Reconciled accounts, researched discrepancies, and ensured accurate account balances, closing and sending out statements as proof of reconciliation, researched patients accounts, for claim errors, negotiated settlement payments on past due accounts.

United Health Care, St. Louis, Missouri

Provider Phone Representative March 2010 – January 2012

Managed inbound provider service calls.

Educated and guided providers on patient benefits.

Responsible for providing the status of claims that had been filed to the company, researched provider issues with recently submitted claims, clarified health insurance coverage for coordination of benefits to process claims.

Consistently achieved and exceeded company established performance quotas and goals.

Reviewed charges accessed the computer system and used payment or denial codes within established department guidelines and standards.

EDUCATION

1998-2001 Charles S. Sumner High School - Diploma St. Louis, Missouri

2001-2003 Harris Stowe State University St. Louis, Missouri

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