GLORIA CLARK

267-***-**** adxjsh@r.postjobfree.com

SUMMARY

Extensively experienced professional with proven competency in account remittance, reconciliation, billing, collections, and customer service. Proficient and knowledgeable in financial and healthcare industries. Good analytical and critical thinking skills. Organized and efficient, with strong written and verbal communication skills and the ability to comprehensively approach projects and assignments with a focus on achieving results for a company.

SUMMARY OF QUALIFICATIONS

Customer Service

Data Entry

Third-party billing (Medical as well)

Project Management

Strong written and verbal communication skills

Microsoft Office Suite and Social Media Platforms

RMT Systems,

Avaya Prone System,

SRS, Navient,

Macess,

Facets.

Cotiviti

Echo,

Internet.

10-key Adding Machine,

bank reconciliation,

typing, Virtual Platforms: Zoom, Microsoft TEAMS,

Oracle,

ICD-9 &-10 coding along with CPT codes

Collections Representative

Remittance Processing

Demonstrate analytical, problem-solving, and organizational skills. Elevated level of people skills, including the ability to respond calmly and make rational decisions in stressful situations.

EXPERIENCE

Account Resolution Representative

Arcadia Recovery Bureau

March 27, 2023 – May 1st, 2023

The Account Resolution Representative represents the company in all communications with patients. This position is responsible for ensuring all discretionary collection activities comply with the company’s compliance management system, policies/procedures, and are conducted in the best interest of our client, Annuity Health, and the patient. This position is also responsible for achieving all assigned revenue, production, performance, and compliance benchmarks.

JOB DUTIES & RESPONSIBILITIES:

Maintain a professional tone and respectful demeanor during all patient or authorized party communications by always delivering exceptional “patient focused-patient service.”

Strictly adhere to the Company’s Compliance guidelines and expectations, to include Local, State, and Federal requirements.

Comply with the Company’s call structure expectations including but not limited to, proper collection steps and techniques.

Achieve all assigned goals.

Properly identify individual account situations and provide appropriate resolution.

Correctly status accounts and update applicable windows/fields within those accounts for potential follow-up.

Supply relevant information by accurately utilizing all available tools/resources to assist in account resolution.

Keep route maintenance backlog at an acceptable level.

Recognize pressing issues and escalate to management as they occur.

Work well with team members/management and not contribute to unproductive group conflict or negativity.

Represent the Company in a positive manner through professional conduct, attitude, and appearance.

Follow Company confidentiality and security policies and procedures.

Understand and follow company policies and procedures.

Other duties as assigned.

JOB QUALIFICATIONS:

Earlier collection experience preferred.

Excellent Communication Skills required.

Basic Computer Skills needed.

Customer Service Skills.

Conflict Resolution Skills.

High diligence.

AmeriHealth caritas

Provider Claims Representative

Mindlance Temp Agency I-October 18th, 2021—February 24,2022

Interact with Medical Providers to manage complaints, claim status, members benefits, and eligibility.

Advise Providers on remittance information, received date, paid date, and claim paid amount

Authorizations inquires to see if a patient’s medical procedure, is needed an authorization before the procedure is performed

Communicate regularly with doctors, patients, and insurance companies investigating discrepancies in coverage. Responsible for inputting incredibly detailed information on the patient using a variety of computer screens. Such as Facets, Macess, Jiva, Echo, and Cotiviti.

This is a heavy call center position and accuracy is especially important.

DLL Financial Solutions Partner, Wayne, PA

Remittance Process Administrator March 12, 2009 – December 13, 2020

Processed up to $300K plus per day to client accounts. Applied cash receipts from the lock box of PNC bank to all lease customers and partners. Conducted one hundred calls per day to reconcile customer accounts. Ensured accounts were called as scheduled and quotas were met. Applied credit card payments to accounts, processed money wires. Reviewed and ended accounts. Interacted daily with business finance partners and customers to secure more information relating to applications. Participated in the implementation and design of the department's database tracking system resulting in developing a more efficient process for analyzing leases, tracking status of leases re-quotes, refunds, and terminations of client accounts. Maximized communication efforts to ensure customer satisfaction. Maintained correct and complete documentation of all billing activity. and reconciliations of account ledgers.

Burris Logistics T/A Honor Foods, Philadelphia

Accounts Receivable Clerk 2008-2009

Engaged correct mathematical skills to ensure the ability in calculating, reconciling, and balancing large sums of cash, checks, and a high volume of invoices/receipts. Carefully reviewed invoices and statements to ensure that all the information appearing in them is correct and complete. Posted details of transactions, total accounts, and compute interest charges into accounts and on computer/database. Ensured the completeness and accuracy of data on accounts, and coded accounts according to company requirements. Prepared bank deposits by compiling data from accountants and cashiers. Verified and balanced receipts. Sent cash, checks, and wires to the bank for deposit. Monitored accounts to ensure that payments are up to date. Contacted food companies to discuss accounts and payment status. Created spreadsheets using database systems. Managed collections on overdue accounts.

NovaCare/Select Medical Corporation, Mechanicsburg, PA

Accounts Receivable Representative - Central Billings 2001-2008

Managed the financial billing operations of four NovaCare Rehabilitation Centers in the Philadelphia region. Produced financial statements and prepared financial reports /summaries for supervisors and managers of patient information. Reviewed invoices and statements to ensure the accuracy of information obtained. Maintained profit and loss sheets of each center. Post transactions in journals and on computer files and update the files when needed. Reviewed computer printouts against regularly supported journals to balance spreadsheets and make necessary corrections. Calculated accounts payable and receivable receipts. Evaluated the patient's financial status and established payment plan.

ADDITIONAL EXPERIENCE

Robert Half International, Philadelphia, PA

Billing and Collections Representative 1995 - 2008

Temple University Cancer Center, Philadelphia, PA

Accounts Receivable Associate 1992 – 1995

Lankenau Hospital, Philadelphia, PA

Medical Billing and Collections Representative 1989 - 1992

Goldberg & Silverman Law Firm, Wynnewood, PA

Collections Specialist - Bankruptcy 1988 - 1989

EDUCATION

Community College of Philadelphia

Business Administrative and Accounting, Received Certificate of Completion, 1987

Roxborough High School, Philadelphia, PA

Received Diploma, 1974

REFERENCES

Available upon request

Contact this candidate