Customer Service Data Entry

BARBARA HESSE

*** *** ******, *******, ** ***** 920-***-**** ********@*****.***

Objective

To obtain a challenging position that will allow me to use my skills and effectively apply my knowledge and experience.

Professional Summary

Opioid Treatment Program (OTP) Tribal FQHC billing with over 2 years of experience in all insurance types. Payment posting, credit and debit transactions, balancing and problem solving. Medical billing with 25 years of experience in a hospital facility with inpatient and outpatient services. Financial Counselor with 2 years of customer service helping patients with benefits and assistance. Skills

Specialist in insurance billing and insurance collection In depth knowledge of insurance benefits

Specialist with commercial and government insurance Thorough understanding of coding guidelines

Resourceful and reliable worker

Excellent verbal communication skills

Confident and positive patient communications

Work History

OTP Tribal FQHC Insurance Billing and Training, Billing Specialist - 03/2021 to present Indigenous Pact (IP) – Green Bay WI

Research and verify patient eligibility

Prepare billing for insurance and government insurance Complete denial and follow up with insurance

Created and complete appeal/dispute letters to insurance Post and adjust payments from insurance

Work various reports to include credits on accounts for insurance or patients Review and update patient balances through ledger posting Train new employee on all aspects of billing through payment in full on accounts Up to date on new and upcoming skills needed to train new and current employees Commercial, Government and Renal Medical Insurance Billing, Billing Specialist - 09/1996 to 03/2021 St. Vincent Hospital – Green Bay, WI

Treated all patients, families, visitors, peers, staff, and providers in a pleasant and courteous manner Maintained strict HIPPA and patient confidentiality guidelines Verified patients' eligibility and claims status with commercial and government insurance agencies Researched questions and concerns from patients and provided detailed responses Prepared billing correspondence and maintained database to organize billing information Performed billing and coding procedures for emergency room, inpatient and outpatient services Submitted electronic/paper claims documentation for timely filing Identified and resolved patient billing and payment issues Diligently filed and followed up on third party claims Confidently and adeptly handled claim denials and/or billing issues Compiled and tracked outstanding balances owed by insurance and patients to the medical facility Education

Associate Degree: HealthCare Business Services - 1996, Northeast Wisconsin Technical College - Green Bay, WI

Additional Information

I value my strong work ethic and strive to be the best that I can be both personally and professionally. I believe that every outcome should be a positive experience.