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Customer Service Third Party

Location:
Mesquite, TX
Posted:
August 28, 2023

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Resume:

Cynthia Coleman

************@*****.***

Telephone: 469-***-****

CAREER OBJECTIVE

To obtain a position that will allow me to utilize my professional experience, education, and training in a progressive company.

PROFESSIONAL PROFILE

34 years of progressive patient billing, collections and customer services for hospital and physicians

15 years of direct supervisory experience- in Purchasing

Excellent interpersonal skills

Diversified background in Third Party Liability, Customer Service

Proficient with management functions requiring training, supervision,

6 years Siemens- Patient Financial Services –Hospital Customer service and Third party Liability

3 years of direct EPIC Single Billing Office

Self-motivated: Effectively priorities to achieve department goals and meet deadlines

Excellent organizational, planning and coordination skills

Computer Skills – Microsoft Office Suite: Word, Excel, Power Point, Outlook, EPIC. EDUCATION

Leonard’s Adjusting School: Dallas, Texas/ 02 Adjusters License Allstate Business School: Dallas, Texas- Course of Study- Business management PROFESSIONAL EXPERIENCE

10/2015 to present UT Southwestern Medical Center-Dallas, Texas Third Party Liability Department- Accounts Analyst II/Legal Custodian

Process billing records requests from attorneys, claims adjusters and patients

Receive and process subpoenas, written deposition questions, and affidavits of cost

Review accounts for third party liability subrogation recovery

Determine lien eligible and file with Dallas County Records

Negotiate settlements with attorneys, claims adjusters

Allocate Third Party Liability settlement funds

Point of contact for all third party inquiries

06/2008 to 10/2015 UT Southwestern Medical Center-Dallas, Texas Patient Financial Services- Customer Service Analyst/ Legal Custodian

Processed all attorney billing request for personal injury accounts

Negotiated all settlements on Third Party Liability Accounts

Completed all Physician and Hospital affidavits for TPL

Responded to all attorney inquiries: telephone and fax

Completed the lien process and file with Dallas County Courts

Notarized all legal documents pertaining to Third Party Liability

Provided account resolutions to all customs inquires related to TPL

Provided account resolutions to all customs inquires related to patient billing, refunds, charity and handle escalated patient issues 06/07-05/2008 Health mark Insurance-Dallas, Texas

Claims Customer Service Representative I

Provided customer support regarding insurance claims

Proficient in claims systems as a Processor I

Provided account resolutions to patient telephone account inquires

Researched and provided documents for internal audits

Verified insurance for all provider inquires

02/05-06/2007 NCO Financial- Dallas Texas

Insurance Verification

Verified all insurance benefits for Veteran Administration

Contacted various insurance to obtain patient (s) medical benefits

Scheduled monthly payment plans

Provided financial counseling assistance to patients as needed

Provided clear quote of expected out-of-pocket expenses to patients

Reviewed financial agreement and mailed approval letters

Responsible for Human Resources: time and attendance, payroll and hiring

SPECIAL RECOGNITIONS

February 2012- The Meritorious Service Award-Presented for High Performance and Customer Service February 2018- PACE Recognition Award- High Performance and Customer Service PROFESSIONAL REFERENCES

References available upon request



Contact this candidate