Customer Service Self Pay

***** ******* *****, ************, ***** *****

TEL HOME: 512-***-**** TEL CELL: 512-***-**** EMAIL: adzzsr@r.postjobfree.com

JOB OBJECTIVE

Seeking a Customer Service position with stable organization needing individual with experience in insurance, claims adjudication billing, collections and office experience.

PROFESSIONAL EXPERIENCE

Feb 2022 to June 2023. TXTAG Austin, Texas

Customer Service Agent

Taking inbound calls from customers in regard to their account, review billing issues, make corrections add and remove vehicles, order TXTAGs for multiple vehicles, assist customers in making payments on the automated system, assist customers with billing issues from other tolling entities, transfer calls accordingly, and answer questions for customers calling in with complex issues regarding their account.

Oct 2019 to Apr 2020 Sonic HealthCare USA Austin, Texas A/R Insurance Follow Up Rep

Processed denied claims and Claim edits, made corrections to the claim and resubmitted Corrected Claim via Compario or, the Insurance Portal. Obtained Authorizations and Referrals for services provided. Insurance Follow Up on denied or, under paid Claims, researched claim to find out reason for denial or, Secondary Insurance and got claim reprocessed while on the phone or, online. Made corrections to mis-matched modifiers and diagnosis codes and resubmitted Corrected Claim or, Appeal to insurance company for payment. Processed claims according to the insurance E.O.B. sent claim back to provider for review and correction.

Sep 2006 to Feb 2016 Financial Corp of America Austin, Texas

Insurance Rep

Worked in the Patients Accounts Billing Dept. as the Rep for the Self Pay Area. Made outbound calls to Major Insurance Companies to check claim status, and collect on high balance accounts. Audited accounts, made adjustments according to the E.O.B. Took incoming calls for the Self Pay Department for patients with outstanding balances, helped the patients resolve billing questions and issues by researching the account and E.O.B'S payment postings other important paperwork and information that pertained to the accounts made written requests for appeals for medical necessity cases. Specialized in working Motor Vehicle Accidents, Worker's Compensation, Pedestrian, Motorcycle, Medical Insurance Medicaid and Medicare Accounts and various other types of insurance Entered information into Citrix and took incoming, escalated calls from the Self Pay Department for patients with billing questions. Explained the hospitals guidelines and regulations to patients with accounts that could not be quickly resolved. Made phone calls to patients needing to update their insurance, or cob information and verified billing and patient insurance eligibility information.

Jan 2005 to Apr 2006 Protect America Austin, Texas

Bill and Collection Rep

Made outbound calls and took inbound calls to and from security alarm customers, explained billing statement, and contract information to the customer maintained detailed collection notes, negotiated payment arrangements, processed credit card and check by phone payments using Outlook and Great Plains, kept a database of disconnects and wrong numbers in excel.

Credit Rep

Analyzed customer account history to process credit applications from the sales department, the security alarm customer's application and information was used to obtain credit reports from Equafax and Trans Union, a credit rating is given based on the customer's payment history and a decision is made based on the acquired information, used Great Plains to check the billing history for multiple systems, verified detailed account information with fraud victims over the phone, processed credit card payments, assigned digital account numbers to the approvals and sent explanation letters out for the declines.

Education

High School Diploma, Taylor High School, Taylor, TX.

AA Communication, Austin Community College, Austin TX

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