Customer Service Accounts Receivable
Resume:
Leslie Peterson
Westminster, Co 80021 ************@*****.***
SUMMARY OF QUALIFICATIONS
Focused and results-driven Customer Service 20 years of experience working within fast-paced business environments, with an emphasis on effective processes, productive operations, and superior service to internal and external customers. Innovative and self-motivated individual who excels at creating solutions for managers, colleagues, and the company as a whole. Strong communication skills, serving as a valuable coordination, liaison, and manager.
Experience in:
Accounts Receivable/Accounts Payable – Customer Service, Claims processing, Management, CAREER ACHIEVEMENTS
• Saved money for employers by creating effective process methods and determining the root cause of reconciliation issues, eliminating future problems.
• Became cross-trained in many accounting and financial areas.
• Managed special projects in addition to regular duties, such as new product or system implementation, conversation, and de-conversion.
• Transitioned Business processes to other Financial Institutions and internal departments.
• Won numerous contests and awards throughout employment, including the Leader of the Pack with First Data, monetary bonuses, and salary increases.
• Credited by managers and colleagues for fostering a positive and productive team environment. Arvada Eye Associates
Arvada Eye Associates, Arvada CO
Medical Biller 05 24 2022 to present
• Reconcile and process adjustments to the correct account or correct claim Responsible for ensuring all work is completed within the required service level agreements.
• Responsible for all MRP appeals. I also contact clinic managers to resolve authorization issues Interact frequently with Insurance companies and clinics, building rapport and developing solid working relationships while answering questions and resolving issues.
• Research claim denials and processing to ensure claims were processed correctly, according to the benefits outlined in the members plan and reconcile and process adjustments to the claim
• I identified procedures that were processed incorrectly resulting in a false member. Keller North America
Keller North America, Commerce City Co 09/2019-07/2021 Accounts Receivable and Payable
Reconcile and process adjustments to the correct account or correct invoice. Responsible for ensuring all work is completed within the required service level agreements. Contact customers in reference to payment on projects that were completed. Input all employees purchase cards and match with receipts through Certify. Input all AP invoices into Groundworks.
Pull all Certificate of insurance for all projects, Request all Performance and Payment Bonds for all projects. Request all information for OCIP and CCIP projects so I was able to enroll Keller. Run bi-weekly AR report on Excel spreadsheet and update with payment information or the information the company provided on payment status.
Mercy Housing
Mercy Housing, Denver Co 06/2017-09/2019
Accounts Receivable
● Reconcile and process adjustments to the correct account or correct invoice. Responsible for ensuring all work is completed within the required service level agreements.
● Contact utility companies about discrepancies on received invoices.
● Input all invoices received via USPS or e-mail.
● Input requests from Property Managers such as petty cash and personal expense reports.
● Work on Excel spreadsheets and modify when needed. SISTERS OF CHARITY OF LEAVENWORTH
SCL Health Broomfield, 01/2014-12/2016
Accounts Receivable Claims Processor
• Reconcile and process adjustments to the correct account or correct claim Responsible for ensuring all work is completed within the required service level agreements.
• Responsible for all MRP appeals. I also contact clinic managers to resolve authorization issues Interact frequently with Insurance companies and clinics, building rapport and developing solid working relationships while answering questions and resolving issues.
• Research claim denials and processing to ensure claims were processed correctly, according to the benefits outlined in the members plan and reconcile and process adjustments to the claim
• I identified procedures that were processing incorrectly resulting in a false member. Colorado Eye Center Louisville Co 01/2011-12/2014
Lead Optician
• Maintained office files and records, patient files, keeping files on inventory and supply ordering, verifying insurance benefits, claim status, claim denial processing and claim follow-up. . .
• also have experience in training others to complete these types of assignments independently.
• Responsible for keeping accurate inventory records (Excel spreadsheets), trending inventory for the corporate office I was the contact for all vendors to include: ordering, shipping, receiving and return of product.
• . I have extensive experience in following a records management system. In an Optometry Clinic we are responsible for official medical records. These records had very detailed requirements as to content, disposition, privacy, and records retention requirements and proofing of medical records to ensure prompt payment of medical claims supporting any appeal procedure. Pacificare Englewood CO 03/1999-11/2010
Call center Service Representative, I answered provider and member calls regarding eligibility, benefits and researching issues and complaints surrounding those issues
• I worked very closely with our internal claims department, researching claim denials and processing to ensure claims were processed correctly, according to the benefits outlined in the members plan. I identified procedures that were processing incorrectly resulting in a false member balance due Through research and working with internal and external partnerships, I effectively resolved claims processing issues as well as identifying system issues and escalated those to programming, EDUCATION
Canton Sr High School Canton Ill. 1984-1988 Diploma COMPUTER AND TECHNICAL SKILLS
Microsoft Operating Systems
Microsoft Office Suite (Outlook, Word, Excel, Access ) References
Lauren Scroggins Lead Biller 720-***-****
Sherri Bernard Office Manager 303-***-****
Joe Harris Vice President 303-***-****
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