Account Administrative Coordination Services Representative

CHANTE' RICE

* ***** **, ***********, ** ***** H: 443-***-**** *.*********@*****.***

Summary

Proficient and Polite Patient Service Representative dedicated to offering excellent customer service and administrative support. Skilled in ensuring timely patient processing through effective communication and staff coordination, competent in scheduling, record keeping, and insurance processing. Experienced Professional with excellent Customer Service Skills. Highly motivated to achieve set goals. Highly effective in promoting a positive, and productive work environment. Resourceful and self -confident: can get the job done, and do it well.

Skills

• Excel spreadsheets Insurance eligibility

verifications

• Meticulous attention to detail Detailed meeting

minutes

• Pivot tables

• Self-directed Schedule management

• Results-oriented Strong interpersonal skills

• Time management Resourceful

• Professional and mature Self-directed

• Strong problem solver Dedicated team player

• Advanced MS Office Suite knowledge Medical

terminology

• Self-starter Schedule management

• Administrative

• duties, attention to detail, benefits,, Strong

interpersonal skills, Community relations,

Computer Training, counseling, clients,

customer service, documentation, e-mail, faxes,

fax, filing, Insurance, Law, Legal, letters,

Managerial, materials, Medical terminology,

Excel spreadsheets, mail, MS Office Suite,

Works, ordering office supplies, Payroll, phone

system, presentations, problem solver,

processes, scanning, Self-starter, team player,

Time management.

• Directing visitors

• Confident public speaker

• Conflict resolution

• Healthcare billing proficiency

Experience

Billing Reimbursement Specialist II 04/20/2020-Present Amergis Healthcare

• Serves as a liaison between office partners, and payers. My daily responsibilities include reviewing office sales reports weekly and monthly invoicing to assigned Facilities and Collecting on unpaid accounts.

• Processes and posting revenue, making changes as needed. Financial Counselor 07/2019 to 10/24/2019

R1 RCM Inc. Baltimore, MD

• Interviewed patients and families and answered questions regarding the financial process during these sessions

• Initiates and completes charity applications on accounts at risk, for completing Medi-Cal application requirements and installment agreements Maintains daily contact with Utilization Management, Business Office, Patient Registration, Medical Records, Ancillary departments, various third-party agencies, HMO/PPO's, patients, their families, physicians, offices and other outside entities

• Documented all gathered information and details from discussions with patients and providers using the R1 Hub

• Assisted patients without healthcare coverage to find resources, services and assistance needed

• Advocated for patients by contacting insurance carriers and obtaining the necessary benefits information

• Accepted and processed customer payments and applied toward aging account balances

• Responded to more than 35 telephone calls and emails each day, setting up appointments, answering questions and collecting information about specific concerns

• Serves as support to patients and their family members to assure customers have access to all available funding, this involves; working with private as well as governmental agencies; i.e., private insurance, HMO/PPO's, Medi-Cal, Medicare, Campus and Worker's Compensation Patient Service Representative 09/2018 to 07/2019

R1 RCM Inc. Baltimore, MD

• Greets patients and their caregiver's and recorded pertinent information into the computer database

• Records insurance information and obtains pre-approval for treatment when needed

• Relays information between patients and other staff members, and provides them with updates as needed

• Keeps paper and electronic medical records, and updates these records as needed

• Provides information to insurance companies in order to assist with billing

• Accepts payments and credits accounts accordingly

• Answered patient questions and fielded complaints Tenant-Landlord Counselor 08/2016 to 09/2018

Baltimore Neighborhoods Inc. Baltimore, Maryland

• Answering inquiries from tenants and landlords regarding their rights and responsibilities under Maryland Law.

• Develop general knowledge of other offices programs which offer help to tenants, including housing code departments, Maryland Volunteer Services, Legal Aid Bureau, Community relations programs, Section 8 offices, etc.

• Maintain and share resource lists of key people within the programs.

• Maintain and compile statistical information and prepare reports.

• Assist with distribution and presentations of reference materials and education at outreach events.

• Remain objective and interact effectively with people experiencing a crisis. 03/2016 to 08/2016

Office Clerk

Department of Social Service

Catonsville, Maryland

• Made copies, sent faxes and handled all incoming and outgoing correspondence.

• Received and distributed faxes and mail in a timely manner.

• Scanned applications into the computer and checked main voice mail system. Member Service Specialist

Molina Healthcare

11/2015 to 01/2016

Dublin, OH

• Assisted Molina Healthcare Marketplace Members with all account inquires.

• Explained member benefits and plan coverage.

• Maintained a high level of customer service calls in a high volume call center consistently received exceptional reviews from customers for delivering outstanding service. Administrative Insurance Specialist 03/2011 to 09/2015 St. Agnes Hospital Baltimore, MD

• Created tracking systems and reports to assist management in monitoring activities impacting reimbursement.

• Utilized my knowledge of hospital reimbursement systems to coordinate registration and insurance activities as a liaison between the insurance companies and vested parties.

• Educated Patients/families on their Medicare Important Message Rights in order to follow the Medicare guidelines, thus helping to minimizes communication errors and facilitating timely reimbursement.

• Promptly responded to general inquiries from members, staff, and clients via mail, e-mail and fax.

• Administrative duties (filing, scanning medical records, ordering office supplies, sorting and operating a multi-line phone system.

• Performed Managerial duties such as weekly reports, briefing staff on changes in processes and procedures by Insurance companies.

• Ensured accuracy and timeliness of data transmission.

• Received excellent reviews on yearly performance evaluations. Activity Coordinator 03/2009 to 09/2010

Tsunami Martial Arts Academy Woodlawn, MD

• Created and implemented a developmentally appropriate curriculum.

• Offered stimulating curriculum that accommodated all learning styles.

• Coordinated Payroll for Youth Works employees.

• Sent out weekly news letters informing parents of the upcoming events and projects.

• Excelled within a deadline-intensive environment, ensuring the accurate and on-time completion of all projects.

Education and Training

High School Diploma

Hanau American High Hanau, Germany

Career Development and Computer Training Program

Community College of Baltimore Catonsville Maryland

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