Accounts Payable Customer Service
Resume:
Doris Gray
Charlotte, NC *****
***********@*****.***
Professional Summary
Experience professional with over 10 years providing service and support. Possess confidence and patience to communicate with patients and insurance companies. Superior multi tasking. Ability to maintain a professional demeanor, researching and resolving issues. Self motivated, exercising sensible judgment, highly organized and detailed oriented with a proven ability to meet deadlines. Authorized to work in the US for any employer
Work Experience
Reconciliation Specialist
Novant Health-Charlotte, NC
January 2025 to Present
• Researched and resolved complex reconciliation issues in a timely manner.
• Handled accounts payable and receivable, including invoicing and payment processing.
• Checked postings and documents for correctness,. accuracy and proper coding.
• Work with cross-functional teams to achieve goals.
• Prioritized and organized tasks to efficiently accomplish service goals.
• Worked effectively in team environments to make the workplace more productive. Claims Specialist
Wipro-Killeen, TX
August 2022 to Present
Process claims. Primary responsibilities involve receiving medical claims from ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected Benefit Verification Specialist
AmerisourceBergen/Asking Consulting-Killeen, TX
September 2021 to December 2021
Reviews all patient insurance information needed to complete the benefit verification process. 1. Triages cases with missing information to appropriate program associate. 2. Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options. 3. Identifies any restrictions and details on how to expedite patient access. 4. Could include documenting and initiating prior authorization process, claims appeals, etc. 5. Completes quality review of work as part of finalizing product. 6. Reports any reimbursement trends/delays to management. 7. Performs related duties and special projects as assigned. A/R Specialist
Integrated Pain Associates-Killeen, TX
May 2021 to August 2021
I had to identify problem accounts for discrepancies and potential issues. AR Specialist also contact insurance companies to resolve claims not paid in a timely manner, identify billing issues from EOB's and work to correct errors. AR Specialist is responsible for researching and resolving claim related issues in order to receive maximum profitability for clients. Also reviews the claims to make sure that payer specific billing requirements are met, followings -up on billing, determines and updates accounts as necessary. Customer Advocate I
Employment Solutions/Blue Cross Blue Shield-Killeen, TX October 2020 to December 2020
To assist members by responding to telephone inquiries in a prompt, accurate research; spends approximately 90 of the scheduled time on the according to business need. Customer Service Representative
Teleperformance/united Healthcare-Killeen, TX
August 2020 to October 2020
Responsible for all customer inquires and questions. Provide excellent customer service at all times. Follow up to customer inquiries by taking specific action in a timely manner. Troubleshoot equipment and system problems. Problem solve to help customers resolve issues on first call. Enters data from customers into various software programs. Appropriately communicate with upset customers to resolve their inquiries. Thrives as a team player in a fast paced, high energy, change oriented environment. Medical Billing Specialist
Meduit/PMAB Atrium Health-Charlotte, NC
April 2017 to April 2019
Obtaining referrals and pre authorizations as required for procedures. Checking eligibility and benefits verification for treatment, hospitalizations and procedures. Reviewing patients bills for accuracy and completeness and obtaining any missing information. Preparing, reviewing and transmitting claims using billing software, such as epic, star, crs. including electronic claim processing. Follow up on unpaid claims within standard billing cycle time frame. Calling insurance companies regarding any discrepancy in payments if necessary. Identifying and billing secondary or tertiary insurance. Answering all patients or insurance telephone inquiries pertaining to assigned accounts. Reviewing accounts for insurance of patients follow up. I'm responsible for billing for Medicaid, Medicaid and commercial insurance. Submit claims for hospitals and physicians.
Customer Service Specialist
Round point Mortgage-Charlotte, NC
March 2016 to April 2016
Provided customers with mortgage payments. Advised customer of their escrow account. Setting up Ach
(Automatic debit). Loss mitigation, Escalated calls. Their home owner's insurance. Make changes to the accounts as, Email address, update phone numbers and mailing address. Review Loan accounts with customers. Provided the tools to customers to be self sufficient.Provide Payoff quotes. Billing statements. Benefits Specialist
Lash Group-Charlotte, NC
October 2015 to December 2015
Patient benefit verifications
Complete patient benefit verifications through outbound calls to payers. Complete all required information for completion of benefit coverage in the database. Provides quality review of benefit summaries completed by Benefit Verification Specialists. May perform outreach to clarify any inconsistencies. Education
High school or equivalent in Computer Technology
Sandhills Community College - Pinehurst, NC
September 1992 to April 1993
Computer Processing Institute
May 1990 to May 1991
Skills
• Medical Insurance (4 years)
• ICD-9 (2 years)
• Customer Care
• ACH (2 years)
• Medical Records
• Software Troubleshooting
• Microsoft Outlook (3 years)
• Customer Service (7 years)
• EMR Systems (2 years)
• Escrow
• Medical Billing (2 years)
• CPC
• CSR (7 years)
• ICD-10 (1 year)
• Call Center (7 years)
• Insurance Verification (2 years)
• DME (2 years)
• Help Desk (Less than 1 year)
• Epic (2 years)
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