Customer Service Rep

RUTH M ADAMS

**** ***** **, ********, ** ***** 614-***-****

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

EXPERIENCE:

*/**-**/**: Quantum Health-Personal Service Rep, Quantum Health Dublin, OH

-Provide exceptional customer service through inbound/outbound calls

-Offer empathetic member guidance, including verification of benefits and creation of authorizations for treatment based on member’s health plan.

-Act as an advocate for the members by communicating with network liaison, clinical professionals and finance staff at hospitals and medical offices.

-Investigate financial discrepancies and claim issues to ensure members and clients are billed correctly

6/2021-9/2023

KEY ACCOUNT COORDINATOR, RYDER LAST MILE

-Maintain existing client relationships through the processing of client requests, resolving client

Inquiries and making sure key client information and documentation is up to date.

-Work through chat and Salesforce system

10/2020-2/2021 CLIENT SERVICE ASSOCIATE, MORGAN STANLEY COLUMBUS, OH - Maintain existing client relationships through the processing of client requests, resolving client inquiries, and making sure key client information and documentation is up to date - Conduct outreach to maintain strong relationships with client base and identify Firm services and solutions, such as digital, online access and cash management offerings, that support client needs - Onboard new client accounts, which includes the collection of required documentation and client information

08/2018-04/2020 FINANCIAL COUNSELOR, ORTHOPEDIC ONE DUBLIN, OH - Medicare and Medicaid claims collections - Help patients set up payment plans for balances owed - Work with physicians to do pre payments and surgery estimates

08/2015-07/2018 PATIENT ACCOUNT CALL CENTER REP, OHIOHEALTH DUBLIN, OH - Handled inbound/outbound calls to patients/guarantors on account balances - Negotiate for payment in full or arrange payment plan - Analyze patients for insurance, billing or financial aid opportunities - Accurately document accounts for adjustments or referrals as needed

02/2015-08/2015 CUSTOMER SERVICE REP, HUNTINGTON BANK COLUMBUS, OH - Took inbound customer service calls regarding checking and savings information - Processed loan payments, loan pay off information and loan write off information to insurance companies - Processed debit card disputes, reorders and lost card claims

08/2006-04/2014 CUSTOMER SERVICE SPECIALIST, VISION SERVICE PLAN COLUMBUS, OH - Took 100+ daily inbound calls from members for customer service needs - Explained member vision benefits, check eligibility and update member status

- Work with providers’ authorizations claims information and claim adjustments - Mentor new employees - Employee recognition committee member

02/2002-11/2003 ACCOUNTS PAYABLE, ALTMAN CONSTRUCTION COLUMBUS, OH - Processed weekly and monthly billing transactions - Processed payments received from customers/vendors - Researched all billing discrepancies - Prepared, verified and processed invoices - Reviewed all documents for accuracy to verify no billing errors - Follow up with customers for payments on invoices -

EDUCATION

1986

High school diploma, East High School

Columbus, OH

Skills

Sales Force Billing/invoicing Customer Service Accounts payable/receivables

Medicaid & Medicare Knowledge Contact review/ renewal HIPPA Complaint Dispute Resolution

Banking Inventory Maintenance Collection

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