Revenue Cycle Specialist
Resume:
Ebony Owens
Customer Service Representative/Administrative Assistant
Raleigh, NC 27607
************@*****.***
Work for a growing company that provides stability where my winning attitude and seasoned Customer Service Rep/Administrative Assistant skills will offer growth. To work a full time position with positive people who are willing to help others, who want to learn new things and grow while achieving their goals in life.
Authorized to work in the US for any employer
Work Experience
Revenue Cycle Specialist
Legacy Healthcare Services-Raleigh, NC
April 2022 to February 2024
Researches all information needed to complete billing process including getting charge information from physicians. Codes information about procedures performed and diagnosis on charge, Assists in the processing of insurance claims including Medicaid/Medicare claims. Processes all insurance provider’s correspondence, signature, and insurance forms. Follows-up with insurance companies and ensures claims are paid/processed. Resubmits insurance claims that have received no response or are not on file, Works with other staff to follow-up on accounts until zero balance. Proficiency in Microsoft office products, Excel, Casamba (SMART) program, Salesforce, etc. Proven/Demonstrated knowledge of medical reimbursement methodologies and understanding of HIPAA and legal requirements associated with health information. Answer incoming calls and schedule patient's for appointments, check patient's in/out and make calls for reminders of appt, scan and upload documents into system. Revenue Cycle Specialist
Legacy Healthcare Services-Raleigh, NC
April 2022 to February 2024
Researches all information needed to complete billing process including getting charge information from physicians. Codes information about procedures performed and diagnosis on charge, Assists in the processing of insurance claims including Medicaid/Medicare claims. Processes all insurance provider’s correspondence, signature, and insurance forms. Follows-up with insurance companies and ensures claims are paid/processed. Resubmits insurance claims that have received no response or are not on file, Works with other staff to follow-up on accounts until zero balance. Proficiency in Microsoft office products, Excel, Casamba (SMART) program, Salesforce, etc. Proven/Demonstrated knowledge of medical reimbursement methodologies and understanding of HIPAA and legal requirements associated with health information. Answer incoming calls and schedule patient's for appointments, check patient's in/out and make calls for reminders of appt, scan and upload documents into system. Client Service Representative
Appraisal Nation, LLC-Cary, NC
March 2020 to January 2022
Responsible for overseeing that our client’s concerns and needs are met in a timely manner and with accuracy. The Client Service Representative (CSR) is the face (voice) of our company and is responsible for building trusting relationships with assigned clients. CSRs will communicate professionally and proficiently with both clients and appraisers regarding orders which have fallen outside the standard service level agreements (SLA). CSRs will maintain open communication with clients and appraisers to swiftly guide orders back in alignment with SLAs and/or to the quickest existing resolution. By taking ownership of escalated files CSRs will ensure clients are receiving superior customer service and trusting relationships are cultivated and maintained.
• Promote and practice the Mission and Vision Statements of Appraisal Nation.
• Building and strengthening trusting relationships with Clients.
• Responsible for incoming communication
• Answer phones and emails professionally and respond to the client’s questions or requests in a timely manner in accordance with SLAs.
• Maintain a proactive approach to all situations, focusing on the cause and effect relationships of actions to desired results.
• This is a time sensitive industry. Complete all duties with a sense of urgency.
• Take ownership of escalated files by engaging with the client, appraiser, and/or Appraisal Nation personnel to accelerate forward progression of the appraisal order.
• Proactive and independent decision making in regards to client needs, vendor capabilities or restraints, time constraints, client relationships, as well as other matters of significance.
• Identify, research, and resolve client issues using independent decision making in a timely manner. Ideally, we want to fix the problem before the client is aware there is one.
• Accurately and expeditiously follow through with escalated orders according to client requirements and established deadlines.
• Communicate with clients to establish and manage expectations through upfront communication.
• Remember that there is a human factor, the actions we take have real effects, act professionally with a sense of urgency.
• Perform and succeed within the standards of the CSR SLAs
• Manage workflow and time throughout the business day.
• Communicate and work with other team members as needed to assist with resolution of obstacles. Billing Specialist/Customer Service Representative/ Medical Receptionist Legacy Healthcare Services/Blue Ridge Dermatology Clinic-Raleigh, NC November 2018 to February 2020
Researches all information needed to complete billing process including getting charge information from physicians. Codes information about procedures performed and diagnosis on charge, Assists in the processing of insurance claims including Medicaid/Medicare claims. Processes all insurance provider’s correspondence, signature, and insurance forms. Follows-up with insurance companies and ensures claims are paid/processed. Resubmits insurance claims that have received no response or are not on file, Works with other staff to follow-up on accounts until zero balance. Proficiency in Microsoft office products, Excel, Casamba (SMART) program, Salesforce, etc. Proven/Demonstrated knowledge of medical reimbursement methodologies and understanding of HIPAA and legal requirements associated with health information. Answer incoming calls and schedule patient's for appointments, check patient's in/out and make calls for reminders of appt, scan and upload documents into system. Customer Care Specialist
Xerox Corporation (Blue Cross Blue Shield Of TN, Verizon Tech)-Raleigh, NC August 2015 to March 2018
Navigate through multiple computer applications with speed and accuracy. Working with customers to resolve inquiries.
Provide troubleshooting assistance to customers
Ability to accept and implement coaching and feedback in order to achieve individual and team performance goals.
Maintain a high level of world class customer service/professionalism to a wide range of customers. Recommend products that best suit the customer.
Reading and interpret documents, learning medical terminology and assisting with the process of signing clients up for medicare insurance. Properly bill shipments pursuant to applicable tariffs and pricing agreements. Assist customers via phone, email and fax with inquiries including, but not limited to: tracing shipments, rate quotes, tariff discrepancies and billing and/or invoicing questions. Perform general clerical duties as assigned, including, but not limited to: answering and directing phone calls, filing, data entry and billing
Data Entry Specialist
RTI International-Raleigh, NC
March 2015 to August 2016
Access cases through our Cati system and make calls and receive calls throughout the day. Conduct surveys and enter the information into the computer. Also handle any issues that our clients/customers may have.
Cashier/Customer Service
Rite Aid-Chapel Hill, NC
October 2015 to June 2016
check out customers, on truck day rotate and put out new merchandise on the floor,answer incoming calls and handle customers issues regarding any questions or concerns and help out in the pharmacy as well. Customer Service Representative/Administrative Assistant Macy's-Durham, NC
September 2009 to May 2015
Perform phone/email outreach to Macy customer and vendors and business partners to resolve service issues Inform customers of other services Macy's has to offer e.g. credit cards, trunk shows
• Document corrective measures and provide instructions as needed to internal and external customers to ensure prompt resolution and response to customer inquiries
• Recognize patterns of inconsistent and help with shrink
• Sales, Merchandising and organized displays for the company
• Educate and encourage customers when shopping via phone, online or in person
• Train new associates on and off the floor
• Also given a empowered position to make managerial decisions Front Line Service Assistant
Wendy's-Durham, NC
May 2006 to June 2009
Cashier
• Food Prep
• Ensured quality service to customers
• Trained new staff
• Provided special assistance to management
• Inventory control
• Worked as a diligent team player to maintain a quality restaurant rating Customer Service Representative/Administrative Assistant Sears-Durham, NC
April 2005 to October 2005
Processed Returns
• Communicate via Phone, email, and in person to customers/clients and vendors.
• Set up displays
• Cashier/ cash handling
• Organized products to meet customers' needs and the needs of the vendors. Guess Service Team Representative/Administrative Assistant Target-Durham, NC
February 2004 to March 2005
Processed returned merchandise
• Identify, understand and anticipate customers/clients and vendors unexpressed needs and concerns in a caring manner
• Interacting with customers via phone, online and in person
• Identify and obtain information and records from customers to insure proper sales Education
Associate in Administrative Assistant/Medical Billing and Coding Durham Tech Community College - Durham, NC
August 2005 to May 2007
Diploma
Hillside High School Durham - Durham, NC
2002
Skills
• Leadership roles, clerical office work, I type 47 wpm. (10+ years)
• Medicaid
• Call Center
• Customer Care
• Customer Service
• Customer Support
• Medicare
• Billing
• Claims
• Microsoft Excel
• Outlook
• Data Entry
• Medical Terminology
• Collections
• Excel
• Medical Billing
• Microsoft Office
• Filing
• CPT
• Accounts Receivable
• HIPAA (3 years)
• Receptionist
• training
• CSR
• Medical Coding
• Medical Records
• Medical Receptionist
• EMR Systems
• EMR Systems
• Medical Coding
• Medical Office Experience
• Medical Receptionist
• Medical Records
• Medical Scheduling
• Insurance Verification
• Problem-solving
• Flexibility
• Team Work
• Reliability
• Computer skills
• Administrative experience
• Management
• ICD-10
• Documentation review
• Accounting
• Windows
• Payroll
• Writing skills
• Organizational skills
• Dental terminology
• Medical coding
• Medical terminology
• Revenue cycle management
• Clerical experience
• Front desk
• Customer service
• CRM software
• Microsoft Access
Languages
• English - Fluent
Certifications and Licenses
Driver's License
Certified Coding Specialist
Medical Billing Certification
Certified Coding Associate
Additional Information
Qualifications: More than 15 years experience in a customer service solutions oriented environment. Proficient and experience with operating in a Windows and Microsoft Office environment Ability to work in a high-pressure environment and deal effectively with customers. Superior verbal and written communication skills.
Great time management skills.
Excellent discretion and judgment skills.
Works well with others with ability to adapt quickly to change Excellent probing and problem solving skills
Contact this candidate