Customer Service Medical Billing
Resume:
Erica Seggel
Healthcare & Finance
Bel Air, MD **014
*******@*****.***
Authorized to work in the US for any employer
Work Experience
Medical Billing Specialist
JS Medical Billing - Bel Air, MD
Process encounters into claims for multiple providers. Research denied claims and non responses. Post payments and ensure the A/R aging report for each provider stays under 30 days. Verify insurance eligibility and process pre authorization requests. Answer any questions patients may have about their billing statement from their medical provider with ability to explain EOBs from their individual insurance provider. Work with KAREO, EHR, Availity, PaySpan & Practice Fusion and all insurance carriers. Make sure proper CPT codes are used to get the most money for my providers while ensuring their patients are covered properly by their insurance policy. Provide excellent customer service to my providers and their patients.
Scheduler
Radnet - Rosedale, MD
General customer service, adherents to HIPAA guidelines, assist patients with scheduling mammograms, ultrasound, fluoroscopy & DEXA exams. Know the appropriate prep instructions per exams. While staying on top of when equipment is down, referrals & insurance guidelines scheduling appointments for patients. Knowledgeable about what the different exams entail to explain to patients what to expect. Assist patients with the portal to access their reports as well as knowing how to read the reports to schedule appropriate follow ups and call backs.
Member Service Representative-Remote
Maryland Health Connection (MHC)
temp job w/ Aerotek)
State certified for HIPAA guidelines; Assist consumers with applying for Medical & or Dental Insurance by navigating the MHC website and filling out application with/for consumers, Assist Medicaid members with medical and pharmacy pre-authorizations requests, medical claims & answer questions regarding the MHC plans available to consumer thru Medicaid including the handbook, coverage & eligibility. Look up & change PCP's in & out of network for any of the 8 MCO's which MHC contracts with. Speak with physician offices & MCO's regarding coverage & eligibility of patients as well as answer and research any questions the member or physician office has all while offering outstanding customer service and achieving a one call resolution.
Credit Analyst
Citifinancial Citibank - Baltimore, MD
Responsible for reviewing loan applications for credit judgments, accurate account documentation, credit scoring, calculating the ability to pay, determining debt to income and other functions relating to the credit decision process for the field network. I Reviewed and decisioned resubmissions on amended loan requests, responded to telephone inquiries regarding decisions rendered and or disputed by Originating Branch.
Senior Credit Analyst
MBNA America - Hunt Valley, MD
Reviewed applications and made decisions regarding creditworthiness for the issuing of credit cards and/or non-card, unsecured lines of credit. Determined credit lines within approval authority limits and assign/review interest rates. Decisioned Lines of Credit to be utilized in acquiring outside balances to become customer's primary lender. Completed consolidations and determined total Risk and Exposure for Bank during the MBNA and B of A consolidation.
CPR/BLS certification-August 2024
MBNA Credit & Risk Analyst -June 2004
TD Waterhouse Broker Trainee- Received Series 7 & 63 Financial Representative License- August 1999
Education
Associate's degree in Psychology
Anne Arundel Community College
1996 to 1997
Graduated Farmers National Bank Teller & Cash Handling School-August 1997
Studied Psychology &
Communications Elon College
September 1994 May 1996
St Mary’s High School
diploma May 1994
Skills
• Bookkeeping
• HIPAA
• Sales Support
• Tax Experience
• Account Management
• Event Planning
• Cold Calling
• Administrative Experience
• QuickBooks
• Medical Billing
• Business Development
• Office Management
• Salesforce
• Basic math
• General ledger reconciliation
• 10 key calculator
• Customer service
• Customer support
• Google Docs
• Google Suite
• Accounts Receivable
• Bank Reconciliation
• Account Reconciliation
• Accounts Payable
• Computer literacy
• Data entry
• Phone etiquette
• Medical records
• Filing
• Documentation review
• Public relations
• Live chat
• E-commerce
• Microsoft Excel
• Microsoft Word
• Typing
• Microsoft Office
• Documentation review
• Journal Entries
• Medical Office Experience
• Payroll
• Medical Coding
• Insurance Verification
• CPT Coding
Assessments
Customer focus & orientation — Expert
March 2020
Responding to customer situations with sensitivity Full results: Expert
Verbal communication — Highly Proficient
October 2019
Speaking clearly, correctly, and concisely
Full results: Highly Proficient
Customer service — Expert
December 2020
Identifying and resolving common customer issues
Full results: Expert
Work style: Conscientiousness — Expert
December 2020
Tendency to be well-organized, rule-abiding, and hard-working Full results: Expert
Data entry: Accuracy — Highly Proficient
April 2020
Entering data quickly and accurately
Full results: Highly Proficient
Attention to detail — Expert
December 2021
Identifying differences in materials, following instructions, and detecting details among distracting information
Full results: Expert
Administrative assistant/receptionist — Expert
December 2021
Using basic scheduling and organizational skills in an office setting Full results: Expert
Customer service fit — Expert
June 2021
Measures the traits that are important for success for customer service roles Full results: Expert
Call center customer service — Highly Proficient
June 2021
Demonstrating customer service skills in a call center setting Full results: Highly Proficient
Sales skills — Highly Proficient
March 2020
Persuading reluctant customers to buy products or services, and influencing and negotiating with customers to meet sales goals.
Full results: Highly Proficient
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
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