Customer Service Behavioral Health

Deborah Horton

SMYRNA, DE 732-***-**** ******@*******.***

Skills

●Communication

●Computer Skills

●Customer Service

●Leadership

●High attention to detail

●Excellent time management skills

●Ability to adapt to change

●Management Skills

●Problem-Solving

●Interpersonal Skills

Experience

Dover Behavioral Health

May 2023-May 2025

Patient account specialist

Verified insurance and all pertinent information

Contacted all insurance providers

Worked with patients to apply for Medicaid

Was a liaison between patients, staff and insurance companies

Handled all inquiries and complaints regarding services

Collected copayments and helped with billing

Completed all monthly and quarterly reports

APRIL 2009 – July 2022

DOD Tricare / Blue Cross Blue Shield of SC

●Level 1 Federal Security Clearance

●Review claims, appeals, complaints, and inquiries

●Research and respond to complex issues ensuring the contract standards and objectives for timelines, productivity, and quality are met

●Identify and report potential fraud

●Examine and process claims and/or non medical appeals according to contract regulations

●Provide feedback to senior level management regarding customer inquiries

●Maintained all manager callbacks and scheduling of employee schedules, arranged weekly meetings with staff

●Coordinated daily PSI’s levels of after-hour performance

●Completed continuing education classes in Field-Midland College

JANUARY 1993 - FEBRUARY 2009

Loving Arms Daycare / Brick, NJ - Owner/Operator

●Resumed all daily operations of owning and managing daycare

●Coordinated all accounting including payroll and tax documents

●Managed marketing and advertising

●Responsible for recruiting, hiring, and onboarding new employees ● Conduct monthly staff meetings, including continuing education

References

Available upon request

Contact this candidate