Patient Services & Call Center Specialist with 25+ Years

Jacquelyn A. Compton

414-***-**** ************@*****.***

Skills Summary: Patient Service Specialist/Customer Service Representative with 25+ years of experience providing quality service within healthcare and medical facilities. Skilled in assisting members and customers with claims inquiries, billing concerns and service requests. Professionalism, attention to details, accuracy in data entry and documentation. Proven ability to communicate clearly, resolve issues efficiently, main confidentiality in a fast paced, high- volume setting. Seeking a position in customer service, claim, collection or patient support where I, can contribute to exceptional member care and operation excellence. Core Competencies: Customer and Member Support- Insurance verification, Authorization approval, Claims Review and Case Documentation- Call Center Operation

(inbound/outbound)- Data Entry and Records Accuracy- HIPPA awareness and confidential handling of Electronic Medical Records (EMR software system)- Electronic Health Records (EHR system)- Demonstrate level of proficiency with MS Excel and Word. Experience

Patient Service Specialist/ Customer Service Representative NovaCare Prosthetics & Orthotics, WI/ September 1999- Present

• Scheduling appointments for durable medical equipment, lower extremities, braces of limbs, using Opie Patient Management System, reporting and correspondence in a fast- paced environment.

• Handling incoming/outgoing mail, emails and phone calls, resolve billing and claim related issues, providing information on products, processing orders, return authorizations process payments.

• Demonstrate professionalism and excellent customer service, communication and patient assistance both in person and over the phone.

• Verification of insurance, Authorization and Predetermination request, contact insurance carriers regarding denial of authorization, follow-up inquiries.

• Document patient information in their records appropriately and accurately, work with the care team to acquire additional documentation if needed, coordinate meetings with management and other personnel for the purpose of presentation and related office involvement.

• Follow Medicare and Medicaid rules, guidelines and regulations, knowledgeable with ICD-10 and CPT coding.

Education

High School Diploma

James Madison High School, WI/1981

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