Administrative/Clerical Expert with Billing Focus
Resume:
DAWN D. MOORE
Parkville, Md. *****
Phone 443-***-****
Email Address ***************@*****.***
OBJECTIVE
Seeking a career position where my professional experience, education, and abilities would be advantageous to the growth of the employer and myself.
Specialized experience and knowledge in areas such as:
15+ years of Administrative/Clerical experience
Admin support to Executive Level management
Proficient in Microsoft Office Suite and various software applications
13 years Call center experience
Hospital Accounting/Insurance billing experience
PROFESSIONAL EXPERIENCE
Sept. 2011 – Present
Accounts Receivable Specialist Mercy Medical Center
Receive, review and process all applications in compliance grant funding from patients requesting financial
assistance for Health care bills in a timely manner according to federal guidelines
Demonstrate interpretation and accuracy in providing information to the patient about receiving grant funding
Respond to all billing inquiries in the customer Call Center environment
Orally communicate open balance due or explain process & procedures in how the pt. can get financial
assistance to resolve their billing; offer payment plans; document all actions or discussions made on every
call.
Performs follow-up and resolution for issues by communication both electronically and paper for Professional\
And Facility billing
Respond to all Attorney Requests (for hospital billing stmts) for litigation purposes.
Jan – August 2010 Aero-Tek
Provider /Member Specialist XL Health Inc.
Acted as liaison for Advantage plan and the facility provider in communication of various coding issues for
Resolution of claim being paid.
Provided Medicare Advantage plan information to inquiries for the purpose of enrollment, or claims payment
Provided Administrative support to claims dept through investigation and timely completion of insurance
Corrections of rejected claims and follow-ups on client telephone inquiries
Researched and documented all issues pertaining to the claims dept for reconsideration of payment on a claim
Provided member’s information on requirements of particular medications that covered on their plan
June 2007 – October 2008 Computer Science Corp.
Customer Service Specialist
Effectively communicate new policy to Medicare Prescription plan enrollees and members according to
Medicare guidelines for the prescription plan benefits and eligibility in a timely manner
Interacted with Providers and beneficiaries providing solutions for pending claim issues
Adhered to HIPPA Guidelines with all inquiries pertaining to beneficiary accounts
documented all calls and notated changes given by the member as it pertained to their account along with
A resolution
Communicated to Govt. agencies for correction and discrepancy purposes
August 2004 – June 2007 Comcast Cablevision
Receptionist
Greeted all visitors in main Lobby area
Managed main switchboard directing all calls to proper department
Coordinated switchboard coverage and provided training
Effectively communicated all elevated customer service grievance issues to appropriate staffing for resolution
Managed all incoming and outgoing mail
Provided administrative support Human Resources for recruiting and benefits purposes
Maintained employee directory
Coordinated company blood drives (bi-annually)
Customer Service Representative (contractor)
Responded to all billing inquiries in an inbound call center
Researched and resolved customer complaints in a timely manner
Troubleshoot technical problems before issuing service calls
Documented all action taken on every account
January 2004- July 2004 AT&T Maryland Relay
Communications Assistant
Translated all communications via inbound call center for the Hearing and Speech impaired in a timely
manner
Analyzed departmental workflow and develop process and procedural improvements
March 2003-January 2004 Colin Services
Administrative Specialist
Provided HR admin support to General Manager
Intake process of applications, performed employment background investigations
Reviewed and input hiring documents onto database
Processed employee-id cards and folders
Processed weekly payroll
EDUCATION
High School Diploma Northeast High School Diploma 1982 Pasadena, Md.
REFERENCES AVAILABLE UPON REQUEST
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