Billing Operations Specialist with Healthcare Expertise

LACE ALABRE

****.*******@*****.*** 201-***-**** East Hanover, NJ

BILLING OPERATIONS SPECIALIST (PST)

Compassionate and results-driven Billing Specialist with over 8 years of experience in healthcare and revenue cycle management. Served as the primary point of contact for clients, managing a high volume of billing inquiries, and navigating multiple software systems to process payments, submit insurance claims, verify eligibility, and resolve complex billing issues. WORK EXPERIENCE

Children's Specialized Hospital New Jersey 05/2023 - Present Dietary Clerk

• Process 80+ daily transactions using the hospital’s POS system and maintain exceptional customer service.

• Maintain detailed meal service records, securing accurate charge capture and contributing to a 15% reduction in billing discrepancies.

• Collaborate with dietitians and clinical staff to document patient dietary services in compliance with physician orders, strengthening reimbursement justification during audits.

• Assist with food ordering, receiving, and inventory management, reducing waste by 10% and supporting company revenue.

• Develop and implement individualized nutrition care plans, directly contributing to positive patient health outcomes.

Capsule Pharmacy New York 03/2020 - 08/2020

Customer Experience Agent

• Handled 40+ daily customer inquiries across phone, email, and chat, with a 95% first-contact resolution rate.

• Reviewed Rx codes against insurance formularies to confirm coverage, updated patient records, and investigated prescription claim discrepancies.

• Coordinated with pharmacists and technicians to address cost-efficient prescription alternatives, leading to a 40% improvement in patient satisfaction scores.

• Collected payments and created invoices through internal billing system designed to work directly with a patient's insurance carrier.

• Documented all billing adjustments, returns, and exchanges to keep accurate financial records and ensured 100% compliance with HIPAA and insurance requirements. AAA Northeast New Jersey 06/2012 - 03/2016

Member Services Representative/Dispatcher

• Managed 200+ weekly billing transactions for roadside and emergency services, maintaining accurate claim submissions so that no charges were missed or duplicated.

• Verified insurance coverage with auto and medical insurers, reducing claims denials by 77%.

• Handled emergency medical calls with a calm, controlled, and authoritative tone while relaying critical information to EMS and law enforcement.

SKILLS

Healthcare Administration: Patient Billing, Insurance Verification, Medical Claims & Coding Investigation, HIPAA Compliance, PHI Security

Technical Proficiency: Google Suite (Docs, Sheets, Gmail), Apple MacBook, CRM Systems, Live Chat Platforms, Billing Software, POS System

Core Competencies: Customer Service, Problem-Solving, Effective Communication (Verbal & Written), Attention to Detail, Multitasking, Team Collaboration, Time Management, Data Entry, Record Keeping EDUCATION

High School Diploma

Battery Creek High School, Beaufort, SC

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