Mary Specht
Ph # 970-***-****
***********@*****.***
*** ***** ***. ***** ** 80615
Professional Summary
Highly organized and detail-oriented professional with over 10 years of experience in receiving and processing payments, medical customer service, account receivables, and medical insurance. Proficient in managing complex accounts, resolving billing discrepancies, and providing exceptional customer service in fast-paced medical environments. Equipped with strong analytical and communication skills, alongside a solid foundation in liberal arts. Adept at problem-solving, negotiation, and improving operational efficiency. Core Competencies
● Medical Insurance Verification & Billing
● Account Receivables
● Customer Service & Client Relations
● Dispute Resolution & Negotiation
● Insurance Claims Processing
● Data Entry & Database Management
● Payment Posting & Reconciliation
● HIPAA Compliance
● Strong Written & Verbal Communication
● Time Management & Organizational Skills
Professional Experience
Customer Service Representative
Professional Finance Company Greeley,CO 80632
October 2015 – Present
● Manage a portfolio of 100+ patient accounts, ensuring timely collections and resolving billing issues.
● Review insurance claims, verify coverage, and track claim statuses to ensure maximum reimbursement.
● Negotiate payment plans with patients and third-party payers, maintaining strong client relationships.
● Provide comprehensive support to patients regarding billing questions and insurance benefits.
● Coordinate with insurance companies to address claim denials and appeals.
● Ensure compliance with HIPAA and other regulatory requirements while handling sensitive patient information.
● Provided verbal communication to clients regarding overdue payments and negotiated settlements.
● Assisted patients in understanding their insurance benefits, coverage, and claims status.
● Educated clients on billing discrepancies, payment responsibilities, and insurance procedures.
● Review insurance claims to ensure accuracy and compliance with policies.
● Provided timely follow-ups with clients regarding claim statuses, payments, and adjustments.
● Collaborated with medical providers to resolve billing errors and discrepancies in claims submissions.
Education
Bachelor of Arts in Liberal Arts
University of Northern Colorado, Greeley,CO 80631
Certifications & Training
● HIPAA Compliance Training
● Customer Service Excellence Training
Technical Skills
● Software: Epic, Cerner, NextGen, Microsoft
Achievements
● Member of The Million Dollar Club
● 100% Compliance Scores
● 90 % Customer Service Scores
● 4th Quarter Contest Winner
● Phone Etiquette Award
References
Available upon request.