Customer Service Sales
Resume:
Diana Gallagher
Huntsville, AL 35811
*****.*********@*****.***
OBJECTIVE
To obtain a challenging and stimulating position in which I would be allowed to use my interpersonal skills and analytical abilities to gain meaningful work experience in exchange for contributing to the function and value of a firm or enterprise.
EDUCATION
2004: BS - Organizational Management in Business, Oakwood College, Huntsville, AL
2000: Associates - Medical Transcription and Administration, Virginia College at Huntsville, Huntsville, AL
STRENGTHS AND SKILLS
Exceptional Interpersonal Skills Excellent leadership and problem solving ability
Strong, professional work ethic Proven ability to handle high pressure situations
Versatile and adaptable Effective written and verbal communication skills
Fluent in Microsoft office, Outlook, Excel, Power Point, Word, Access, SHERPA, Ensercle, Prospect, Noble Direct, Universal, Zirmed, Passport, CRM, various research outlets for documentation ECARE, NPPES, CPAP, have used many job specific programs, In depth knowledge of Medical records documentation requirements, internal audit for Medicare, compliance, billing, coding, commercial and government insurance eligibility, verification and pre-certification, medical collections, extensive Customer Service skills acting as liaison between companies, physicians and staff regarding documentation and medical records issues. Exceptional problem solving skills along with attention to detail. High volume managerial skills, (65 plus employees) accounts payables, receivables, inventory, ordering, training, scheduling, sales and marketing, account management and development, corporate/community representative, networking, website development and maintenance, recruitment, human resources, employee incentive development.
Dec 2011 – May 2012
Medical Reimbursement Associates, Brentwood, TN
Insurance Eligibility Specialist
Research and verification of commercial and government insurance regarding medical coverage. Billing, coding, authorization, utilized resource sites such as Emdeon, Passport, specialized programs related to case specific research.
Sep 2011-Dec 2011 Healthspring, Nashville, TN
Provider Customer Service Representative
Answered incoming calls @ call center from providers, and key staff, regarding benefits, medical records requirements, billing, coding, and authorization issues. Averaging between 50-75 calls per day. Required in depth knowledge of billing, coding, documentation, insurance commercial and government, and HIPPA compliance.
March 2009- Feb 2011 Simplex Healthcare, Franklin TN
Compliance Documentation Coordinator
Call Center environment responsible for inbound and outbound calls from patients, physicians and providers averaging 35-50 calls per day inbound and 35-50 email requests. Verified insurance using Zirmed, Passport, conducted research to verify and evaluate insurance, corrected documentation issues, requested and reviewed time sensitive medical records for audit and compliance purposes, Worked on escalated call team as liaison to patient care sales reps to troubleshoot documentation, insurance, billing, and compliance issues, responsible for return calls to patients and physician’s offices regarding documentation compliance and conflict resolution. Member of Specialized Customer Service Sales team which consisted of troubleshooting all issues including documentation, insurance verification, and billing.
Sep 2006 – March 2009 Material Handling Resources, Nashville TN
Marketing Coordinator
Support to all sales staff, inbound calls PBX and routing, accounts credit verification, billing, coding, website development and maintenance, community liaison, lead generation, weekly reporting, data base maintenance, employee incentive programs, ordering, inventory, create and maintain marketing and sales tools to grow sales and maintain attrition.
References available upon request
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