Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and driven business results. Well-versed communicator recognized for consistently receiving excellent customer feedback.
Overview
9
9
years of professional experience
Work History
Collector WFH
Parallon
02.2024 - Current
Resolve claim processing delays from various payer products, including HMO, PPO, Medicaid, Medicare, Auto, and Workers’ Compensation.
Effectively utilize ERA payment information to identify trends and make recommendations.
Be able to utilize various data sources to drive decisions.
Identify contract protection that can be leveraged when disputing delays in payment.
Work with vendors and other organizations when needed to resolve open accounts receivable.
Articulate any payment delays to representatives from healthcare payer companies and government agencies.
Contact payer companies via phone or correspondence, and initiate a request for payment.
Escalate the payer’s lack of response and/or lack of payment within the payer organization as appropriate.
Overcome objections that prevent payment of the claim, and gain commitment for payment through concise and effective argument.
Identify problem accounts, processes, trends, and escalate as appropriate.
Utilize effective documentation standards that support a strong historical record of actions taken on the account.
Identifies payer trends and communicates trends to the supervisor for further action or escalations.
Registrar
Centennial Medical Center
03.2023 - 02.2024
Interview patients to obtain necessary account information