Suseth Montezuma
La Vergne
Summary
Dynamic Patient Account Representative with a proven track record at Patient Focus, excelling in insurance verification and customer service. Skilled in resolving inquiries and enhancing patient satisfaction through effective communication and team collaboration. Recognized for training new staff and streamlining billing processes, demonstrating strong empathy and investigative research abilities.
Overview
10
10
years of professional experience
Work History
Patient Account Representative
Patient Focus
04.2024 - Current
- Managed patient account inquiries, ensuring timely resolution and improved customer satisfaction.
- Processed billing adjustments and claims submissions, enhancing accuracy in patient accounts.
- Collaborated with insurance providers to verify coverage, streamlining authorization processes.
- Trained new staff on billing software and patient account protocols, fostering team efficiency.
Client Service Representative
Primeritus Financial Services
10.2021 - 03.2024
- Facilitated effective communication between clients and internal teams to resolve inquiries promptly.
- Managed client accounts by addressing service issues, ensuring high levels of satisfaction.
- Developed and maintained strong relationships with clients through proactive follow-ups.
- Assisted in training new representatives on company policies and customer service best practices.
Eligibility Specialist
Automated Health Systems Inc.
10.2016 - 03.2020
- Analyzed aid program applications to determine individual qualifications.
- Recorded all interactions with applications and entered data into system using various platforms.
- Evaluated submissions in compliance with established guidelines to determine qualification for aid.
- Communicate communicated with people from various cultures and background accounts and application process.
- Developed extensive fact-checking and research skills as result of continuously reviewing different programs and options.
- Interviewed applicants and explained scope of different available benefits.
- Made outbound calls to notify applicants on application, approvals, denial, and more information was needed from them to complete the application process.
Sales Representative
Cricket Wireless
10.2015 - 09.2016
- Engaged customers to understand needs and recommend appropriate products
- Assisted in maintaining accurate inventory records and product displays
- Supported team in achieving sales targets through effective communication
- Learned company policies and procedures to enhance customer service experience
- Utilized point-of-sale systems for processing transactions efficiently
- Collaborated with colleagues to create promotional displays that attracted customers
- Adapted quickly to new products, services, and sales techniques
- Provided feedback on customer preferences to improve product offerings
- Generated additional sales opportunities with upselling and cross-selling techniques.
- Enhanced client satisfaction by addressing concerns promptly and providing exceptional service.
- Maintained up-to-date knowledge of industry trends for informed decision-making during client interactions.
Skills
- HIPAA compliance
- Insurance verification
- Insurance billing
- Medical billing
- Medical Billing Understanding
- Follow-up skills
- Strong empathy
- Data entry proficiency
- Team collaboration
- Verbal and written communication
- Payment processing
- Investigative research
- Credit and collections
- Skip tracing
- Persuasive negotiation
- Customer service
- Multitasking
Timeline
Patient Account Representative
Patient Focus
04.2024 - Current
Client Service Representative
Primeritus Financial Services
10.2021 - 03.2024
Eligibility Specialist
Automated Health Systems Inc.
10.2016 - 03.2020
Sales Representative
Cricket Wireless
10.2015 - 09.2016
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