Experienced Consultant with a demonstrated history of working in the information technology and services industry. Skilled in Customer Service, Sales, Customer Relationship Management (CRM), Teamwork, and Supply Chain Management. Strong consulting professional with a Master of Business Administration (MBA) focused in Logistics, Materials, and Supply Chain Management from Superior College.
Check eligibility and benefit verification by calls and web portals.
Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
Identify and bill secondary or tertiary insurances.
Check each insurance payment for accuracy and compliance with contract discount.
Payment Posting (EOB/ERA).
Review patient bills for accuracy and completeness and obtain any missing information.
Generate Patient Statement.
Obtain referrals and pre-authorization as required for procedures.
Call insurance companies regarding any discrepancy in payments if necessary.
All accounts are to be reviewed for insurance or patient follow-up.
Follow up on unpaid claims through insurance calls & web/portals.
Research and appeal denied claims.
Update billing software according to updated fee schedule.
Updates cash spreadsheet, runs collection reports.
Answer all patient or insurance telephone inquiries pertaining to assigned account
Make outbound customer calls to promote and sell a product or service.
Create, maintain and update database of customers with complete information and emails.
Consolidate existing customer base while building new customer base.
Record outbound call history and customers response in detail.
Ensure customer follow-up all the time.
Send or email product literature, brochures, catalogs and other campaign material.
Monitor competitors’ products or services and create selling strategies for own products or services.
Handle customer needs and requirements.
Respond to customer inquiries and resolve.
Refer customers’ needs or inquiries to appropriate departments like sales, marketing, administrative or other departments.
Assist and support sales, marketing or other departments in handling customer requests and needs