Objective: I desire a position that will enable me to telecommute.
| Work Desired: | Contract or Direct |
| Citizenship: | US Citizen |
| Resident Of: | State: Nebraska - Area Code: 402 |
| Willing To Relocate: | No |
| Posted By Candidate: | 1+ Year Ago |
| Experience: | More than 3 years of work-experience |
| Technical Skills: | MS Excel, MS Word, MS Windows, SPSS, Lotus Notes, MS Power Point |
| Work Experience: | |
Rebecca Hahn
5855 S 51 Ave * Omaha, NE 68117 * [Send email to request phone number] 15-4422 * [Send email using form at
bottom]
SUMMARY OF QUALIFICATIONS
Over 17 years in experience in customer service field
Adept at analyzing and prioritizing work in order to accomplish goals.
Self motivated.
EXPERIENCE
Client Representative
Mutual of Omaha
Efficiently and accurately document policyholder requests including written
correspondence to other departments as well as follow-up correspondence to the
policyholder.
Remain abreast of policy provisions as well as state and federal legislation
and operate accordingly.
Provide customer service skills to include, excellent relationship management
and listening skills.
Plan and organize skills by establishing priorities, managing multiple
assignments concurrently and meeting deadlines.
Work effectively in a fast-paced dynamic environment and make timely
decisions.
Initiate outgoing calls for existing group policyholders, brokers and/or field
offices.
Efficiently use multiple on-line resources to answer group policyholder
questions relating to reporting inquiries, enrollment and billing questions.
Contact policy holders regarding delinquent premium and make payment
arrangements.
Office Manager
Great Plains Counseling Center
Received intake information from clients and medical providers while triaging
issues by scheduling clients according to need or referring immediately to the
emergency room.
Managed all aspects of client billing and insurance filing.
Reviewed explanation of benefits from insurance carriers to determine if
benefits were paid correctly on specific members and provider contracts in a
timely and accurate manner.
Followed up with insurance companies when claims were not originally paid
providing required documentation and written appeals for payment.
Updated ICD-9/CPT-4 coding and billing procedures as required by
Medicare/Medicaid.
Accomplished weekly deposit and payroll reports.
Processed all transfer of patient and insurance company information necessary
to begin billing with new software.
Verified benefits and coverage enabling prompt payment for services.
CUSTOMER SERVICE/STAFFING
Interim Healthcare
Provided care and support to home bound patients with various forms of
neurological impairment including Alzheimers and multiple sclerosis.
Independently coordinated with patients and staff to ensure in home staffing
needs were met in a timely manner.
Ensured quality care by addressing patient concerns with empathy and
communicating medical and logistical needs to nurse case managers.
Advised field staff on proper documentation of care given to patients enabling
accurate and timely billing.
MEDICAL ASSISTANT
Crotty Dermatology Medical Center
Upon hire completed a six month back log of coding and insurance filing.
Maintained a 48 hour turn around of ICD-9/CPT coding and transmission to the
insurance clearinghouse.
Tracked and input data for producing HCFA 1500s for electronic and paper
filing of claims.
Monitored payments received from insurance companies and made requested
changes insuring proper billing of patients.
Verified patient coverage with insurance companies prior to treatment.
Exhibited sensitivity and accurate documentation of procedures preformed on
patients.
Health Services Management Technician
United States Air Force
Awarded Air Force Achievement Medal for coordinating with Japanese counterpart
allowing for over $100,000 in third party liability collections.
Supervised a medical records team which filed 20 feet of backlogged medical
documents in 5 months while maintaining a 24 hour turn around of daily filing.
Managed physician peer review program.
Processed patient admissions to ensure demographic and payment information
accuracy.
WORK HISTORY
2008 to Present Mutual of Omaha
2006 to 2007 Great Plains Counseling Center
1998 to 2006 Interim Healthcare
2000 to 2003 Crotty Dermatology Medical Center
1990 to 1997 USAF/Health Services Management Technician
EDUCATION
Bachelors in 2004, Psychology, Biology, University Of Nebraska at Omaha
Air Force Education and Training Command 1997, Health Services Journeyman
|
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