Self-starting, fast learner that will utilize excellent interpersonal and leadership skills as well as a strong emphasis on attention to detail and providing consistent exceptional customer service.
Overview
20
20
years of professional experience
Work History
Health Care Concierge
UPMC Health Plan
02.2023 - Current
Address member inquiries with timely and professional responses via phone, email and chat interactions.
Remedy issues concerning the members claims and billing issues quickly and effectively through active listening, conflict resolution, and dynamic communication skills.
Offer friendly and efficient service to members, handled challenging situations with ease.
Master multiple lines of businesses and available plan options in order to effectively assist members with their needs and questions regarding their particular plan.
Medical Billing Specialist
MSI Healthcare
11.2007 - Current
Uphold confidentiality regarding protected health information and adhere to HIPPA regulation.
Conduct research on overdue billing by contacting patients, local affiliates and insurance carriers.
Resolve accounts quickly and accurately to obtain maximum reimbursement.
Verify coverage with insurers, file required forms and submit paperwork to obtain timely payments.
Advise finance staff and providers regarding changes to procedural and billing codes from Medicare, Medicaid and private insurance carriers.
Wedding Consultant
Bethel Bakery
08.2017 - 02.2023
Conducted initial consultations with clients to determine desired wedding cake and dessert packages, style and budget.
Supported operations with consistent maintenance and updates of corporate files and records.
Located and coordinated with wedding facilities to make each event successful, verifying venue location, expected guest numbers and event timeline.
Dispatch Operations Manager
Nationwide Insurance
05.2005 - 11.2007
Promoted exceptional and empathetic customer service to all Nationwide claimants for the state of PA.
Managed and supervised a team of 10 in the only Nationwide dispatch call center office for the entire state of PA.
Guided claimants after a stressful vehicle accident in the next steps of the claims process.
Evaluated damaged to vehicles over the phone to assess proper next steps to ensure maximum safety and customer service to customers.
Managed the distribution of claims to adjusters in the entire state of PA based on location and territory.
Administrative Coordinator at Department of Health Economics, UPMC Health Plan (remote)Administrative Coordinator at Department of Health Economics, UPMC Health Plan (remote)