Summary
Overview
Work History
Education
Skills
Timeline
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Erica Firby

Philadelphia

Summary

Results-driven professional with extensive experience at Aetna, Inc., excelling in premium reconciliation and collections. Proficient in Oracle and Ezlink Billing Systems, I effectively reduced outstanding balances through proactive monitoring and analysis. Known for strong problem-solving skills and a commitment to accuracy, I ensure compliance with policies while enhancing customer satisfaction.

Overview

32
32
years of professional experience

Work History

Premium Reconciliation/ Collections Specialist

Aetna, Inc
Blue Bell
12.2004 - Current
  • Reconciled eligibility, premium and EZlink payments via Aetna mainframe database system.
  • Monitored, updated and maintained several receivable accounts, provided status reports and ensured outstanding balances met established targets.
  • Analyzed reconciliation reports to identify delinquent accounts according to Aetna collection policies and guidelines. Oversaw the unit call management system, tracked incoming & queue call volumes, monitored representative(s) average answer speed ensured collection protocols were adhered to and call volumes met Aetna standards.
  • Process ACH payments and credit card payments for reinstatements.
  • Reconcile daily ACH reports to ensure that payments have cleared and placed on correct accounts.

Senior Billing Consultant

Aetna, Inc
Blue Bell
12.1997 - 11.2004
  • Coordinate validation of member(s) eligibility status, ensures data entered into Aetna customer systems is done accurately, timely and adheres to established group contract, state law, Aetna policy/guidelines and is in accordance with first claim/ first call resolution protocols.
  • Provide plan sponsors with up to date billing info identify, research and resolve discrepancies.
  • Efficiently& expeditiously disseminate members ID cards satisfying Aetna customer service guidelines.
  • Reduce losses resulting from non-payment; through proactive monitoring and collection of outstanding premiums and delinquent accounts; appropriately reconciling collected funds across respective benefit plans and structures.

Personal Banker

Mellon PSFS Bank
10.1996 - 12.1997
  • Performed daily Reconciliation of branch ATM cash and check receipts.
  • Processed financial transactions for individual and commercial clients.
  • Conducted in branch sales of financial products to existing and prospective clients.
  • Conducted electronic funds transfers between the Mellon/PSFS and the Federal Reserve Bank

Freelance Hair Stylist

10.1993 - 06.1995
  • Owner/Operator

Education

Certificate in Cosmetology -

Gordon Phillips Beauty School
Philadelphia, PA
01.1988

Academic Diploma -

Rittenhouse Academy
Philadelphia, PA
01.1987

Skills

  • Windows XP
  • Microsoft Office Suite
  • WordPerfect
  • Oracle
  • Ezlink Billing Systems
  • CMS for Medicare
  • GEBAR
  • AAS
  • Web CCI

Timeline

Premium Reconciliation/ Collections Specialist

Aetna, Inc
12.2004 - Current

Senior Billing Consultant

Aetna, Inc
12.1997 - 11.2004

Personal Banker

Mellon PSFS Bank
10.1996 - 12.1997

Freelance Hair Stylist

10.1993 - 06.1995

Certificate in Cosmetology -

Gordon Phillips Beauty School

Academic Diploma -

Rittenhouse Academy

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Erica Firby