92abe210-8121-48af-b9e9-33267efbaffb

Andrew Smith


287 Custer Street, Hopewell, PA 00000

[email protected]

(000) 000-0000

Professional Summary

Issue resolution, Problem Solving, Process setup, Process documentation, Time tracker,
Training new resource, Learning Sessions, Refresher Session Etc.

Handling all ongoing deliverables on the benefits administration like Scanning, Uploading, Indexing,
Documents verification, Enrollments, Life event approvals, Customer service, Emails reminders, Communication Mails, Return Mails, Payment Posting, Confirmation Statements Etc.

Customer Services on Operations Department – Handles inbound and Outbound calls.
Calls Audit
Appointment fixing
Collections
Solving Customer Queries

Employment history

Associate, Welch, Hintz and Schaden. Gibsonmouth, Oklahoma
Dec. 2017 – Present
  • On going Deliverables such as Life event, Dependent Verification, Payment posting, Confirmation Statement on benefits.
  • Weekly Payroll file audit to the clients and Carriers.
  • New Process setup for the clients.
  • Creating Process documentation and updation on process documents of an existing process.
  • Process development.
  • Process automation.
  • Issue resolution.
  • Problem Solving.
  • Group discussion or meeting on the weekly basis.
  • Time Keeper
  • Team work
  • Learning session
  • Refresher session
  • Training on process to new resource.
  • Team managing.

Billing Associate, Harvey-Boyle. Walshton, Rhode Island
Jan. 2015 – Mar. 2015
  • Handling Inbound and Outbound calls on healthcare benefits.
  • Need to setup an appointment with the customer regarding his insurance information.
  • Also audit and prepare all the Medicare information of the retirees for the next day call.
  • Calls audit.

Customer Service Representative, Kuhn, Cartwright and Heaney. New Talia, Delaware
Apr. 2014 – May. 2014
  • Handles all outbound and inbound calls all over India on the (Auto Loan, Two Wheeler Loan, Credit Card and NRI customers).
  • Target oriented project on the monthly basis.
  • Time management.
  • Team work.

Customer Service representative, Bogisich Group. Lamontmouth, New Hampshire
Jun. 2012 – Oct. 2012
  • Handles all inbound and Outbound calls on the credit card departments all over India.
  • Setup appointments for the application of the credit cards.
  • Advising the customers queries on Credit card accounts and its facilities and features.
  • Raising Complains and Requests as per the customer queries.
  • Problem solving as per the company policies.
  • Educating Customers about their features.
  • Team work
  • Time management

Education

Western Konopelski College, Gladysstad, South Dakota
Bachelor of Science, Mathematics, Jun. 2011

Awards

Languages

Tamil

English

Skills

Process Training

Enrollments and Life events

Direct Billing & Premium Billing Management

Ms Office

Process Documentation

Accounts maintenance

Dependent verification tracking management

Document management

Project Management

billing associate

  • Create educational training for all clinical staff to keep them up-to-date on coding changes.
  • Assist with scheduling appointments, purging of charts, and filing charts.

billing associate

  • Prepare charts for upcoming medical appointments to review and verify medical and vision insurance eligibility. 
  • Work any appeals needed for claims denied by insurance.
  • Run reports for outstanding balances, print statements, set-up payment plans and work accounts for collection.
  • Answer all patient and insurance phone calls concerning claims and patient’s account.

billing associate

  • Obtain referrals and pre-authorizations as required for procedures.
  • Check and verify patient’s insurance eligibility and benefits.
  • Review superbills for accurracy and enter charges with appropriate diagnosis and modifers.
  • Scrub claims to insure accuracy especially concerning payer’s rules.
  • Prepare, review and transmitting claims using billing software including electronic and paper claims.
  • Identify and bill secondary claims with copy of EOB from primary insurance.
  • Enter payments from insurance and check for correctness. 

billing associate

  • Patient Customer Service 
  • Perform daily closing and balancing of payments and receipts.
  • Maintain and manage daily logs of transactions in an organized manner.
  • Coordinate with accounts receivable and accounts payable departments

billing associate

  • Perform billing assistance duties in a business or corporate setting facility.
  • Prepare and send invoices to clients and customers.
  • Process, prepare and complete third party invoices.
  • Check and issue billing adjustments to customers.
  • Check, print and validate billings and invoices.
  • Track, check and process delinquent invoices.
  • Track, verify and mail customer refund checks.

billing associate

  • Handling Inbound and Outbound calls on healthcare benefits.
  • Need to setup an appointment with the customer regarding his insurance information.
  • Also audit and prepare all the Medicare information of the retirees for the next day call.
  • Calls audit.