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Andrew Smith


Phone:

(000) 000-0000

Address:

287 Custer Street, Hopewell, PA 00000

Professional Summary

Proactive, friendly customer service specialist dedicated to meeting and exceeding expectations at every interaction.  Timely and professional with extraordinary communication skills and ability to build and cultivate relationships to drive business retention.  Actively seeking a position where I can utilize my education and experience to add immediate value to an organization.

Employment history

Oct. 2017 – Nov. 2017
South Blake, Mississippi
Billing Specialist, Schmeler, Stanton and Keeling

Took inbound calls from business owners and assisted with their accounts. 
Took payments for services provided to businesses. 
Explained charges on bills. 
Issued credits.

Sep. 2016 – Nov. 2016
East Carsonmouth, Mississippi
First Notice of Loss Phone Examiner for Hertz (temp position), Reilly and Sons

Took inbound calls from Hertz customers who were involved in accidents.
Assisted with beginning claims process for customers involved in wrecks.
Provided claim number and information for assigned liability office.

May. 2013 – Jan. 2014
East Davis, Alabama
Engineering Technician, Spinka, Bayer and Daugherty

Supported inbound calls for technical support for computer hard drives. 
Handled warranty replacements for in warranty hard drives.
Beta tested new products before they were released to the market.
Answered pre-sales questions for customers who were curious about buying products.
Responsible for ensuring parts were in stock for customers.
Coached/trained new employees. 
Notated each call accurately. 
Responded to incoming emails for warranty, pre-sales, and technical support. 
Gave customers updated status for warranty replacements. 
Responsible for contacting warehouse directly for status updates for pending orders. 
Resolved failed credit card issues for RMA’s. (Return material authorization)

Jan. 2010 – Aug. 2011
Kovacekton, Massachusetts
Claims Analyst, Pollich Group

Analyze and review claims for accuracy, completeness and eligibility. Responsibilities
Prepares and maintains reports and records for processing.
Paid claims across 3 different systems.
Document imaging for different law firms.
Contacted law firms requesting documentation.
Corrected invoices before authorizing payment.
Contact adjusters for further aid on claims.

Feb. 2008 – Nov. 2008
Pricefort, Nevada
Automated Logistical Specialist, Rath, Kris and Brakus

Establishes and maintains stock records and other documents such as inventory, material control, accounting and supply reports.
Establishes and maintains automated and manual accounting records, posts receipts and turn-ins, and performs dues-ins and dues-outs accounting.
Corrects error and exception documents. 
Reviews and verifies quantities received against bills of lading, contracts, purchase requests, and shipping documents.
Prepares, annotates and distributes shipping documents

Education

Feb. 2006
Automated Logistical Specialist for US Army

  • Weissnat Academy – Cassidyside, Colorado

Jul. 2004
High School Diploma

  • Southern Nevada Institute – North Cedrickbury, Kentucky

Skills

Microsoft Excel
Skillful

10 key
Experienced

Typist
Experienced

Spanish
Skillful

Communication
Experienced

Multitasking
Experienced

Problem solving
Experienced

Self-motivated
Expert

Adaptability
Experienced

Data analysis
Expert

8d34f723-e703-4453-bce9-705c68fdfd7d

Andrew Smith


Phone:

(000) 000-0000

Address:

287 Custer Street, Hopewell, PA 00000

Professional Summary

Proactive, friendly customer service specialist dedicated to meeting and exceeding expectations at every interaction.  Timely and professional with extraordinary communication skills and ability to build and cultivate relationships to drive business retention.  Actively seeking a customer service director role where I can utilize my education and experience to add immediate value to an organization.

Education

Sep. 2010
Certificate of Completion: Medical Billing and Coding

  • Eastern Michigan University – Grahamfort, North Dakota

Employment history

Jun. 2013 – Sep. 2013
South Karan, South Dakota
Billing Specialist, Harris and Sons

  • Responsible for billing of all patient charges to insurance and patient. Posted payment postings to appropriate accounts.
  • Handled all collections on accounts from insurance and patients.
  • Scheduled patient appointments, verified all insurance coverage.
  • Communicated effectively with all patients, faculty and staff in a professional manner.
  • Managed conflict resolution skills with all dissatisfied patients.
  • Maintained a professional front desk and waiting room at all times.

Dec. 2011 – May. 2012
Diegobury, Alabama
Data Entry Specialist, Howell Inc

  • Entered all billing charges from the Dr. office and hospital.
  • Maintained all accounts receivable.
  • Handled all inquiries pertaining to patient accounts.
  • Responsible for a professional front office and waiting room.
  • Greeted all clients with a professional demeanor at all times.

Skills

Customer Care

Accounts Receivable/Payable

Appointment Scheduler

Multi Phone systems

Patient conflict resolution skills

Medical Insurance Procedures

4eec8e8a-fc48-4644-af92-11add94ffbcb

Andrew Smith


287 Custer Street, Hopewell, PA 00000

(000) 000-0000

Professional Summary

I have been in the retail business since I first started working back in high school for the student work program. In just this short time I have come to realize one important fact that is a constant in any work environment. Customer service is what makes or breaks how well you will do, because of this I started revolving my behavior and work based on a statement. “How would you like to be taken care of in their situation.” It’s because I make it personal that I feel like I succeed in making many customers day a better one after engaging with me.  This is why I feel like I will succeed in any type of work environment I am put in.

Employment history

Billing Specialist, Bednar Inc. Casperbury, Kansas
Aug. 2017 – Sep. 2017
  • Sell various types of insurance policies to businesses and individuals on behalf of insurance companies, including automobile, fire, life, property, medical and dental insurance or specialized policies such as marine, farm/crop, and medical malpractice.
  •  Help incoming calling members help decipher their bills, make payments, and assist with any plans to help bring the member current with their bill in a timely manner. Overall member service to ensure the members were happy with their services.

Sales Associate, Vandervort, Lockman and Abbott. North Barbra, Michigan
Nov. 2016 – Mar. 2017
  • Demonstrate or explain products, methods, or services to persuade customers to purchase products or use services.
  • Provide product samples, coupons, informational brochures, or other incentives to persuade people to buy products.
  • Keep areas neat while working and return items to correct locations following demonstrations.
  • Sell products being promoted and keep records of sales.
  • Set up and arrange displays or demonstration areas to attract the attention of prospective customers.
  • Suggest specific product purchases to meet customers’ needs.
  • Identify interested and qualified customers to provide them with additional information.
  • Learn about competitors’ products or consumers’ interests or concerns to answer questions or provide more complete information.
  • Work as part of a team of demonstrators to accommodate large crowds.
  • Stock shelves with products.
  • Use computers to produce signage.
  • Arrange properties, furniture, merchandise, backdrops, or other accessories, as shown in prepared sketches.
  • Attend training sessions or corporate planning meetings to obtain new ideas for product launches.
  • Collaborate with others to obtain products or other display items.

Brand Central Lead, Balistreri-Hayes. Effertzland, Missouri
Oct. 2011 – Nov. 2015
  • Brand Central Resets Several times (Mattresses, Appliances, TVs)
  • Reviewed reports to indicate if employees were meeting company standards
  • Helped engage in coaching to employees to help improve their proformance
  • Made department schedules
  • Made signs from a machine for sales and upcoming events
  • Engaged in selling during heavy traffic times and during the weekends
  • Resolved member issues with product and delivery issues
  • Helped unload product trucks every week
  • Engaged members to ensure they were getting top customer service
  • Helped LP with tracking down misplaced or non-received items
  • Done over nights to prepare the store for holidays 
  • Coordinated with a team of leadership and employees
  • Merchandise outside departments

Education

Western Schamberger, Sauerborough, Indiana
High School Diploma, General, Dec. 2008

Languages

English

Skills

Customer Service

Merchandising

Time Management

Scheduling

Computers

billing specialist

  • Process and mail patient statements. 
  • Follow up on insurance claims, filing appeals if needed. 
  • Pre-collections on patient accounts. 
  • Obtaining Prior Authorizations from insurance companies as needed. 
  • Maintaining excellent knowledge of insurance contracts and requirements. 

billing specialist

  • Post insurance billings for all medical, dental, vision and behavorial health visits.
  • Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer to compile reports for specific grant programs.
  • Compile and maintain patients’ medical records to document condition and treatment and to provide data for research and grant programs.
  • Direct, supervise and evaluate work of staff that involved in the work of specific grant programs.
  • Develop instructional materials and conduct health education classes for various subjects such as diabetes, nurtrition, health cooking, etc.
  • Keep financial records or perform other bookkeeping duties, such as handling Medicaid and Medicare payments and following up with insurance companies.
  • Collect and compile all information needed to credential doctors and dentists and ensure that credentialing stays up to date.

billing specialist

  • Audite freight bills from carriers to ensure accuracy
  • Dispute freight charges with carriers when needed
  • Provide reporting to Account managers showing interest charges, average days to pay, and past due invoices per account.
  • Create, maintain, and enter information into databases.Count money and make bank deposits.

sr. billing specialist

  • Input information and determine appropriate medical codes from relevant resources in order to generate claims for payment.
  • Ensure accurate processing and completion of denied claims.
  • Manage, document and prioritize case load including individual and department by achieving applicable target ans metrics/
  • Receive billing issues and gather relevant date to resolve.
  • Point of contact for the main platform

billing specialist

  • Contacted clients with past due accounts to formulate payment plans and discuss restructuring options
  • Identified, researched and resolved billing variances to maintain system accuracy and currency
  • Paid vendors by monitoring discount opportunities and paid employees by receiving and verifying expense reports
  • Utilized talents and expertise to complete on-time and accurate monthly closing processes, journal entries and accruals
  • Improved accounts payable processes and achieved 90% reduction in late fees
  • Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft
  • Generated accounts payable reports for management review to aid in financial and business decision making

billing specialist

  • Process customer’s payments
  • Offer products and services to customers
  • Assist their concern regarding on their billing statement
  • Transcribed x-ray reports.

billing specialist

  • Data entry of patient demographic and insurance information.
  • Coded x-ray reports with both CPT and ICD9 and ICD10 codes.
  • Posted patient charges onto patient accounts.
  • Processed, Transmitted, Printed and Mailed Insurance Claims.
  • Processed and Transmitted Patient Statements.
  • Posted both manual and electronic payments.
  • Posted insurance denials and followed up on those denials to correct the claims for payment as needed.

billing specialist

  • Post medical insurance payments, as well as patient made payments. 
  • Perform duties, such as taking care of plants or straightening magazines to maintain lobby and reception area. 
  • Assist customers with billing issues regarding their insurance. 
  • Take payments over the phone.

billing specialist

  • Contacting insurance companies to resolve issues. 
  • Speaking with patients regarding outstanding balances and/or questions relating to insurance. 
  • Assisting others understand our computer system and how to properly operate it. 
  • Handle patient payments.  
  • Post payments received from insurance carriers. 

billing specialist

  • Daily posting of charges and payments.
  • Coding of surgeries and hospital E/M’s.
  • AR, patient billings, process refunds, corrected claims, research unpaid claims.
  • Daily and monthly balancing of monies.

billing specialist

  • Optimizes billing operations by synergizing refunds, credits and collection management using Accounting Softwares SalesForce and Zoura. 
  • Key Operations: Refunds and credit management, Cancellation management, Un-returned Material Authorization, Loss adjustment, Invoicing,Add-ons, Expedite Shipping, Subscription Cancellation, Revoke Canceelaation Charges adjustment, Bad debt adjustment, and business reporting
  • Review collection reports determining the status of collections and the amounts of outstanding balances. 
  • Receiving inbound calls from British customers and solving their billing queries. 

billing specialist

  • Correspond with customers to resolve billing issues and queries.
  • Update and maintain billing records and documentation everyday.
  • Interact with customers to respond to specific requirements.
  • Perform assigned administration related duties and responsibilities Awards: Bronze Award winner

billing specialist / medical records

  • Verified patient’s medical benefits and performed investigations into current and outstanding medical bills while maintaining a courteous and professional disposition 
  • Scheduled delivery inductions and other routine appointments as needed
  •  Contact dental offices for information necessary to send a claim.
  •  Verify all demographic (spelling of names, date of birth, and insurance carrier) information is correct.

billing specialist

  •  Investigate and provide insights on data mismatches in specialized invoices and payment detail reports according to corporate policies.
  • Create and maintain training materials and work instructions to assist internal customers.
  • Responsible for management of monthly analysis of units’ progress and other key forecasting tools utilized by senior management. 
  • Contact insurance companies to check on status of claims payments and write appeal letters for denial on claims. 

billing specialist

  • Processed all Accounts Receivables.
  • Assisted in supervising and delegating all processes for Accounts Receivable.
  • Provided training for new employees in all areas of Receivables .
  • Wrote and audited all invoices coming in and going out of the office.

billing specialist

  •  ​Post Zero Pays.
  •  Write-off unpaid claims.
  •  Resubmit claims with corrected codes
  •  Mail Secondary Claims.
  •  Achieve departmental goals for accurately submitting both paper and electronic insurance claims for previous day’s treatment.
  • Determine if claims need to be submitted electronically or via paper and send all supporting documentation.
  •  Correct and send rejected claims.

billing specialist

  • Process invoices for Business Vehicle and Relocation clients via SalesForce and Great Plains systems.  
  • Review and process requests for credits, ensuring the appropriate documentation and authorizations have been received and attached to each request.  
  • Review aging report for 242 clients and contact them regarding past due invoices. 
  • Confer with clients by telephone or email to determine reasons for overdue payments and to review the terms of sales, service, or credit contracts.
  • Answer customer questions regarding their accounts.
  • Billing accuracy over 97%.

billing specialist

  • Processed billing daily for our 5 locations
  • Located and notify customers of delinquent accounts by email, or telephone.
  • Updated credit cards on customers accounts.
  • Processed Write off’s quarterly write and sent report to CFO 
  • Trained assistants to help with calls and Accounts Receivable Reports
  • Located customers who were scamming our system and change their account status.
  • Worked with closely with Customer Service representatives regarding customer accounts 

billing specialist

  • Billing specialist with technical and virtual support.
  • Assisted with accounts receivable, questions and services.
  • Resolved complex technical issues with high risk clients.
  • answer any billing and claims questions

billing specialist

  • Responsible for billing of all patient charges to insurance and patient. Posted payment postings to appropriate accounts.
  • Handled all collections on accounts from insurance and patients.
  • Scheduled patient appointments, verified all insurance coverage.
  • Communicated effectively with all patients, faculty and staff in a professional manner.
  • Managed conflict resolution skills with all dissatisfied patients.
  • Maintained a professional front desk and waiting room at all times.

senior billing specialist

  • Received Customer charges from technicians in the field.
  • Scheduled technicians their next assignments.
  • Accepted payment for services rendered form clients.
  • Billed out invoices to property management companies and individuals.
  • Trained new hire employees on proprietary software
  • Created new hire orientation program
  • Managed two direct reports, including facilitating their annual reviews, advocating to upper management for pay raises, promotions, etc., and managing their schedules

billing specialist/ trainer

  • Provide Action plans to improve numbers for New Hires
  • Keep track of stats for New hires to locate points that need further development or training
  • Listen to New hires calls to provide feed back on strengths and weaknesses 
  • Have knowledge of all systems to be able to instruct others on their uses
  • De-escalate sup calls in order to satisfy customer needs while also maintaining company policy
  • Educate employees on how to use the correct verbage to better inform the customer of policies while keeping customer happy with the answer

billing specialist

  • Work with various hospital billing systems to adjust claims 
  • Submit paper and electronic claims
  • Contact patients, insurance companies, and providers to collect information to ensure claim accuracy
  • Provide assistance for customers with special or complicated billing requests.

billing specialist

  • Helping with Customer Satisfaction
  • Real time problem solving
  • Information processing
  • Perform general office duties, such as answering telephones

billing specialist

  • Receive payments from Insurance and post amounts paid to Patients accounts 
  • Answer Patients questions regarding problems with their accounts.
  • Contact insurance companies to check on status of claims payments and submit appeal narrative for denial on claims.
  •  Prepare and submit clean claims to various insurance companies.
  • Prepare pre-estimate for various Insurance to assure proper patient portion such as for General,Orthodontic, Oral surgery procedures.
  • Review Dr clinical notes in order for them to match with the treatment render
  • Sent statements to patient once payment is enter

billing specialist

  • Use computers for various applications, such as database management or word processing to create, maintain, and enter information into databases.
  • Set up and manage paper or electronic filing systems, recording information, updating paperwork, or maintaining documents, such as
  • Conduct searches to find needed information, using such sources as DPS and Syncada
  • Prepare invoices and reports using different applications and databases.
  • Run daily reports to retrieve shipments which need billed.
  • Confer with agents by telephone or email to determine rates for service as provided on invoices.
  • Answer agent questions regarding problems with their accounts and give them information regarding payment status.

billing specialist

  • Using Salesforce to analyze the customer accounts and their information.
  • Using Zuora to review customers subscriptions and to solve billing and payment issues.
  • Reviewing Quotes, Opportunities, Sales Orders & Orders for alignment.
  • Using autorize.net, Business View Global,  Zuora & Salesforce for recording and responding of Chargebacks.
  • Working with Customer Success Managers on Customized Invoicing and Auditing domain.
  • Working on different projects overtime. 
  • Interface with the Sales, Deal Desk, Returns and Fulfillment team to ensure rapid issue resolution.