DENISE STONE
Bennington
Summary
Results-driven in healthcare billing and claims management with a proven ability to enhance customer engagement and streamline operations. Demonstrated success in resolving over 100 inquiries weekly, maintaining a 95% satisfaction rate, and reducing unresolved claims by 30%. Committed to optimizing processes and ensuring compliance with authorization protocols.
Overview
21
21
years of professional experience
Work History
Financial Service Representative III
Children's Hospital Medical Center
Cincinnati
07.2014 - Current
- Resolves billing inquiries and processes insurance payments for over 100 customers weekly, consistently achieving a 95% customer satisfaction rate.
- Implements follow-up strategies on insurance claims and denials, resulting in a 30% reduction in unresolved claims within 12 months.
- Develops and oversees monitoring processes for transfusion accounts, ensuring full compliance with billing authorization protocols and successfully appealing denied transfusion claims.
- Utilizes advanced technical skills and expertise to troubleshoot complex problems and implement solutions.
Collections and Customer Service Representative
Parallon Business Solutions
Cincinnati
10.2013 - 07.2014
- Resolved billing inquiries and denial issues for over 150 customers monthly, improving account management effectiveness.
- Streamlined collections processes, achieving a 20% increase in recovery rates within three months.
Collections and Customer Service Representative
Mercy Health
Cincinnati
08.2008 - 10.2013
- Addressed patient inquiries related to billing and insurance payments, enhancing customer engagement and communication.
- Collaborated with insurance providers to resolve claims disputes, achieving a 25% reduction in average resolution time.
Collector
Controlled Credit Corporation
Cincinnati
01.2005 - 08.2008
- Achieved a 90% recovery rate on past-due medical bills, successfully collecting over $500,000 in receivables.
- Processed and managed insurance claims, ensuring compliance with Medicaid and Medicare regulations to facilitate timely reimbursements.
Education
Certified Business Professional - Customer Service
Warren County Career Center
General Studies -
College of Mount Saint Joseph College
Skills
- Claims management
- Insurance processing
- Billing resolution
- Account updates
- Trend tracking
- Problem solving
- Attention to detail
- Team collaboration
Timeline
Financial Service Representative III
Children's Hospital Medical Center
07.2014 - Current
Collections and Customer Service Representative
Parallon Business Solutions
10.2013 - 07.2014
Collections and Customer Service Representative
Mercy Health
08.2008 - 10.2013
Collector
Controlled Credit Corporation
01.2005 - 08.2008
Certified Business Professional - Customer Service
Warren County Career Center
General Studies -
College of Mount Saint Joseph College