Nadine White
Randolph,MA
Summary
A professional, with ability to elicit and evaluate information of a highly personal and sensitive nature, from a broad spectrum of individuals and agencies; while maintaining confidentiality. Able to read, interpret and apply regulatory policies, and procedures; with minimal supervision and with extensive detail; prepare written correspondence. Coordinate functions and work cooperatively with others; also well organized to meet deadlines.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Customer Service Representative
Boston Children's Health Physicians
10.2018 - Current
- Handled patients inquiries and suggestions courteously and professionally.
- Actively listened to patients, handled concerns quickly and escalated major issues to supervisor.
- Answered constant flow of patients calls with minimal wait times.
- Answered patient telephone calls promptly to avoid on-hold wait times.
- Updated account information to maintain patient records.
- Maintained patient satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Processed patient payments and updated account information
- Offered advice and assistance to patients, paying attention to special needs or wants.
- Responded to patients requests for products, services, and company information.
- Followed up with patients about resolved issues to maintain high standards of customer service.
- Monitored flags and resolved urgent items with accuracy and efficiency.
- Utilized computer programs to create invoices, letters and other documents.
- Responded to patient, family and external payer inquiries.
- Responded to patient inquiries and provided detailed account information.
- Maintained accurate records of patients accounts, payments and payment plans.
- Worked with patients to create debt repayment plan based on current financial condition.
Patients Accounts Rep.
Boston Childrens Hospital Physicians
06.2017 - 09.2018
- Billed accounts to various insurances
- Collaborated with other departments to address customer needs and service requests.
- Verified insurance coverages, and billed patient accounts to insurance.
- Called insurance to review claims to clarify claim discrepancies
- Processed claims accurately and timely
Medical Biller
Mass Eye and Ear Associates
10.2013 - 06.2017
- Understands the various types of insurance carriers along with their claim requirements
- Provide successful follow-up efforts for A/R including the appeals process for denied claims
- Reduced A/R risks by debt collection practices, professional courtesy regulations, clean claims and timely filing guidelines and refund requirements, and other billing regulations
- Use data and reports as indicators for potential improvement areas in billing.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Cash Posting Clerk
Nesco Resource Staffing- Marino Center
12.2011 - 09.2012
- Financial administration clerk, ensuring efficiency, timely and accurate payment of accounts
- Maintain up-to-date billing system
- Follow up, collection and allocation of payments to carry out billing processes, collection and reporting activities according to specific deadlines reconciliation of accounts, monitor customer account details for non payments, delayed payments and other irregularities, maintain accounts receivable customer files, follow established procedures for processing receipts, cash etc, prepare bank deposits, investigate and resolve customer queries, process adjustments, organizing a recovery system and initiate collection efforts
- Communicated with customers and health care providers via phone, email and mail.
Patients Accounts Rep
Nesco Resource Staffing
02.2011 - 09.2011
- Corrected and resubmitted back log of denied Medicaid claims
- Such as: no authorization or referral, modifier issues, incorrect member id, member not eligible, provider not credentialed, also updated patient information with changes in insurance coverage.
- Processed client payments and updated accounts.
Patients Accounts Rep
Medix Staffing
05.2010 - 01.2011
- Corrected and resubmitted back log of denied Medicaid claims
- Such as: no authorization or referral, modifier issues, incorrect member id, member not eligible, provider not credentialed, also updated patient information with changes in insurance coverage.
Patient Accounts Specialists
Medix Staffing- Partners Healthcare
11.2009 - 05.2010
- Collected medical and patient data such as diagnosis, treatment, and insurance verification: submitted claims to a wide variety of payment sources, including Medicaid, Medicare and other third-party payers, prepared correspondence for collection of accounts
- Verified health care coverage and charges against established rates for diagnosis, treatment services, to support and maintain patient accounts via an automated billing system.
Patient Accounts Specialists
Boston Medical Center
04.2007 - 09.2009
- Was a liaison between the providers of health care services, the patient or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions and account resolution
- Maintained active communications with patient and third-party carries until account is paid or moved to other appropriate agency for further collection activity
- Reviewed plans, policies, and billing procedures for existing and new services and recommend to supervisor changes to ensure maximization of revenues; reviews policies, procedures, and practices for compliance with legal standards and state guidelines; ensured that processing of patient claims were with standard departmental billing policies and procedures.
Accounting Assistant
Whole Foods Market Kitchens
01.2005 - 06.2006
- Handled accounts for 51 stores and department (meats, seafood, bakery and deli)
- Closed all inventory to prepare budget for next period
- Other duties included accruals, vendor setup, collection calls, processed credits/debits, reported shortages, processed daily invoices and researched discrepancies
- Met with vendors regarding price changes, rand and posted sales reports.
Shipping & Receiving Clerk
Whole Foods Distribution Center
08.2004 - 01.2005
- Daily responsibilities included processing incoming inventory, ad delegating gates to unload deliveries, also insured proper billing of all products.
- Handled day-to-day shipping and receiving overseeing more than 100 packages per day.
Accounts Receivable Clerk
Equal Exchange
04.2003 - 08.2004
- Primary responsibilities were running daily, monthly and quarterly reports on accounts
- Also was responsible for making daily bank deposit and adjustment to accounts, placed collection calls, resolved account discrepancies and processed credit card transactions.
- Responded to inbound inquiries regarding accounts and payments.
- Prepared and mailed invoices to customers, processed payments, and documented account updates.
- Prepared billing statements and invoices for customer purchases and recorded transaction date, price and fees to support accuracy.
- Made outbound calls to vendors and customers to discuss and resolve account needs.
- Applied proper codes to invoices, files, and receipts to keep records organized and easily searchable.
Insurance & Securities Coordinator
Vertitude Agency at Fidelity Investments
10.2002 - 01.2003
- Ensured that all brokers licenses with current with state brokerage laws, also managed license registering hotline to ensure tests were completed and current, as well as data entry and proofreading.
- Verified accuracy of accounts payable payments, resulting in 100% reduction in payment errors and check reissues.
Administrative Assistant
Wealth Management Services
10.2000 - 10.2002
- Supported staff of 121, Handled both incoming and outgoing correspondence from Dallas TX
- Created and distributed daily sales report
- Assist staff with projects as needed and updated department on scheduled meeting changes.
Inventory Clerk
Blue Cross Blue Shield
04.1998 - 10.2000
- Classified and coded data to be entered; keyed from a variety of prepared original source documents, forms and records; identified and corrected errors; performed clerical office tasks as assigned, such as maintaining records of work received and work performed; verifies data input; may help in training new personnel.
- Maintained inventory count, tracked usage, and documented variances.
- Recorded information, shortages, and discrepancies to keep records current and accurate.
- Kept documentation and records accurate and up-to-date with latest data to prevent errors in processing or delivery.
Skills
- Results-oriented
- Quick learner
- Microsoft Office
- Computer systems proficient
- Proficiency in patient discrepancies
- Accuracy of patient account information
- Complaint Resolution
- Account Updating
- Problem-Solving Abilities
Certification
Certified Medical Secretary
Timeline
Customer Service Representative
Boston Children's Health Physicians
10.2018 - Current
Patients Accounts Rep.
Boston Childrens Hospital Physicians
06.2017 - 09.2018
Medical Biller
Mass Eye and Ear Associates
10.2013 - 06.2017
Cash Posting Clerk
Nesco Resource Staffing- Marino Center
12.2011 - 09.2012
Patients Accounts Rep
Nesco Resource Staffing
02.2011 - 09.2011
Patients Accounts Rep
Medix Staffing
05.2010 - 01.2011
Patient Accounts Specialists
Medix Staffing- Partners Healthcare
11.2009 - 05.2010
Patient Accounts Specialists
Boston Medical Center
04.2007 - 09.2009
Accounting Assistant
Whole Foods Market Kitchens
01.2005 - 06.2006
Shipping & Receiving Clerk
Whole Foods Distribution Center
08.2004 - 01.2005
Accounts Receivable Clerk
Equal Exchange
04.2003 - 08.2004
Insurance & Securities Coordinator
Vertitude Agency at Fidelity Investments
10.2002 - 01.2003
Administrative Assistant
Wealth Management Services
10.2000 - 10.2002
Inventory Clerk
Blue Cross Blue Shield
04.1998 - 10.2000
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