Zakes Warner
Sunderland
Summary
Healthcare professional with comprehensive experience in provider services. Adept at managing provider relations and facilitating seamless communication within healthcare networks. Renowned for fostering team collaboration and adapting to evolving operational needs, along with strong conflict resolution and organizational skills that employers value.
Overview
13
13
years of professional experience
Work History
Provider Services Representative
Tufts Health Plan
10.2014 - 05.2025
- Enhanced customer satisfaction by efficiently resolving provider inquiries and concerns.
- Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.
- Streamlined operations by managing a high volume of incoming calls for medical providers seeking information or assistance.
- Acted as a liaison between providers and company leadership, effectively communicating concerns and feedback to facilitate continuous improvement initiatives.
- Educated providers on billing procedures, coding guidelines, and reimbursement policies for optimal claim submissions.
Accounts Receivable Clerk
Mount Snow Ski Resort
11.2012 - 04.2013
- Prepared and mailed invoices to customers, processed payments, and documented account updates.
- Submitted cash and check deposits and generated cash receipts to record money received.
- Maintained up-to-date customer contact information, enabling effective communication regarding account status and payment inquiries.
- Provided exceptional customer service when addressing client inquiries about their account status or billing concerns, building strong, long-lasting relationships.
Education
Bachelor of Arts - Economics
University of New Hampshire
NH05-2012
Skills
- HIPAA compliance
- Claims processing
- Call center experience
- Insurance verification
- Provider relations
- Problem-solving
Timeline
Provider Services Representative
Tufts Health Plan
10.2014 - 05.2025
Accounts Receivable Clerk
Mount Snow Ski Resort
11.2012 - 04.2013
Bachelor of Arts - Economics
University of New Hampshire
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