MIA JANE C. LACORTE

• Developed reputation as an efficient service provider with high levels of accuracy
• Ensured superior customer experience by addressing customer concerns, demonstrating empathy and resolving problems on the spot
• Managed wide variety of customer service and administrative tasks to resolve customer issues quickly and efficiently.

• I am a dedicated Customer Representative with 4 years of experience and expertise who provides courtesy with clear communication skills while actively listening and addressing concerns in an effective timely manner
• Accurately documented, researched and resolved customer service issues and referred unresolved customer grievances to designated departments for further investigation.

• I have been exposed to most of the areas in Patient and Insurance Billing such as: Patient account management which includes patient registration and appointment scheduling, Verification of patient eligibility and benefits and identification of correct payers, Claims Creation from EMR, Resolving Clearinghouse rejections and some EDI errors, Verification of Provider's Contract Info [contract, network participation, contract fee schedule] with payers/insurances to assure that providers are being paid correctly, Payment Posting from insurances and patient and dealing with Zero-Paid EOB's, Setting up ERA and assisting in provider's EFT setup, AR follow up which includes insurance phone calls, Resolving claim issues and denials, Interpretation of patient EMR, Collect patient's responsibility such as coinsurance, co-payment and deductible.

Worked as a Medical Collector for private insurances and Worker's Compensation for mental health services.

• Communicated with insurance providers to resolve denied claims and resubmitted.
• Verified insurance of patients to determine eligibility.

• Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.
• Increased revenue through timely processing of invoices and thorough follow-up on outstanding payments.