Sales Support Specialist Resume Profile

career Objective

To obtain a challenging position in a growth-oriented organization, which will allow me to utilize my critical thinking skills and effective decision-making to increase the overall success of profits and production.

QUALIFICATIONS

Strong organizational and analytical skills results-oriented professional with over 10 years of proficient work experience.
Effective communication skills detail-oriented team player eager to learn independent worker.
Technical strengths: Microsoft Office Applications. Knowledgeable in Artiva, TSYS, CMS, PeopleSoft, NICE, Imaging, Impact 360, Web Now, PayorFacts, AS400, OnBase, RA Discrepancy Tool, ETran, Meditech and HOST.
Experienced in the healthcare and insurance industry with excellent customer service skills to consistently contribute, to increased productivity and continued process improvement. Exceptional work ethic and integrity contributes to quality work and commitment to corporate goals

PROFESSIONAL Experience

Confidentyial

Overpayment Recovery Analyst

Identification and recovery of incorrectly paid and processed claims including duplicate insurance payments, coordination of benefits errors and payments in access of the client's contractual requirements.
Build relationships between CDR Associates, LLC and our clients Blue Cross Blue Shield, Aetna, etc. and the facility.
Review and apply contracts from the insurance companies to make sure that they have been disbursed correctly.
Make adjustments in the provider systems to ensure that the balance is reflected correctly.
Investigate coordination of benefits for patients and apply the correct COB method.
Participate in special projects to help the provider HCA bring down their database and credits which includes refunding patient overpayments.

Confidentyial

Regional Account Manager

Act as a liaison between providers hospitals and payers insurance companies to review overpayments in patient accounts.
Review payer contracts and medical claims for the commercial governmental Medicare and Medicaid departments.
Analyze a multitude of contractual agreements and reimbursement methods in resolving account discrepancies.
Identify discrepancy trends and report to providers to minimize inefficient processes and costly overhead.
Assist Corporate Accounts Receivable department with accounts receivable follow-up.
Collected approximately 1,716,095.00 in overpayments from insurance companies and of that AIM Healthcare Services Inc. has collected a fee on approximately 1,481,336.00 from August 2008 to current.

Confidentyial

Travel Department

Sales Support Specialist

Assisted in the retention of agencies through communications, excellent service and quick response times.
Served as a liaison between the client travel agency and World Access functional service areas: claims, customer service, assistance, IT, finance, sales and marketing to identify and resolve agency issues.
Developed and maintained solid business relationships with travel agencies and customers.
Met or exceeded departmental standards for quality and efficiency.
Served as additional support for small and large group rosters.
Maintained company database information and supplied required reports to management.
Effectively handled escalated customer service calls, fax, e-mail and mail inquiries.

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