Payment Processor Resume Marandas ViewRoxboro - Hire IT People

PROFILE

Over 23 years experience in the health care industry and insurance finance including insurance billing, collections, tracking research, accounts receivable and customer service. Proficient in the use of computerized billing payment systems. Highly dependable, supportive team player who meets challenging deadlines. Punctual, energetic and willing to learn and accept feedback. Ability to prioritize workload to ensure efficient task completion.

TECHNICAL EXPERTISE

PC: Microsoft Office Word, Excel and Outlook, Windows XP and Windows 3.x.

Medical: PCS, IDX Medical Billing Software, Realtime Webbase and Enterprise Task Management (ETM).

Insurance: Banctec4300, Virtual Terminal, First Data Gateway Global and SmartScan.

PROFESSIONAL EXPERIENCE

Payment Processor
October 2008 - Present
Confidential
Durham, NC

Provide personalized service to customers of a 112-year old North Carolina company that offers life, health and dental insurance through group plans for large and small organizations.
Open and distribute 1,200 home office payments daily.
Process checks, verify accounts and post payments. Complete deposits of $320,000 per week.
Scan checks, key in amounts and run batches using SmartScan.
Answer telephone inquiries from customers. Provide excellent, friendly service to ensure their needs are met and they feel valued by our company.
Assist customers with credit card payments, ensuring correct account numbers, payment amounts and posting dates.
Process retired military clients' government allotment payments through Suntrust and Wachovia.
Complete check operating procedures for policy pay-outs and loans. Ensure accuracy by verifying check amounts and recipient information. Send checks and letters to customers.

Insurance Benefit Analyst
1997 - 2002
Confidential
Durham, NC

Compared insurance payments to contractual agreements and determined payment accuracy.
Identified and corrected insurance denials relating to insurance terms, diagnosis, charges and payments.
Filed electronic/paper claims and confirmed timely receipt by payers.
Submitted supporting documentation with claims and appeals consistent with Duke and insurance company billing requirements.
Documented and communicated denial trends to supervisor.
Processed adjustments to accounts based on departmental procedures.
Communicated with physicians, reimbursement account executives and insurance companies to resolve reimbursement issues.

Treasury Associate
1989 - 1996
Confidential
Durham, NC

Supported agency representatives by accurately tracking premium payments and troubleshooting customer billing concerns. Was promoted twice for excellent performance.
Ensured prompt processing of payments.
Resolved customer issues regarding premium payments and policy change requests.
Demonstrated excellent customer service, patience and diplomacy.
Drafted letters to customers in order to maintain strong business relationships.
Completed cross-training for banking and OCR functions.
Possessed sound knowledge of company and departmental policies relating to work performed.

EDUCATION

Health Information Sciences.
Completed 40 semester hours focused on technology, business and law.

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Payment Processor Resume

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