Shermaine Church
St. Louis,MT
Summary
Competent Accounts Receivable Specialist bringing [10] years of experience handling accounts receivable functions. Exemplary skill in resolving billing disputes, providing excellent customer service and applying payments. Recognized for effective leadership with consistent achievement of objectives. Skilled professional with experience in collections, customer service and data entry. Exceptional interpersonal and problem-solving skills. Effectively mediates customer disputes and collects payment in timely manner.
Overview
11
11
years of professional experience
Work History
ACCOUNT PROCESSOR 3
US BANK
04.2018 - 03.2024
- Answer customer inquiries via telephone.
- Receive, consolidate and summarize documents.
- Complete reports and provide administrative support
- Perform variety of document processing and record keeping tasks associated with customer accounts.
- Managed portfolio of high-value accounts while adhering to strict deadlines for task completion.
- Increased accuracy in financial data entry, maintaining detailed records of transactions.
- Conducted regular audits of accounts to ensure compliance with internal policies and external regulations.
- Responded to customer inquiries and provided detailed account information.
CUSTOMER SERVICE
EVERISE (Medicare)
12.2021 - 11.2022
- Processing Medicare Secondary Payer (MSP), Coordination of Benefits (COB), Financial Information Reporting (FIR) and State Pharmaceutical Assistance Program (SPAP)
- Review, research and determine appropriate benefits coverage for MSP and COB verifications, SPAP enrollments
- Look over medicare customers accounts and benefits (EOB)
- Updating medicare customers PPG/PPC
- Taking calls from customers that payments from doctors were declined by Medicare
- Booking transportation for Medicare customers.
- Met customer service expectations through problem resolution, daily communication and follow-up, boosting customer service scores.
- Interacted directly with customers and team members to maintain high level of customer service, boosting customer service ratings.
MEDICAL CLAIMS ANALYST
COGNIZANT
01.2018 - 04.2018
- Provide technical assistance and support to medical providers via inbound phone calls
- Handle inbound calls from patients, physician's offices and insurance companies
- Analyze rejected claims for errors, assist providers with solutions to rejected claims.
- Achieved successful resolutions on disputed claims through effective collaboration between internal departments such as legal counsel and clinical experts.
- Improved customer satisfaction by resolving complex medical claims in timely and professional manner.
- Managed high-volume caseloads for optimal productivity while maintaining strict attention to detail.
- Increased departmental accuracy by implementing quality control measures for claim submissions and reimbursements.
- Demonstrated commitment to continuous improvement by actively seeking out opportunities for process optimization within Medical Claims Analyst role.
DATA ENTRY CLERK
SERCO
08.2016 - 12.2017
- Test claims to avoid submitting with errors.
- Record and input information to internal database.
- Perform claim adjustments.
- Knowledgeable in ICD and CPT codes.
- Completed data entry tasks with accuracy and efficiency.
- Followed established procedures to enter and process data correctly.
- Organized, sorted, and checked input data against original documents.
CUSTOMER SERVICE REPRESENTATIVE
SPECTRUM
06.2013 - 08.2016
- Assist customers with internet and telephone issues including repairs, billing and accounts.
- Be knowledgeable in company's promotions and services.
- Accurately document customer accounts while multitasking calls, and navigating multiple screens.
- Handled customer inquiries and suggestions courteously and professionally.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Answered constant flow of customer calls with minimal wait times.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Education
ASSOCIATE IN CRIMINAL JUSTICE ADMINISTRATION - Criminal Justice
COLUMBIA COLLEGE
Saint Ann, MOHIGH SCHOOL DIPLOMA -
HAZELWOOD CENTRAL HIGH SCHOOL
SAINT LOUIS, MO 06.2013
Skills
- Data Entry
- Customer Service
- Inbound/Outbound calls
- Microsoft Office
- Prior authorizations
- Medicaid/Medicare
- 54/WPM Typing
- Technical support
- Prescription benefits
- Verbal and written communication
- Medical terminology
- Leadership
- Team player
- Customer Service-Oriented
Timeline
CUSTOMER SERVICE
EVERISE (Medicare)
12.2021 - 11.2022
ACCOUNT PROCESSOR 3
US BANK
04.2018 - 03.2024
MEDICAL CLAIMS ANALYST
COGNIZANT
01.2018 - 04.2018
DATA ENTRY CLERK
SERCO
08.2016 - 12.2017
CUSTOMER SERVICE REPRESENTATIVE
SPECTRUM
06.2013 - 08.2016
ASSOCIATE IN CRIMINAL JUSTICE ADMINISTRATION - Criminal Justice
COLUMBIA COLLEGE
HIGH SCHOOL DIPLOMA -
HAZELWOOD CENTRAL HIGH SCHOOL
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