Customer Service

Ronchelle McLymore

921-C Hearthridge Ct., Raleigh, NC 27609

Home (919)418-4899, rmclymore@yahoo.com

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WORK HISTORY

2009-Present           Customer Service Team Lead

Raleigh Durham Medical Group, Raleigh, NC

 Provide medical billing support services to many medical practices. Assist  patients with payments, medical billing questions, adjustments and other requests.  Assist practice managers with patient follow ups, insurance appeals, reviewing, correcting and filing of claims. Monitor fellow customer service reps to ensure that accurate information and quality service is provided.  Resolve all customer service escalations and complaints. Review and process insurance and patient refunds.

2006-2009                   Medical Billing Specialist

Kight’s Medical Corp., Raleigh, NC

Reviewed pre-bill for daily electronic bill run to insure clean claims. Quality Assurance on all new Durable Medical Equipment orders.  Responsible for submitting primary and secondary claims for commercial and private insurance as well as Medicare HMO plans.                       Assisted other biller’s in Medicare and Medicaid claims. Work Aged Report daily and follow up with insurance companies on the processing   of claims. Work and refile claim denials on all assigned insurance. Send monthly bills and statements to patients. Assist patients with billing  questions and account issues.  Forward delinquent accounts to collections. Filed and scanned medical records when assistance was             needed. Assisted Accounts Receivable in posting insurance payments and deductibles.

2005-2006                   Closing Coordinator

Re/Max United, Raleigh, NC

Reviewed all closing contracts for real estate company to insure that all required paper work was received and signed. Issued commission  and referral checks to real estate agent after closing.  Billed monthly statement’s to real estate agents for rental space and other applicable fees. Account payment posting, and administrative duties.

2002-2005                   Customer Service Specialist/ Team Support

Blue Cross & Blue Shield of NC, Durham, NC

 Assisted customer service representatives in troubleshooting and problem solving customer issues.  Team Support was the first step              for escalated calls.  Responsibilities included defusing and resolving customer issues to prevent call from going to a                                supervisor.  Responded to correspondence requests from providers and customers.  Worked special projects that required immediate           attention.  Explained medical benefits and the status of claims to customers and providers.

 EDUCATION

Lee County Senior High, 1994

Sanford, NC             

North Carolina Central University                                                                  (1994-1995)&(1997-1999)

Durham, NC                                                                                                              

Wake Tech. Community College                                                                    (2006)

(Medical Terminology)

Raleigh, NC   

  • ID#: 88456
  • Location: Raleigh, NC , 27609

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