Tessa Rynes
Castlewood
Summary
Knowledgeable Revenue Recovery Specialist with extensive experience in analyzing and processing claims accurately and efficiently. Proven track record in resolving complex claims and ensuring compliance with client SOPs. Demonstrated ability in utilizing analytical skills and attention to detail to support team goals and improve operational processes.
Overview
11
11
years of professional experience
Work History
Revenue Recovery Specialist
Knowtion Health
10.2023 - Current
- Maintained compliance with industry regulations by staying up-to-date on changes in policies and procedures, keeping my QA score over 90% with my most recent reviews being at 100% and ensuring proper handling of sensitive information.
- Monitored and updated claims status in claims processing system.
- Managed large volume of medical claims on daily basis.
- Conducted thorough investigations into insurance claims to determine coverage eligibility and appropriate compensation amounts.
- Reduced claim processing time by implementing efficient workflow procedures and organization systems.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Improved claim processing efficiency by streamlining workflows and implementing best practices.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Customer Service Representative
Sitel
12.2020 - Current
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Answered inbound calls, chats and emails to facilitate customer service.
- Consulted with customers to resolve service and billing issues.
- Educated customers on special pricing opportunities and company offerings.
- Informed customers about billing procedures, processed payments and provided payment option setup assistance.
- Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices.
- Mentored new employees on procedures and policies to maximize team performance.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Kept records of customer interactions or transactions, thoroughly recording details of inquiries.
- Reviewed financial information detailing assets, liabilities and capital and prepared balance sheets and profit and loss statements.
Customer Service Representative
AT&T
01.2016 - 12.2016
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Developed strong customer relationships to encourage repeat business.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Asked probing questions to determine service needs and accurately input information into electronic systems.
- Informed customers about billing procedures, processed payments and provided payment option setup assistance.
- Assisted customers with making payments or establishing payment plans to bring accounts current.
- Upheld quality control policies and procedures to increase customer satisfaction.
- Fielded customer complaints and queries, fast-tracking for problem resolution.
Cashier
Food City
01.2014 - 03.2015
- Operated cash register or POS system to receive payment by cash, check and credit card.
- Accepted cash and credit card payments, issued receipts and provided change.
- Delivered high level of customer service to patrons using active listening and engagement skills.
- Helped customers find specific products, answered questions and offered product advice.
- Completed daily recovery tasks to keep areas clean and neat for maximum productivity.
- Discounted purchases by scanning and redeeming coupons.
- Verified customer age requirement for alcohol or tobacco purchases.
Education
High School Diploma -
Ridgeview High School
Clintwood, VA05.2015
Skills
- Detailed documentation
- Significant experience with Artiva, Box, Microsoft Word, Excel and EPIC
- Significant experience with claim resolutions as well as implementation of clients SOPs
- Time management
- Task prioritization
- Dependable and responsible
- Accuracy and precision
Education and Training
other
Timeline
Revenue Recovery Specialist
Knowtion Health
10.2023 - Current
Customer Service Representative
Sitel
12.2020 - Current
Customer Service Representative
AT&T
01.2016 - 12.2016
Cashier
Food City
01.2014 - 03.2015
High School Diploma -
Ridgeview High School
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