I would like to offer my technical abilities and experience to your company. With over ten years of progressive and hands on experience I believe that in review of the attached resume, you will find that I am highly capable of performing this role.
My experience has provided me with valuable knowledge and I am an eligible candidate with the ability to analyze and interpret policies and procedures with excellent listening skills and the ability to communicate effectively orally and in writing. I can bring to the table a highly motivated work ethic and eagerness to be a major asset as one of your top employees.
You will find me to be a strong analytical problem solver that possesses the necessary skills to effectively manage my work load. I am confident that you will be pleased with the skills and experience in the accompanying resume.
Thank you in advance for your time and consideration.
May 2011- Current CSR/Admin/E-Comm. Confidential
My responsibilities include but not limited to chats, e-mail, callbacks, claims escalations, prescription eligibility updates, life insurance submissions, certificates of creditable coverage submissions, and cancellations.
June 2001 – May 2011 Medical Claims Lead Confidential
I was in this management role 5 years and considered a subject matter expert in ICD9 coding, medical claim processing, PPO repricing, appeals, auditing, HIPPA compliance, insurance fraud, underwriting, and Department Of Insurance rules and regulations.
As an analyst, I gathered information and worked with programmers to adjust system functionalities. I conducted regression testing to confirm that the programs had met the function requirements, specializing in X12, 837, and EDI program development.
I conducted training classes for over 200 people on the implementation of new system functions. My training classes included senior management, departmental supervisors, accounting, customer service, and administrative staff. I developed curriculum adhering to corporate policies and procedures to conduct individual as well as group training classes.
Senior Customer Service Representative
I have over 3 years of Customer Service experience and consistently rank in the top 10%. I have displayed policy expertise and problem solving ability. As a senior representative I was the first line contact for escalated calls, eligibility, benefit, and claim status questions.
As a Verification Lead I trained and managed the Verification Department. This department entered medical claims information into the claims processing system directly from HCFA’s and UB-92 that had been received from the doctors and hospitals.
Dec 2007- Oct 2009 Automated Logistics Specialist Confidential
I served as an Aviation Brigade Supply Specialist at Fort Hood, TX and am extremely proud to have served my country. I separated with an Honorable Discharge and am eligible for re-enlistment.
Office Management Account Management Procurement
ICD9 Coding Project Management X12, 837, and EDI
Customer Service Business Analyst Event Planning
Advertising Presentations Honorable Discharge
Microsoft Office Training/Mentoring Automated Logistics
Data Entry Report Preparation Secrete Clearance
Scheduling Marketing & Sales
Database Development Track
B.A., Business Management
Automated Logistics Certification
Certification in Project Management (PMP)