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Network Specialist Resume Profile

3.00/5 (Submit Your Rating)

NY

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SUMMARY:

  • Extremely focused, with the ability to consistently achieve objectives
  • Strong problem solving, analytical, documentation, internet/intranet research skills
  • Works well both independently and as a cooperative team member
  • Hardworking, trustworthy, flexible, and willing to accept additional responsibilities

EXPERIENCE:

Confidential

Network Specialist

  • Review all submitted paper and web 855B/855I/855R/and EFT applications to determine if need to be developed on due to lacking information
  • Investigate providers on various web sites and making sure that they are meeting the credentialing requirements in order to provide health care services to patients
  • Research on several internal and external databases in making sure applications submitted show valid information

Confidential

Customer Care Representative

  • Respond to all written and telephone questions concerning Medicare benefits by researching policy and procedures
  • Respond to questions that pertain to enrollment in the Medicare program
  • Identify resolutions on eligibility and claims processing,
  • Assist with patients call for the TDD relay system

TECHNICAL SKILLS:

Multi-Carrier System MCS mainframe, Next Generation Desktop NGD , HIPPA/Minimum Disclosure Training certificate, Microsoft Office including: Word, Excel, Access, Power Point, and Outlook

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