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Customer Service Representative Resume

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Henrico, VirginiA

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SUMMARY:

To obtain a position that will allow me to utilize my professional contacts and my analytical, administrative and customer service skills while contributing to the growth of the company.

COMPUTER  EXPERIENCE:

Proficient in Microsoft Office (Word, Excel, Power Point), Internet and Mainframe

EMPLOYMENT:

Customer Service Representative

Confidential, Henrico, Virginia

Responsibilities:

  • Request records and information from providers.
  • Respond to telephone inquiries promptly, professionally, and efficiently.
  • Understand and answer provider’s questions and provide analysis of situation to determine best use of resources.
  • Respond to all written inquiries (via letter, fax, e - mail) in a professional manner.
  • Provide assistance to the providers in identifying what is being requested of them.
  • Main a neat and organized work area.
  • Attend required and programs.
  • Comply with department policies and procedures.

Medical Record Case Review Specialist

Confidential, Henrico, Virginia

Responsibilities:

  • Reviewed medical record documents and other clinical documentation from provider’s charts to identify and validate submitted claims.
  • Tracked, reported, and monitored submissions using quality program forms, processes, and returned request for information.
  • Used appropriate material as necessary to perform professional review.
  • Applied knowledge of ICD-9 and CPT coding in order to determine services rendered.

Administrative & Office Services Specialist - Lead

Confidential, Chesterfield, Virginia

Responsibilities:

  • Responsible for all entries and reports entered in the Confidential database.
  • Purged all medical and Confidential records according to the Library of Virginia guidelines.
  • Provided strong customer service to internal and external customers.
  • Provided key technical support for the medical records database.

State Help Desk Tech Senior

Confidential, Richmond, Virginia

Responsibilities:

  • Provided assistance to nursing and home health agencies for the Confidential .
  • Provided technical support to providers of state health agencies in submitting care plans to the Confidential .
  • Reviewed all Final Validation and Missing Assessment reports.
  • Effectively communicated and responded with appropriate action to resolve all service requests within a specified time frame.

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