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Customer Service Representative Resume

Richmond, VA

SUMMARY:

  • To acquire a challenging position utilizing excellent interpersonal, organizational and communication skills.
  • Am proven quick to learn new procedures, able to handle multiple assignments concurrently in the office, customer service, data entry, and Accounting fields.
  • Experienced with handling 200+ calls in a day.

SKILL:

  • Insurance Billing and Collections, Data entry, Medical Records Management, Microsoft Office, Word Perfect, Excel, Spreadsheets, Access, Outlook, Power - Point. Knowledge of Medic, IDX, PARS, Centricity, SMS - (Emdeon), ICD-9 and CPT-4 coding, Medicare, Medicaid and Third Party billing. Leading Pro for Financial and Healthcare Information system.
  • Marketing specialist
  • Healthcare sales & support
  • Advanced in Data Entry
  • 45 WPM
  • Sales skills & techniques, medical and home-care insurance billing.
  • Excellent Customer Service Skills
  • HCPCS Coding
  • Experience with Medical Billing and Coding System
  • Customer serviceHealthcare and Insurance Billing
  • Billing and CollectionsAccounting
  • Consumer GoodsCall Centre and Health Claims

PROFESSIONAL EXPERIENCE:

Confidential, Richmond, VA

Customer Service Representative

Responsibilities:

  • Process cash and credit payments.
  • Resolve problem accounts.
  • Handled over 200+ inbound and outbound calls daily.
  • Ensure prompt delivery of all orders.
  • Provide customer service support.
  • Receive incoming shipments. Perform billing activities for all credit purchases.
  • Assist customers with return orders and exchanges.
  • Answer phone calls and assist customers with questions. And supervise monthly inventory
  • Customer Service
  • Data Entry
  • Fax, File and Scanning

Confidential

Billing and Denial Desk Analyst

Responsibilities:

  • Responsible for daily follow up and resolution of denied or filed - rejected claims. Ensure contractual compensation compliance.
  • Handled high volume of inbound/outbound calls.
  • Customer Service.
  • Data Entry and Filing.
  • Perform billing activities, correct and up-date claim denials or returns.
  • Responsible for Medicare and Medicaid billings.
  • Managed Accounting and patient financial services.
  • Assist representatives with questions on health information and account related policies and procedures.
  • Monitor payer websites(s) relative to policies and reimbursement guidelines.
  • Review correspondence and news-letters for changes and up-dates on policies and procedures.
  • Submit or resubmit claims to primary payers electronically or on hard copy paper.
  • Also submit secondary and tertiary claims with appropriate documentation or attachments.
  • Ensure appropriate ICD-9 and CPT 4 coding. Ensure correct health information for policy update.
  • Run reports on all billing and payments to ensure accuracy and to make necessary adjustments as needed.

Confidential

Insurance Management

Responsibilities:

  • Responsible for insurance billings and reimbursement.
  • Medicare and Medicaid billings and served as liaison for managed care services.
  • Ensure accurate insurance records up - date.
  • Educated in Health Insurance Portability and Accountability Act (HIPPA) compliance.
  • Resolve disputed accounts and collections. Maintain customer service satisfaction.
  • Verify patient s records and ICD-9 and CPT-4 coding to ensure accurate billing.

Confidential, New York, NY

Billing and Denial Desk Analyst

Responsibilities:

  • Supervised insurance billing, patient financial services, Medicare and Medicaid billing.
  • Determine concurrency and assign proper modifier to obtain maximum reimbursement
  • Ensure compliance with customer service guidelines. Resolve issues with billings, insurance denials and pending claims for maximum revenue
  • Run daily reports on all accounts for correction on all rejects and duplicate charges.
  • Responsible for and educating in - house staff and new hires.

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