Customer Service Representative Resume Richmond, VA - Hire IT People

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.