Customer Service Representative Resume Englewood, CO - Hire IT People

SUMMARY

Highly reliable and dedicated Customer Service Representative with call center, enrollment/termination, pre - authorization, insurance verification and billing experience.
Five years in teh healthcare industry and fifteen years in customer service. Experience with public, private and worker’s compensation insurance.

PROFESSIONAL EXPERIENCE

Customer Service Representative

Confidential, Englewood, CO

Responsibilities:

Answer telephone calls and provide requested information to policy holders, employers, brokers, etc.
Document all phone activity and communicate enrollment/termination, benefits and claim information utilizing QHIX and Access.
Enroll new groups and dental/vision members into QHIX and update member/employee information into system.
Mail/email invoice, enrollment, ach authorization form, death claim document, no cash value letter, etc.

Patient Service Representative

Confidential, Atlantic City, NJ

Responsibilities:

Entered patient demographic, verified insurance, obtained pre-certification and scheduled patient referrals.
Screened calls from patients, providers, nurses and transferred to correct department.
Reviewed medical documents received by mail/fax and distribute appropriately; filed lab results, radiology reports and consult notes.
Resolved billing complaints; reviewed patient statements and obtained updated or missing information.
Collected and posted patient charges, submitted claims to various insurance companies and third-party payers either electronically or by paper.
Processed medical records request and mailed to appropriate parties; posted payments and uploaded medical release forms.

Administrative/Customer Service

Confidential, Atlantic City, NJ

Responsibilities:

Various temping assignments for companies in need of administrative, data entry, customer service, and computer skills. Placements included: Glenn Insurance Inc., Atlantic City Convention Center, etc.

Mortgage Loan Consultant

Confidential, Princeton, NJ

Responsibilities:

Analyzed credit, financial, and property information to determine loan feasibility.
Served as liaison between client and third-party lenders for commercial loans.
Displayed outstanding skill in pinpointing problems quickly and initiating creative solutions in stressful environment with stringent deadlines.