Customer Service Associate Resume San Antonio, Texas - Hire IT People

Objective: To obtain a position in that will allow me to utilize my customer service and healthcare experience.

Education:

Work Experience

2010 to present-Confidential,San Antonio, Texas
Veteran Service Coordinator Temp

Process AMTIS negative and positive feedback cards
Data enter complaints, negative and positive feedback tally in Excel spreadsheets
Provide customer service duties to Veterans who need assistance
Generate incident reports
Obtain doctor and claimant statements to assist in completing incident reports
Survey claimant appointments for feedback on doctors
Generate correspondence to claimants and providers
Assist claimants with billing issues

2000 to 2010- Confidential, San Antonio, Texas
Customer Service Associate

Served as Provider Relations Specialist verifying member eligibility, benefits, claim status, and provider contracts for HMO & PPO Providers.
Analyze data used in settling claims to determine payment of claims.
Conducted daily operations of provider credentialing status, effective and termination dates of panel status.
Reviewed settled insurance claims to determine that payments had been made in accordance with company practices and procedures.
Focused on quality customer service to providers to obtain high quality scores monthly

1999-2000-Confidential, Antonio, Texas
Customer Service Associate

Skills and Qualifications

Knowledge in medical terminology and computer based programs.

ICD-9CM and CPT
Medicare, Medicaid, HMO’S/PPO’S
Data Entry
Excel, Microsoft Word, Windows
Basic Pharmacology