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Customer Service Medical

Location:
Tampa, FL
Posted:
May 20, 2015

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Resume:

Rosemary Herger

**** ******** **., *** *

Tampa, FL 33617

813-***-**** acpr8n@r.postjobfree.com

SUMMARY

Responsible, dedicated, highly dependable and achievement oriented Data

Entry / Clerical professional. Successful in completing work accurately

and on time. Strengths include the ability to work well with people, team

player, learn new skills quickly, and work well under time pressure.

Ability to work well with co-workers and management. Ability to deal with

customers. Bilingual: English / Spanish.

Expertise in

Multi-tasking Willing to Learn

Data Entry Computer Proficiency

CSC, XTCM Telephone Answering, 5 Lines

Filing Customer Service

Analytical Skills Excellent Organizational Skills

Office Machines: Fax, Scanner, Microsoft Office: Word, Excel,

Copier PowerPoint, Access

Professional Experience

Tampa Family Health Centers / Tampa, FL 2014-2015

Referral Clerk

Responsibilities:

. Processing referral requests from clinics.

. Inbound and Outbound calls to insurance carriers to obtain authorization

and patients eligibility

. Support for referral unit volunteering with other pools and mail

processing

METLIFE, Inc/Manpower, Inc. Tampa, FL 2013-2014

LTC General Clerk

Responsibilities:

. APS requests

. Onsite Assessments requests

. Support for LTC unit & care coordinators

. Processing of HIPAA-Special Auth ltrs and med releases

Rosemary Herger Page Two

ADT, Inc/Apple One Staffing a Tampa, FL 2013

File Clerk

Responsibilities:

. Pulling files

. Sort files into categories

METLIFE, Inc/Avion Systems, Inc Tampa, FL 2013

Document Specialist

Responsibilities:

. Policy Assembly

. Binding

. Stuffing policies to be mailed.

. Support for policy assembly department

. Process of AUD-DEC Letters

. Gauls

Humana, Tampa, FL 2007 - 2013

Claims Clerical Mail Clerk

Achievements:

. Created a log for easy tracking for Claims and Service operations unit.

. Created a form for the clerical unit which allows for less paperwork.

. Helped with the improvement of the Medicare medical log.

. Perfect service to the clerical unit in helping meet datelines.

. Inside customer service.

Responsibilities:

. Sorted, doc stamp and batch CMS-1500 and UB-04 claims.

. Log and attach certified mail CMS-1500 and UB-04 into Microsoft One Note.

. Preload of CMS-1500 claims into CSC.

. Support for clerical, service operations and MCR.

. Picked up and file batched claims after examiner's processing.

Rosemary Herger Page Three

Choice Medical Management, Tampa, FL 2004 - 2007

Complex Care Billing Coordinator / MBR Clerk

Achievements:

. Work supporting the departments in several ways.

Responsibilities:

. Administrative support for the field representatives.

. Scanned and Indexed medical records and other correspondence.

. Faxing, filing, handling correspondence including mailing and enter

information related in logs.

. Sorted and batched medical claims.

. Spanish interpreter for the Telephonic Case Managers.

. Reception support.

. Audit claims and EOBs.

Remedy Staffing, Tampa, FL 2004

General Clerk

Achievements:

. Perfect service on an assignment resulted in being hired as a permanent

employee.

Responsibilities:

. Incoming and outgoing mail, batching, medical bill review.

. Filing.

Additional Experience

Stewart Enterprises, Inc., San Juan, PR

Receptionist

Achievements:

. Customer service satisfaction.

Responsibilities:

. Reception.

. Scheduled cemetery services and helped customers with the location of

their loved ones

. Customer Service.

EDUCATION

B.A. Health Sciences Mgmt., University System Ana G. Mendez, Tampa, FL,

current

Psychology & Social Work, Stratford Career College, online, VT, current

Accounting and QuickBooks, Erwin Tech, Tampa, FL 33619, 2014

Medical Terminology, Medicare 101, Learning Center / Humana, Tampa, FL,

2013

Medical Billing and Coding, Penn Foster Career School, Scranton, PA, 2013

Medical Administrative Assistant, Everest University, Tampa, FL, 2010

Computer Software Specialist, Erwin Tech, Tampa, FL 33619, 2003-2005

Medical Secretary, American Educational College, Bayamon, PR, 1995



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