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Customer Service Representative

Location:
Smyrna, GA
Posted:
July 15, 2015

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Resume:

Tiara Black

**** *** ******* ** 404-***-****

Apt K-12

Smyrna, GA 30080 acqrca@r.postjobfree.com

Summary of Qualifications

Medical Terminology Injections Vitals

MediSoft Computerized Billing Blood Pressure Pharmacology

Appointment Scheduling Sterile Techniques Urinalysis

Insurance Billing & Coding Computerized Scheduling Medical Records, Ethics & HIPAA

Medical Collections Anatomy & physiology Microsoft Office Suite & 10 key

Filing Payment Handling Organizing

Answering Phones Customer Service Inbound & Outbound Call Center

Billing Analyzing LifeWorks/Ariel Benefit Salesforce System

Education MedTech Institute, Marietta, GA 4/2010 to 12/2010

Medical Assistant, Clinical

South Cobb High School, Austell, GA

High School Diploma 8/2002 to 5/2006

Certifications

CPR – Adult, Infant & Child w/ AED & First Aid

Certified Medical Assistant– Expected

National Certified Insurance and Coding Specialist (NCICS)– Expected

Employment

Member Service Representative

Morneau Shepell LTD, Dunwoody, GA 05/2014 to Present

Health Republic Insurance

Inbound and Outbound call center

Conducting open enrollment eligibility and enrollment.

Processes benefit enrollment via phone and online by explaining benefits and eligibility to the clients.

Knowledge of multiple medical benefits and premiums questions and concerns.

Ensuring confidentiality of records and adheres to establish records and keeping retention guidelines.

Maintain relationships with clients in order to facilitate perpetual enrollments.

Maintain annual open enrollment.

Excellent written and oral communication.

Maintain benefit counselor relationships during enrollment and reenrollment event. Keeping in contact with benefit counselors and communicating their enrollment results.

Provide feedback to the enrollment lead/manager and assist in identifying potential benefit counselor resources.

Processed direct ACH payments

Member Service Representative

Express Employment Professionals

Morneau Shepell LTD, Dunwoody, GA 12/2013 to 05/2014

Health Republic Insurance

Inbound and Outbound call center

Conducting open enrollment eligibility and enrollment.

Processes benefit enrollment via phone and online by explaining benefits and eligibility to the clients.

Knowledge of multiple medical benefits and premiums questions and concerns.

Ensuring confidentiality of records and adheres to establish records and keeping retention guidelines.

Maintain relationships with clients in order to facilitate perpetual enrollments.

Maintain annual open enrollment.

Excellent written and oral communication.

Maintain benefit counselor relationships during enrollment and reenrollment event. Keeping in contact with benefit counselors and communicating their enrollment results.

Provide feedback to the enrollment lead/manager and assist in identifying potential benefit counselor resources.

Provider Service Representative, BPO

Wipro LTD, Atlanta, Ga 11/2012 to 8/2013

Inbound call center for UnitedHealthcare for Provider Services

Medical Billing and Coding

Provide benefits, policy information in regards to a patient health insurance plan.

Handle multiple navigation programs and screen

Provide claim information and procedures

Provide appeal information and procedures

Medical Assistant, Customer Service Representative, Internship Weight Loss/ Lab Test, MD 11/2010 to 12/2010

Provide quality customer service while answering phones as well as greeting patients in person, maintained appearance of office

Processed patient medical records

Scheduling appointments also confirmed appointments

Coordinated with hospitals and coordinated with testing labs

Performed medical billing while taking medical history of patients

Assisted physician during examination

Collected and prepared lab specimens, drew blood, performed electrocardiograms



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