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Customer Service Representative

Location:
Leonard, TX, 75452
Posted:
July 18, 2016

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Resume:

Lisa Chennault

*** ** **** • PO Box *** • Leonard, TX 75452 • 903-***-**** • acvq1c@r.postjobfree.com

OBJECTIVE: MEDICARE

SKILLS AND QUALIFICATIONS

I have 23 years of service for TrailBlazer Health Enterprises LLC, Medicare Part A and B; on claims pay validations, written correspondence (routine, review and medical determinations for payment to eliminate unnecessary or duplicate charges) this consists of preparing authorization forms; and composing approval or denial letters for healthcare facilities and beneficiary services. I have been in Provider Enrollment as a Quality Analyst Auditor and Customer Service Representative III (tech). Currently, I was in a Provider Enrollment call center as a Customer Service Representative III (Tech).

My duties consist of taking transfer calls that require a higher level of handling, facilitating unit meetings, auditing in coming calls, written correspondence and email. Also, answering questions concerning guidelines for CSR IIi's.

As an auditor for the PE call center, regular applications, appeals, CAPS, reconsiderations, all specialty applications and written correspondence.

I have created work instructions and audit sheets. I have great judgment skills, effective customer service skills, and have in depth knowledge of verbal and written communication skills, including meetings and conferences with CMS.

I demonstrate Proficiency in spelling, pronunciation and grammar skills. I also, demonstrate basic proficiency in math, critical thinking and am able to handle confidential and sensitive information with discretion and total confidentiality.

Radiologic Technologist clinical experience conducting diagnostic imaging procedures in hospital settings.

• Familiar with fixed and mobile radiography and fluoroscopic procedures.

• Committed to providing high-quality radiologic services while catering to patient's needs and practicing radiation protection.

• Proficient user of radiology management and hospital information systems (PACS / Order Entry).

• Experience with Phillips, GE and Shimadzu x-ray equipment. EDUCATION

Grayson College, Denison, TX

Associate of Applied Science - September 2014 - May 2016 Grayson College, Denison, TX

October 2012 - September 2014

CLINICAL EDUCATION EXPERIENCE

VA Hospital Bonham, TX September 2014-May 2015

Methodist Hospital Richardson, TX June 2015-July 2015 Alliance Hospital Durant, OK August 2015-December 2015 Texoma Medical Center Denison, TX January 2016-present WORK EXPERIENCE

TrailBlazer Health Enterprises, LLC Denison, TX 1989-2012 Quality Analyst Auditor / Customer Service Representative Tech III

• Assigned to Medicare Part A and B.

• Performed provider enrollment services.

• Created work instructions and audit sheets.

• Exercised great judgment skills and utilized customer service skills.

• Used in-depth verbal and written communication skills while attending meetings and conferences with CMS.

• Served in leadership positions during 2000-2012. Organization-Skeleton Krew September 2014-May 2016 Member of Radiology Student Group, the Skeleton Krew. Certifications / Licenses

CPR- Current

References upon request



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