Customer Service Representative
Resume:
Angela McCarty
Houston, Tx 77060
***********@*****.***
Career Objective
To obtain a position which will utilize my skills and experience to
enhance my career while contributing to company profitability. This
position will allow me to demonstrate the skills and knowledge that I
have attained through my educational and occupational experiences.
Professional Experience
Liberty Medical Supply
Houston,Tx
Revenue Cycle Specialist/Claims Denials
7/11/Present
Working in a call center. Working on denials claims for diabetic
supply reprocessing claims billing to medicaid , medicare, pffs
advantage plans, AARP.
United HealthCare Houston, TX
Clinical Cordinator/ Prior Auth 08/09-6/11
Working In a call center environment,handled 50-100 cases a day.
Working with RN and assist provider with auth number
and refferal. Processed claims coded claims and would submit claims to
primary and secondary insurance.
Patient Account Service
Houston, TX
Customer Service Representative 08/08- 07/09
Working in a call center environment, handled 100 – 230 calls per day,
assisted each customer on medical claims, set up payment arrangements,
collect on past due medical bills, and explain charges on claims if
requested by customer. Processed claims, coded claims, and would
submit claims to primary or secondary insurance,claim denials.
Coventry Healthcare
Houston, TX
Customer Service Representative
03/07- 07/08
While working with a Medicare Advantage PFFS Plan, in a call center
enviornment handled 150 – 250 calls per day, trained new hires,
provided information to providers upon request, assisted brokers about
the members medical plans, adjudications and making sure the claims
processed correctly, maintaining members account, updated members
demographic information, assisted with escalated phone calls, and a
team lead.
Education
Booker T. Washington High Houston, TX
Skills
Windows NT 97, 98, XP 2003 Lotus Notes / Organizer
Internet / Explorer Cubs
Excel Route Point
MS Office Suite IDX
Navigator Nobel
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