Customer Service Insurance

Christina Harris

***** ***** ***** **. • Houston, TX 77073 • Home: 832-***-**** • •**************@*****.*** •

Objective: To work for a prestigious organization with all my efficiency, experience and integrity utilizing my communication skills.

Skills:

Excellent communicator with strong customer need assessment and time management skills

Soft spoken, debonair and disciplined

Ability of problem solving, decision making and independent judgment

Knowledgeable in CPT and I-CD9 coding.

Diligent, target centric and result oriented

Extensive knowledge of Internet and computer.

Knowledge of Data Entry 8000-9000 KS, inventory and telephone systems.

Extensive knowledge of Microsoft Office, Oracle Database, and Meditech.

Professional Experience

Insurance Support, 01/11 – Present

Christus Health Care, Houston, TX

Responsibilities: Contacted third party payers for payment on denied, delinquent accounts. Ensured receipt, status of claims, prepared appeals and reconsiderations. Verified patient eligibility, benefits for pre-certifications, and pre-authorizations. Implemented an efficient follow-up system to expedite the recovery of 30-day outstanding payments from non-responsive insurance carriers. Reading and understanding insurance contracts and managed care grid. Proficient in writing effective appeal letters, file insurance claims electronically and via paper, knowledgeable in CPT and I-CD9 coding, working knowledge of calculations per contracts for patient and insurance allowable, familiar with medical software.

Claims/Collections Specialist, 9/2007-12/10

United Health Care, Houston, TX

Responsibilities: Respond to inquiries from providers on a broad scope of coverage issues pertaining to eligibility, coordination/explanation of benefits, and payment schedules. Carefully research and review individual/group claims exercising a strong working knowledge of major medical plans and leading healthcare networks. Proficiently utilize the Oracle software and collaborate with Claim Review Department to expedite the resolve of claim discrepancies and insufficient information.

Customer Service, 07/2003-12/2006

Time Warner Cable, Houston, TX

Responsibilities: Answered inbound calls in support of customer needs. Conveyed in a reassuring manner step by step instructions to resolve application issues. Reviewed and issued audits on account information and processes. Performed queries in multiple databases. Adhered to government monetary regulations. Assisted in the creation and development of the banks customer relationship management system.

Education:

2011-Present: University of Houston Downtown, Houston, TX: Education

2008-2010: Houston Community College, Houston, TX: Associate Degree in Arts

1999-2003: Nimitz Senior High School, Houston, TX: Diploma

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