Customer Service Data Entry

Samantha Blakney

** ******** ******** *** **

Irvington, NJ 07111

336-***-****

********@*****.***

Objective: An interesting position that will utilize my knowledge and

strengths.

Experience: Armada HealthCare Florham Park, NJ

Prior Authorization Specialist

08/2011 to 02/2012

. Answered calls from pharmacy, physician office, and

insurance carriers using exemplary customer service

skills

. Accurate data entry and documentation of information into

computer database

. Reviewed of prior authorization (PA) requests and

reconciliation with insurance forms

. Followed established procedures for referring requests for

further review

. Managing a work queue of 30 to 50 PAs on a daily basis

. Timely follow-up with physician offices and insurance

carriers

. Build rapport with other employees, clients, physicians,

and pharmacies

Blue Cross Blue Shield of NJ Newark, NJ 07103

Customer Service/ Data Entry 10/2002 to 07/2011

. Ensured the accurate and timely resolution of service

request and activities are provided in accordance with the

customer health benefits coverage and company polices.

. Anticipated and resolved potential issues and follow

through on commitments made to customer.

. Ensured the need for further investigation/ research and

interacts within and across departments to define the most

appropriate method of resolution.

. Shared knowledge and information willing with the team

division, and enterprise goals, while enhancing service

qualities.

. Trained new team employees on the system provided to

ensure accuracy of claims and medical benefits entered into

the system.

. Provided world class customer service to employees and

customers.

. Ensured timely and accurate services in responding to and

resolving service request, reports, patient claims,

activities using UCSW, and phone inquires as needed.

Education: Worldwide Education Services Newark, NJ

Computerized Accounting 01/2002

Essex County College Training INC. Newark, NJ

Office support 09/2000

Skills: Microsoft Word, Excel, PowerPoint, Access, Customer

Service, Peachtree, QuickBooks, UCSW, Nasco, Billing and

Enrollment, CPT-9 codes and Data Entry.

References: Available upon request

Contact this candidate