Customer Service Representative

Janice N. Shomo

*** ******** **. ****** *****, PA

15145

************@*****.****412-***-*****

Experience:

Mckesson Provider Technologies 10/12-Present

Follow up of outstanding A/R all payers including self pay and the

resolution of denials.

Handle all correspondence related to an insurance or patient account,

contacting insurance carriers, patients and other facilities as needed to

get maximum payment on accounts and identify issues or changes to achieve

client profitabilty.

Peoples Natural Gas Company 01/11-06/12

Respond to and resolve complex customer questions, concerns and complaints

via calls and correspondence.

Review and address billing issues including errors and disputes. This will

include reviewing daily audit reports to ensure billing accuracy.

Perform cancel and rebill activities to address billing issues and updated

payment agreements.

Perform lease and identification verification for customer processing and

billing.

Schedule service orders to address service issues and schedule new

construction requests.

Support call center for peak requirements and satisfactory customer

service.

Provide administrative and clerical support as needed within the Customer

Service Department.

Staffmark/Spherion 04/09-12/10

(Temp customer service positions)

Various customer service temporary assignments throughout Pittsburgh.

Highmark Blue Cross Blue Shield Customer Service Representative 04/07 to

04/09

Provided prompt, courteous professional response to members and providers

received via telephone, e-mail, mail, or fax regarding medical benefits.

Investigated and explained the processing of medical claims for existing

members and medical providers. Responded to inquiries in an accurate,

timely, and courteous manner providing instructions or explanation as

necessary. Routed inquiries, outside of my level of expertise, to the

appropriate departments and followed up on the issue through completion.

Completing follow-ups, corrections, and other activities to ensure that the

inquiry has been completely resolved.

AT&T

Customer Sales and Service 06/96 to 09/05

Investigated customer local and long distance billing, service, and product

inquiries.

Negotiated the sale of local and long distance products and services for

new and existing customers. Prepared and updated customer service records,

while issuing service orders and adjustments to correct billing

information. Interacted with other departments and local telephone

companies nationwide. Listened, analyzed, and gave complete solutions to

questions and problems at hand. Greeted customers in a friendly,

professional manner, and give them undivided attention.

Hills Department

Customer Service Representative 03/95 to 06/96

Interacting with customers needing, to return merchandise.

Maintain a professional manner and providing excellent customer service.

Education:

Hill House Association Pittsburgh, PA

General Equivalency Diploma July 1995

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