Customer Service Sales

KI M ZABALA

*** ****** **** ***. **, Brooklyn, NY 11226 H: 718-***-**** C: 718-***-**** *******@*****.***

PROFESSIONAL SUMMARY

A highly professional and achievement oriented customer service associate with extensive background in retail sales, marketing,

merchandising, healthcare and client relations. Self directed with the ability to work well independently or as a team member. Always

contributing to the company's efficiency, organization, growth and profitability.

SKILLS

Creative problem solver

Records management professional Exceptional communication skills

Medical terminology expert MS Windows proficient

Hospital inpatient and outpatient records Quick learner

Inpatient records coding proficiency Strong client relations

Patient referrals expert Strategic sales knowledge

HCPCS Coding Guidelines Credit card processing

Familiar with commercial and private insurance carriers Mediation capability

Insurance and collections procedures POS systems expert

Understands insurance benefits

Research and data analysis

Excellent problem solver

Resourceful and reliable worker

Patient focused care

WORK HISTORY

Customer Service/Retail, 10/2011 to 07/2013

Macys – Brooklyn, NY

Responsible for the selling of products to customers while providing outstanding customer service

Assist customers in finding products that match their needs

Answer questions about products and promote their value and best features

Receive payments from customers, which maybe in cash, check, credit card or debit card

Performed other tasks as assigned such as preparing dis plays, maintaining sales record for inventory control

supervisory skills as needed

Customer Service Associate, 08/2004 to 11/2008

Norfolk Naval Exchange – Norfolk, V A

Dealt directly with customers either by phone, electronically, or face to face

Responded promptly to customers inquiries

Obtained and evaluated all relevant information to handle inquiries and complaints

Performed customers verifications

Processed orders, forms, applications, and requests

Direct requests and unresolved issues to the designated resource

Managed customers accounts

Kept records of customers interactions and transactions

Communicated and coordinated with internal departments

Patient Account Representative, 06/2000 to 05/2007

DePaul Medical Center

Coded inpatient charts at a rate of number per hour or number per day.

Precisely completed appropriate claims paperwork, documentation and system entry.

Correctly coded and billed medical claims for various hospital and nursing facilities.

Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.

Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.

Verified patients' eligibility and claims status with insurance agencies.

Diligently filed and followed up on third party claims.

Determined prior authorizations for medication and outpatient procedures.

Researched questions and concerns from providers and provided detailed responses.

Researched CPT and ICD 9 coding discrepancies for compliance and reimbursement accuracy.

Maintained strict patient and physician confidentiality.

Actively maintained current working knowledge of CPT and ICD 9 coding principles, government regulation, protocols and third party

requirements regarding billing. Interacted with providers and other medical professionals regarding billing and documentation policies,

procedures and regulations.

Submitted electronic/paper claims documentation for timely filing.

Precisely evaluated and verified benefits and eligibility.

Responded to correspondence from insurance companies.

EDUCATION

High School Diploma: Business Fundamentals, 1974

Norview High School Norfolk, V A

Coursework in Business, Accounting and Healthcare Administration

Office Assistant, 1982

Crown Business Institute Brooklyn, NY

Sociology,

New York City Community College Brooklyn, NY

A CCOMPLISHMENTS

Customer Service

Consistently received positive feedback from guests and created repeat business by developing long term relationships with

customers

Cashier

Achieved highest number of new credit accounts opened within one month period

Financial

Handled high volume sales with cash, credit and gift card transactions, balancing cash draw at end of shift with

100% accuracy rate

Research

Completed group study focused on patient comfort, costs and test results, which resulted in increased patient satisfaction

Patient Care

Ensured quality control through admissions, assessment, treatment and referral for a broad range of patients

Contact this candidate