Customer Service Representative

K E I S H A L. A L B E R T

**** ******** ****** ************, ** 19111

267-***-**** *********@*****.***

OBJECTIVE

To receive an opportunity of employment working in a challenging and growth oriented position allowing

me to exhibit in a professional manner my experience and skills. I desire the opportunity to embrace a

position which will allow me to capture and excel the corporate goals set before me as well as my own

individual goals.

QUALIFICATIONS SUMMARY

I’m an experienced professional with strong organizational, analytical and interpersonal skills. I’m able to

work in fast paced environments with minimal supervision. Confident and poised in interactions with

individuals at all levels. I’m trustworthy, ethical and committed to superior customer service. Detail

oriented and able to multi task effectively. My capabilities include:

•Customer Service •Word processing /data entry •Proficient in Microsoft Office Programs

•Medical Billing •Claims Processing •Problem Solving

WORK OF EXPERIENCE

2006 2011 Reliance Standard Philadelphia, PA

Claims Examiner II

• Ensured accuracy of claims adjudication while providing pertinent information for processing.

• Conducted prompt and complete investigation of claims which included interpreting and administering

contract provisions, verifying eligibility, identifying worker’s comp claims, payment initiation, applying

state disability offsets and file documentation.

• Maintained department productivity and turn around goals

• Analyzed medical documents and correspondence to execute appropriate action based on the analysis.

• Provided effective claim service both written and verbal correspondence to claimants, policyholders,

agents, brokers, medical providers and attorneys to resolve claim issues.

• Researched and responded to claim inquiries and appeals.

• Successfully completed required educational courses and training seminars.

2004 2006 Reliance Standard Philadelphia, PA

Claims Technician

• Screened incoming claims for processing.

• Maintained follow up for additional information on pending claims.

• Assisted with corresponding to claimants and policyholders; generated appropriate letters.

• Handled telephone inquiries and responded to routine questions from policyholders.

2001 2004 Commonwealth of PA Philadelphia, PA

Clerk Typist II

• Provided support for caseworkers ensuring accuracy of cases processed and implemented.

• Updated, interpreted and implemented caseload status; processed narratives.

• Generated and processed monthly client reports for caseworkers.

• Maintained and managed information in the database.

WORK OF EXPERIENCE (continued)

1999 2001 Comcast Cellular Wayne, PA

Customer Service Representative

• Assisted customers with billing inquiries.

• Assisted customers with new phone activation.

• Monitored incoming calls providing customers with wireless information.

• Responsible for updating and maintaining all changes to customer’s wireless service.

1996 1998 Apparatus, Inc. Philadelphia, PA

Administrative Assistant

• Performed administrative and secretarial support functions.

• Responsible for greeting clients and scheduling appointments.

• Responsible for answering phones and other clerical duties.

• Assisted with billing and invoicing, time management and payroll.

1990 1996 Board of Pensions Philadelphia, PA

Customer Service Representative

• Implemented and administered benefit information to plan members.

• Maintained accurate, up to date confidential client files.

• Performed clerical duties.

• Corresponded with inactive members regarding pension benefits.

SKILLS:

Medical Billing: Registration/Charge Entry, Claim Submission: HCFA 1500, UB 92, Coding: CPT, ICD 9

and Medical Terminology.

EDUCATION

2004 2008 Community College of Philadelphia

2003 2003 Physician Billing Solutions, Inc. (PBSI)

2000 2001 DPT Business School

1986 1990 Roxborough High School

REFERENCES

References available upon request

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