Customer Service Data Entry

Susan Stuckey

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

Orange, New Jersey 07050

Home 862-***-****

Cell 973-***-****

Email:**********@**********.***

OBJECTIVE:

To obtain a position with a corporation that will allow me to utilize as well as develop my abilities,

and benefit the organization through a positive attitude.

EDUCATION:

Barringer High School, Newark, New Jersey

CNA: Andover SubAcute Rehab Center, Andover, NJ

October 2010 Present

• Take and record vital signs and weight

• Move, lift, transfer and positioned residents using hoyer lift

• Provided restorative and rehabilitative nursing and active and passing range of motion

• Assisted with daily hygiene, grooming and dressing

• Evaluated changes in residents’ overall health

• Feeding

• Colostomy care

• Measuring intake and output

Data Entry Account Analyst

Employment Solutions

March 2010 October 2010

• Opened/sorted telephone applications for Virgin Mobile Telephone

• Data Entered information submitted on applications for telephone/electric assistance for

Texas residents

• Data entered donor registration information to Texas residents

Applications Programmer/Benefit Coder

Horizon Blue Cross Blue Shield NJ

August 2006 August 2008

• Used NAEGs and BIFs to code eligible healthcare benefits using NPS

• Tested claims

• Entered data on GENO tables via NPS

• Made benefit coding changes submitted on NAEGs and BIFs from the Sales Department

• Created CSR’s for all new accounts and benefit changes

• Communicated with Team Lead to determine desired test plans

Claim Pend Specialist

October 2003 August 2006 (Promotion)

• Adjusted/reviewed claims pending with NPS edits and corrected processing using NPS/EEC

• Reviewed denied claims to determine medical necessity based on Horizon’s Claim policy for

processing claims

• Created spreadsheets for special reports

• Created test grids for benefit coding

Claim Pend Specialist

May 2002 October 2003 (Promotion)

• Processed medical/facility claims for Hoffman LaRoche employees. Reviewed pending claims

• Assisted customers regarding eligible benefits/claim denial

Customer Service/Data Entry

April 1998 – May 2002 FEP Department

• Coded health/facility insurance claims submitted by government employees as well as dental,

facility and NJ PIP claims for payment using the NASCO processing system

• Used EEC (Electronic Error Correction System) for health claims that pended for correction using

the NASCO processing system.

• Assisted customers regarding covered/eligible benefits/claim denial or healthcare claims

CNA/Unit Clerk:

Brother BonAventure Extended Care

October 1993 April 1998

• Admitted new residents

• Maintained resident charts

• Maintained daily census report

• Filing/faxing /made phone calls

• Ordered supplies

• Take and record vital signs and weight

• Move, lift, transfer and positioned residents using hoyer lift

• Provided restorative and rehabilitative nursing and active and passing range of motion

• Assisted with daily hygiene, grooming and dressing

• Evaluated changes in residents’ overall health

• Feeding

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