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Customer Service Insurance

Location:
Riverside, CA, 92503
Posted:
March 09, 2011

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Resume:

Glenna M. (Barnes) English

**** ******* **., *** **

Riverside, Ca. 92503

217-***-****

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

PROFESSIONAL EMPLOYMENT

*/200*-**-****

Decatur Memorial Hospital

**** *. ****** **.

Decatur, IL 62526

217-***-****

Position: Patient Rep/Poster

Accurate payment posing to patient accounts, specialized in Medicare and

commercial insurance; reconcile posted payments with checks and summary

reports; compile and prepare department bank deposit received from all posting

staff, total deposit range from $50,000-$200,000 daily; record daily deposit and

posting totals into appropriate excel spreadsheets; file insurance claims;

summary reporting; corrections to basic insurance billing errors; posting

adjustment corrections and deletions; communicate with hospital cashier,

business office and accounting office regarding resolutions of required

adjustments, corrections

11/2004-7/2006

Horace Mann Educated Financial Services

#1 Horace Mann Plaza

Springfield, IL.

217-***-****

Position: Client Support Tech

Complete requested updates to client database, mortgage and lien holder files

for all lines of business utilizing multiple PC applications; type and fax insurance

ID cards; count, distribute daily work from received mail; corrections to duplicate

file repot; input totals into excel spreadsheet

3/2004-7/2004

Decatur Electronics

242 E. North St.

Decatur, IL. 62522

217-***-****

Position: Receptionist/Custormer Service Support

Answer multi-line phone, route calls; alpha/numeric data entry of invoices in

preparation for serial number reports; compile, format, and generate serial

number report; assign return authorization numbers to customers; place parts

orders; maintenance of fax machine, copier

5/2003-3/2004

First National Bank of Decatur (now Busey Bank)

130 N. Water St.

Decatur, IL. 62523

217-***-****

Position: Loan Review Compliance Assistant

Review installment mortgage, commercial and revolving credit loan files for

compliance; compose and distribute noncompliance memos to loan officer;

generate month-end and quarterly reports to bank officers; review real estate

appraisals for compliance and check calculations; complete calculations for

installment new loan analysis and installment loan charge-off analysis reports;

distribute reports to appropriate bank officers and management; complete credit

rating requests for checking accounts

8/1993-12/2002

Value Options

1199 S. Beltline Rd.

Coppell, TX. 75019

972-***-****

Positions held: Receptionist, Mail Entry Clerk, Claims Examiner, Senior Claims

Examiner/Team Lead and Trainer, Claims Auditor, Claims Specialist (this position

was a remote position, worked from home in Decatur, IL)

mental health/substance abuse senior claims examiner, including executive

claims; trainer; system tester for new accounts; team lead; resolved claims

issues by researching clinical and claims data; audited 17 claims examiners work

for procedural and financial accuracy;

SPECIAL SKILLS AND QUALIFICATIONS: 10-key by touch; alpha,numeric data

entry efficient; typing speed 65 wpm; ICD9, CPT coding and modifier knowledge

reporting experience; excel spreadsheet experience; 25 years in various

professional environments; knowledge of various levels of mental

health/substance abuse care; knowledge of various claim and billing forms;

knowledge of insurance protocols; effective, articulate communicator; detail

oriented; excellent internal/external customer service; sound decision maker;

team player; positive mindset; strong organizational skills; mature, work ethic and

high standard of personal integrity; strong multi-tasker; adaptable and reliable

OFFICE EQUIPMENT: Copier, fax, phones, microfilm IMT350

EDUCATION: Warrensburg-Latham High School, Warrensburg, IL., 1970

Graduate

REFERENCES PROVIDED UPON REQUEST



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