Customer Service Project Manager
Resume:
FALANA GRIMES
ST. LOUIS, MO 63041
abi0a8@r.postjobfree.com
Objective - To secure a position with a well established organization with a stable environment
that will lead to a lasting relationship.
HealthBridge- Reimbursement Specialist -03/15/10-09/21/10
Verifying insurance benefits, obtaining prior authorizations and reauthorizations, obtaining
accurate billing information, accurate documentation of payer information and patient status.
Daily communication with patients, payers and physician offices regarding program status and
financial responsibility. Assessment for ancillary program eligibility when available.
Boeing
Accounting- 07/07-11/13/09
Analyzes, interprets, prepares and reconciles routine data according to predetermined guidelines.
The process of identifying documenting and explaining transactions affecting a general ledger
account balance, to ensure the accuracy, completeness, and appropriate timing/cutoff of the
account balance. Making a comparison of source (detail) records to the general ledger (summary)
balances. Supporting detail may include bank statements, source system data. Providing customer
service follow-up and create documents on EBC system.
Mo American Water- Finance- Billing Specialist-04/07-7/07
The Accounts Payable Specialist is responsible for processing a high volume of payment invoices
in an accurate and timely manner. This responsibility includes, but is not limited to, sorting mail;
prepare invoices for scanning, data entry and the resolution of routine accounts payable issues
that arise
American Soybean Association - Receptionist-03/06 – 4/07
Work extensively with MS Word, Excel, Outlook and PowerPoint to prepare correspondence,
maintain database and compile reports. Order office supplies and coordinate shipments and
deliveries. Greet more than 50 clients and handle 100+ incoming calls each day. Assistant with
Accounts Payable responsible for processing a high volume of payment invoices in an accurate
and timely manner. Sorting mail; prepare invoices for scanning, data entry and the resolution of
routine accounts payable issues that arise. Handle invoices, travel vouchers and data entry for
membership. Serves as backup for Operations Coordinator Responsible for the incoming and
outgoing mail, Assists with several project with Project Manager and Executive Staff.
Express Scripts
Customer Service - 12/04 to 7/05
Handle customer service inquiries from members, providers, physicians and internal and external
clients related to pharmacy benefits. Work to research and resolve problems in a timely manner.
Assist members in understanding and maximizing the use of their pharmacy distribution program.
Use computerized system to gather information and respond to questions. Resolved resolutions in
a common database. Escalate issues as necessary.
Education: St. Louis College Health Career-01/06 to 08/06 -Certified Pharmacy Technician
Sanford Brown College -01/04 to 01/05 – Health Information Technology
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