Customer Service Insurance
Resume:
Ame'Cherie Thomas
Birmingham,Al 35210
******.********@*****.***
Objective
Seeking a Professional position that will allow me to expand upon my
education, professional experience, proven problem solving abilities and
strong organizational skills as well as my knowledgeable skills.
Qualifications
Solid written, oral communication skills also detailed orientated. Premium
ability to execute a number of projects simultaneously. Proven ability to
analyze, plan, manage and motivate. Distinguished career focused on
innovating new strategic directions. Excellent ability to maintain through
knowledge of new methods and procedures as products and systems changes.
Work collaboratively with team members to achieve common goals.
Skills
Word, Excel, Pro-Med, Medical Manager, 10 key, Microsoft Outlook, Internet,
Calculator, CPAR, SSI, Virtual Validation, AS400, BCBS remote system,
Medicare, CPT and ICD-9 knowledge.
Education
1991-1995 Minor High School
2002-2003 University of Alabama
Relevant Experience
March 2008-November 2009
Social Security Adm.TSR
Provided customer service to general public .familiar with SSI,
Disability insurance,and Retirement benefits according to United
States Government .
JANUARY 2008-MARCH 2008 (TEMP)Biller
Billed claims to various providers for paymentInsurance
followup,knowledge of ICD & CPT coding, Review Audit Trails, process
various insurance claims, review loss reports, data entry Electronic
claims processing, payment posting, insurance follow-up, answer patient
Inquiries, month-end processing, review remittance reports, aging
reports, CPT & ICD-9 Coding, review inpatient and outpatient medical
records using the CPT & ICD-9 coding systems.
Break in employment due to Mother's Death *
Aug. 2004- July 2005, Billing Specialist, EHS
Review Audit Trails, process various insurance claims, review loss
reports, data entry Electronic claims processing, payment posting,
insurance follow-up, answer patient Inquiries, month-end processing,
review remittance reports, aging reports, CPT & ICD-9 Coding, review
inpatient and outpatient medical records using the CPT & ICD-9 coding
systems.
Oct. 2003- July 2004, Claims Examiner, Blue Cross Blue Shield of
Alabama
Duties included case examining. Payment processing of medical claims
according to contract benefits and limitations. With emphasis on
production and accuracy. Customer Service. General office duties.
Oct. 2001- Oct. 2003, Medicare Billing/Follow Up, Montclair Hospital
Duties included customer service, claim analysis, eligibility, and follow
up with insured insurance for payment. Primary responsibilities consisted
of claim submission to Medicare according to Medicare guidelines. Knowledge
of HCFA-1500, UB92, & ICD-9 coding experience.
Jan. 1999- Sept. 2001, Medicare Complete Provider Rep, United
Healthcare
Duties included account follow-up, assisted customers with research and
correct payment according to provider contracts. EOB assistance. Emphasis
on Medicare Part B as it related to the supplement plan Medicare Complete.
Knowledge of UB92, ICD-9, and CPT Coding, Third Party Billing, HMO Setting,
and customer relations.
April 1998- Jan. 1999, Customer Service Representative, United
Healthcare
Insurance verification, M.D. referral, Data entry, Filing, billing basic
CPT & ICD-9 coding and all other duties assigned by management.
References Available Upon Request
Contact this candidate