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Customer Service Medical Billing

Location:
Memphis, TN, 38118
Posted:
October 18, 2010

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Resume:

Londra Whiteside

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

Memphis TN *8118

901-***-****

abi5bb@r.postjobfree.com

Objective

I'm seeking a career in Customer Service\ Medical billing where education,

life experience, and problem solving skills will enable me to become part

of a team.

Education

High-Tech Institute of Memphis, TN (January, 2007)

Associate of Applied Science Degree in Medical Billing & Coding

Skills & Qualifications

> Collection experiences

> Proactive problem solving skills.

> Excellent interpersonal, verbal, and written skills.

> Learn technical information quickly - strong self-learner

> I'm able to empathize and establish a positive rapport with the customer.

> Excellent verbal communication.

> Data Processing Productivity

> Network Troubleshooting

Computer Skills

> Knowledgeable in Microsoft Office Suite

> Knowledgeable in keyboarding and short-cuts

> 10-key pad data entry

> Knowledgeable of various software applications, such as EDI, AS400,

CE2000, Citrix, and other various systems.

Work Experience

SPHERION

First Tennessee Bank

1/2010 - current

Representative 1

> Ability to read, interprets, and retains a wide variety of information.

> Ability to handle difficult customer situations

> Explains features and benefits and uses terminology customer understands

> Ability to communicate clearly and concisely, both verbally and written

> Ability and willingness to orally communicate or explain problems,

issues, procedures, etc

> Ability to handle high volume call demand

SPHERION

Claims Processor

8/2009 - 1/2010

Reimbursement

> Accredo's reimbursement teams receive referrals, research benefits, and

notify patients of their coverage and financial obligations.

> They also file claims with insurers and follow up on collection.

> Specific positions include cash application specialist, claims processor,

insurance analyst, patient rep, record clerk, and reimbursement

specialist.

AT&T

10/2007 -

05/2009

Customer Service Representative

Memphis, TN

> Answers customer/client request or inquiries concerning services,

products, billing, equipment, claims, and report problem areas.

> Utilizes mechanized systems to initiate and complete service orders

and handle customer request.

> Continually maintain working knowledge of all company products,

services and promotions.

> Make recommendations according to customer's needs on features,

accessories, upgrades and rate plans.

> Utilize operational systems to process purchases of AT&T products and

services; i.e. collections,

> Receives and answers customer questions, complaints, and billing

inquiries. Answers questions regarding operation of phones and

accessories; explains proper phone usage.

> Coordinates with all sales channels for retention efforts on existing

customer base.

> Administer system functions on all opening, closing, and balancing

procedures to according to finance guidelines

SITEL

04/2007 - 10/2007

Claims Processor

Memphis, TN

> Examines and processes paper claims and/or electronic claims

> Determines whether to return, pending, deny or pay claims within

policies

> Determines steps necessary for adjudication

> Follows established departmental policies and procedures, operating

memos and corporate policies to resolve claims and claims issues

> Settles claims with claimants in accordance with policy provisions

> Compares claim application and/or provider statement with policy file

and other records to evaluate completeness and validity of claim

> Interacts with agents and claimants by mail or phone to correct claim

form errors or omissions and to investigate questionable entries

> Responsible for independently reviewing moderately complex claims

Per Se Technologies

11/2006 -

1/2007

Medical Billing Specialist

Memphis, TN

> Keeping up to date, accurate billing on patient accounts, and

preparing billing according to regulations

> Assured timely remittance

> Verifying insurance coverage and following-up with Payers to

facilitate uninterrupted cash flow

> Prepare/maintain billing files and records

> Understand net revenue schedule and unrealized contractual log in

relation to patient accounts

> Investigate delinquent accounts making recommendation on disposition

of outstanding balances

> Contact third party organizations (when necessary) to facilitate

timely payment of charges

> Provide timely notation of action taken on patient accounts

> Process refunds to insurance carrier or patient

> Monitor insurance coding and effective/exhaust dates

> Respond to patient account inquiries from multiple sources

Schnucks' Grocery Store

07/2005 - 08/2007

Bakery clerk

Memphis, TN

> Provided customers service, process special orders, maintain

appearance and cleanliness of bakery case to ensure customer

requirements are met

> Built customer loyalty by providing exemplary customer service

> Produce daily inventory and sales reports

> Preparation of department for next business day

Federal Express

05/2005 -

2/2007

Cargo data entry clerk

Memphis, TN

> Mastery of 10-key pad in a fast paced routing and sorting environment

> Accuracy and precision data entry

References

Available upon request



Contact this candidate