Customer Service High School
Resume:
Kimberly Smith
Arlington TX, 76001
************@*****.***
Objective
An Interesting position with a growing company to utilize my
customer service skills in a professional office environment to improve customer service
satisfaction.
Qualifications
Word excel, Power Point, type 40 wpm, 1600 key stroke, AS400. Medical Terminology CPT
Coding.
Experience
Customer service rep, Galaxy Health Network Arlington TX, 76006
July 11, 2005 to June 16, 2010.
Source and contract with Medicare providers.
Track and respond to in-person, telephonic, and written inquiries from providers and
document all contacts in appropriate system per Plan (i.e. Sales force).
Ensures that provider relationships with the Plan are positive and productive for both parties.
Works with Providers to understand issues/concerns. Identifies root cause of problems and
trends and participates in developing solutions. . Works with Provider's staff and galaxy
health staff (local and/or corporate) to resolve the issue and monitor recurrence.
Collaborates with local and corporate staff as necessary to ensure that appropriate
applications are processed, contracts are executed and all providers are credentialed in a
timely manner.
Creates and maintains information required to support the network development process.
Develops training materials and conducts on-site provider education, orientations, and
provider servicing visits to ensure providers are well-acquainted with galaxy health network
benefits, policies, and procedures.
Provides expertise and assistance relative to provider billing and payment guidelines
consistent with group policies and procedures.
Provides follow up and intervention relating to provider complaints, thereby ensuring that
the complaint process is appropriately handled within established time frames.
Participates in standing meetings, as necessary, regarding provider reimbursement issues and
network development activities. Performs other duties and special projects as assigned
Registration Clerk, Harris Hospital Fort Worth TX, 76116
January,12 2003 to June 25, 2005
Answers telephones, greets and directs patients/visitors to appropriate
areas, provides information regarding services, and other assistance as
needed and maintains supplies and forms necessary to perform duties.
Collects clinic fees, co-pays, deductibles, payments, etc., accurately
balancing cash drawer and completing necessary reports and logs on a
daily basis.
Complies with OSHA and other regulatory agencies rules and regulations.
Exhibits and demonstrates a high quality of Service Excellence and
positive customer service and telephone etiquette by treating all
customers with dignity and respect utilizing age specific skills and
knowledge.
Inputs and updates data in the District computer system.
Education
High School Diploma.
References Available Upon Request
Contact this candidate