Customer Service High School

Location:

Posted:

October 20, 2010

Judy A. Lester

Detroit, MI. *****

Email address: ********@***.***

Objective: To secure the offered position

Education: 1968-1971 a high school diploma from Mackenzie High school

Qualifications: Thirty Seven years experience of working with Medical

Terminology,

Medical Coding, Pricing, Quality Analyst and Customer Service

Representative knowledge of Microsoft Outlook, Word and Excel.

Employment: Blue Cross and Blue Shield of Michigan from October 6, 1971 to

May 21, 2009

Work experience: February 1992 to May 2009

Quality Performance and Development

Quality checked a percentage of claims for a various number of employee's

for accuracy. Compiled individual quality performance statistics,

identified and assist in their resolution (e.g. system, fee procedure code

conversion, and billing). Identified and assisted in resolving employee's

performance problems, conducted on the job training. Assisted in

development of job aids to clarify/ simplify processing procedures,

performed special projects and miscellaneous duties as assigned. Compile

daily, weekly and monthly reports for each employee.

June 1973 to February 1992

Claims Processor

Processed and Medical coded instate, out of state and regular priority

claims and Inquiries for approval/ denial for benefits/ payment

determination. Identified problems and recommended resolutions.

October 1971 to June 1973

Claims Support

Prepared raw receipts to be micro filmed, sorted and counted the receipt

before they were distributed within the corporation.