Customer Service Administrative Assistant

LaShay Monique Stinson

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

Montgomery, AL 36116

334-***-**** or 334-***-****

Professional Goal

To obtain a career oriented position where I can grow and utilize my skills

with the opportunity

for advancement.

Work History

Hewlett Packard Enterprises Feb. 2009-Present

Recipient Inquiry Unit

* Assist Medicaid Recipients with a variety of eligibility, Patient

1st and claim paymentquestions. Using both the InterChange and the

State system as well as manuals and

documentation.

* Assisting Callers with submission and follow-up on Non Emergency

Transportation

Vouchers using the NET and State Systems.

* Researching benefit limits and verifying coverage in the

InterChange system.

* Processing and follow up of recipient Patient 1st changes both over

the phone and

through written and faxed correspondence.

* Project a positive attitude toward co-workers and providers

* Perform recipient call-backs after completion of research, when

needed

* Additional duties as assigned by manager/supervisor

Kelly Services (Contractor) EDS - State and Local Government Health &

Human Services, Montgomery, AL

Sept. 2008 -Feb.

2009

Resolution Analyst

. Read and interpret edit instructions in Resolution Manual

. Correctly force and deny edits for all claim types

. Correct data for all claim types

. Meet production deadlines for worksheets.

. Cross trained in Prior Authorizations, Adjustments, and RRI

Prior Authorization Clerk

. Scan and Key Dental and other Prior Authorizations

. Put dental packets together for Dr. Mayer

. Advanced searches for TCM and knows how to check for duplicates and

approve or deny

. Sort daily mail from the mailroom and faxes

. Look up the image in Feith

. Find the decision letters in Feith and sort them to take to the

mailroom

. Run the DSS report for the Dental Prior Authorizations

. Look up Prior Authorizations using PA or Medicaid numbers

Adjustments

. Entered on-line provider adjustments and recoupments into the

interChange system during the overtime period.

. Performed data entry resolution for those on-line adjustments.

The Todd Insurance Agency (Farmers Insurance), Montgomery, AL

Administrative Assistant

Oct. 2006 - Aug.

2008

. Processes claims for reimbursement to customers to cover costs of

repairing or

replacing lost, damaged, destroyed, stolen, or vandalized personal

property

. Specialize in home, auto and life insurance.

. Prepare quotes for different policies and rate the benefits of

different policies.

. Sell policies and help customers complete application forms.

. Work out insurance needs of individuals or companies.

. Advise customers on the products and level of coverage that is best

for them.

. Keep in contact with customers on amending and updating policies.

. Collect and record payments.

. Answering phones, scheduling appointments.

A & B Check Cashing, Montgomery AL

Cashier/Customer Service Feb. 2006 -

Oct. 2006

. Cashing checks, accepting loan payments.

. Disburse cash during the day.

. Assist customer with payday loans and the necessary paperwork.

. Accept and process customer payments of utility bills.

*

Education

Calvary Christian Academy August 1999 -

May 2001

High School Diploma

Reference Furnished Upon Request

Contact this candidate