Customer Service Insurance
Resume:
Princess-Ann Robinson
Cedar Hill, TX 75104
Dear Hiring Administrator,
I am interested in exploring the possibility of joining your organization.
Please find my resume enclosed; it will furnish you with information relative
to my education, experience, and abilities.
As my resume indicates, I have relevant experience in the fields of Customer
Service, Medical Insurance & Coding and Administrative Assistant. My
experience is varied and you will find that I am flexible enough to meet your
diverse needs.
Realizing that this summary cannot fully communicate the benefits I can
provide you, any additional information you may require is available at
your request. I would appreciate the opportunity to speak with you
personally.
I thank you for your consideration and I look forward to your reply.
Sincerely,
Princess-Ann Robinson
Enclosed
PRINCESS-ANN ROBINSON
Telephone: 901-***-****
Email: ******************@*******.***
CAREER OBJECTIVE
Self-motivated individual seeking a position where excellent communication, leadership,
and organization and problem-solving skills can be used to maintain customer relations.
BACKGROUND SUMMARY
Ten years of experience in customer service and data entry. I also have training and hands
on experience in medial front office and billing. Particularly effective in assessing and
resolving problems to increase productively and recover lost revenue. Professional skills
include: excellent written and interpersonal communication skills, active listening and
computer/data entry proficiency.
EXPERIENCE
Conifer Health Solutions, Frisco, TX 2010
Medicaid A/R Lead Representative
Performing all duties of an A/R Representative (e.g, remits, financial class changes,
denials, updates system notes with appropriate changes, corrects account balances).
Actively participating in task force and other meetings representing the interests of the
A/R Representatives.
Analyzing and resolve the more complex accounts for their regional facilities.
Fully understands, applies, and provides one-on-one training on all billing procedures.
Completes other special projects as assigned.
Assisting Supervisors and Facility Liaisons as needed.
Serves as a first line resource for A/R Representatives regarding NMC operational
procedures, protocols and defined policy.
Providing effective one-on-one follow-up/practical training to ensure effective
assimilation of formal training ideas and methods as presented in the classroom
St Francis Hospital, Bartlett, TN 2009
ER Admissions Rep.
Check patients into the ER obtaining basic demographic information
Verify insurance coverage
Collect on co-pay, deductibles, co-insurance and self pay
Interact with the House Supervisor when a patient bed status has changed
Admit Same Day Surgery and/or Labor and Delivery patients into the hospital
Provides financial counseling
PHYSICIAN BUSINESS SOLUTIONS, Memphis, TN 2008-2009
Insurance Claims Processor
Call insurance companies about denied claims
Verified Commercial and TennCare Insurance
Made referral appointments and got prior authorizations if needed
Posted payments from the insurance company
Write Appeals, post charges for 22 Doctors Offices
Answer patient calls about their bills, and collect payments
Schedule appointments
File claims, send out patient statements
Run monthly reports for Outstanding Insurance and Patients
ADVANCED PRIMARY CARE, Memphis, TN (Internship) 2008
Front Office/Biller
Checked Patients in and prepared the chart for the MA on duty
Verified Commercial and TennCare Insurance
Made referral appointments and got prior authorizations if needed
Posted payments from the insurance company
Answered the phones to schedule appointments
Filed charts, requested lab work, and medical history from doctors offices and hospital
VALOCITY, Memphis, TN 2006-2008
Customer Service Rep.
Develop relationships with appraisers and lenders once we receive the order.
Develop a communication style with the appraiser that will be effective for the appraiser
as well as the lender in providing updates and requesting information.
Monitors appointments and completion of all active orders, and assists in following up
with orders that require corrections.
Answer incoming calls and make sure all information about the file is placed in the
comment section so the next person who is in the order should be able to know exactly
what is going on.
Provide the appraiser with any additional information they may need on a property
Approve and negotiate fees for the appraiser and lender.
SITEL/Medicare Prescription Drug Plan, Memphis, TN 2005-2006
Prescription Drug Professional
Answered incoming calls for the Prescription Drug Plan and enrolled customers into the
plan that best fit their needs.
Listened to PDP phone calls and coached them on the call.
Walked the floor to assist with any question a PDP may have
Sent referrals to doctor’s offices.
VIKING OFFICE PRODUCTS, Wichita, KS 1997-2005
Customer Service Rep.
Processed 192 to 224 fax orders on a daily basis utilizing AS400/J-Mil system.
Developed a training manual for Viking Imprint Department and implemented
procedures for the Call Center.
Responsible for auditing faxes and phone orders.
Created custom graphics for stationary and specialty products for more than 50% of my
customers.
Resolved issues using creative problem-solving skills.
Contacted vendors for product availability.
Prepared UPS packets to ship orders out to vendors.
Prepared and setup new accounts.
Performed basic office duties.
Contacted customer on past due accounts.
EDUCATION AND TRAINGING
Remington College, Memphis, TN
Diploma in Medical Insurance and Coding 2007-2008
Butler County Community College, Andover, KS
Working towards an Associate Degree in Criminal Justice, 1998-1999
Advanced Customer Service
New Management Discovery Program
Diversity in the Workplace
Dealing with Change
AS400/J-Millennia
Office Etiquette
Medical Manager
Centricity Physician Office 2004
Medasoft
CPT/ICD9
Medical Terminology
Contact this candidate