Customer Service Medical

KIMBERLY WITMER

**** *********** **. ********, ** 43026

H: 614-***-**** C: 614-***-****

**************@*****.***

PROFESSIONAL SUMMARY

Exceeded performance goals, decreased outstanding accounts receivables, and

increased customer service satisfaction.

. Assisted organizations in turning around performance, often reaching

goals for the first time, in part through identifying trends,

assisting management in developing performance/quality standards, and

coaching team members to achieve results.

. Recognized for solving operation problems, addressing on-going system

or customer service situations head-on, resolving "impossible" tasks,

and utilizing analytical skills to drive performance and quality.

. Highly organized, detail oriented, and a team player, enjoy utilizing

computer and customer service skills in achieving performance goals.

PROFESSIONAL EXPERIENCE

Anthem BC/BS - Worthington, OH

Enrollment and Billing Specialist

Recruited to learn the enrollment process to assist Human Resource

Departments in enrolling employees timely and accurately

. Assisted Marketing and Customer Service Departments in implementing

two new National Accounts.

. Provided suggestions to the Enrollment Business Analyst and Enrollment

Manager on process improvements for the two newly implemented

accounts.

. Consistently provided excellent internal and external customer service

to ensure National Account satisfaction.

Wellspan Health System - York, PA (Patient Account Department)

Physician Billing Representative

Challenged to learn how the billing department operated and to reduce

account receivable outstanding balances.

. Utilized prior medical claims and customer service experience to

provide excellent internal and external customer service.

. Excellent computer skills contributed to my ability to adequately

follow-up on outstanding accounts.

. Reduced the physician group work list by fifty percent and the

hospital work list by fifty percent while working as a Patient

Administrative Services Specialist.

JDC Pediatric Associates- Mechanicsburg, PA

Medical Assistant/Secretary

Hired to assist with new office implementation.

. Provided excellent customer service to patients, patients' families,

billing staff, and medical staff. Assisted patients with clinical and

billing issues. Identified ways to increase the speed of checking

patients out.

. Scheduled patients for appointments, assisted with registering

patients, checking patients out, balancing daily doctor office income,

and marking charts. Created a cover sheet to make marking charts

consistent among team members.

. Responsible for incoming and outgoing electronic faxes for entire

office. Routed faxes and scanned documents into patients' Electronic

Medical Record.

Highmark Blue Shield - Camp Hill, PA

Medicare Representative

Challenged to learn and provide feedback to management regarding a new

National Medicare call center system.

. Positions held include: General clerk, Authorization Specialist,

Encounter Specialist, Claims Reviewer Analyst, and Customer Service

Representative

. Prior experience includes approximately seven service years at

Highmark Blue processing medical claims and providing customer

service.

. Assisted in reducing claim inventory from 100,000 to 20,000 claims.

Utilized above Highmark Blue Shield experience to provide excellent

customer service at BC/BS of Delaware as a Provider Service Representative.

ACADEMICS

Harrisburg Area Community College

One HACC Drive Harrisburg, PA 17110 717-***-**** www.hacc.edu

Associates Degree in Business Administration - Obtained in May 1999

Recognition: Obtained Dean's list several times while attending, selected

to be a part of the Business Honor's Club (Alpha Beta Gamma), and graduated

as an Outstanding Transfer Student.

Computer Training and Other Related Experience: Microsoft Software, Lotus

Notes, Customer Service, Confidentiality, Integrity, and Diversity.

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