T ONI COLE **** M i lgen Road, Columbus,
EXPERT ISE QUAL I F ICAT IO NS SUMMARY
Office Management Proven record of facilitating support services and
m anaging
C lient Relations fast-paced office operations. Strong organizational and
P rovider Relations communication skills with the abil ity to concurrently direct
A dministrative Support multiple business affairs. A multitude of versatile skil ls
Confidential Information transfer into any administrative setting to create and
m aintain
Team Leadership high levels of efficiency and productivity. Advanced
F ront Office Operations understanding of customer needs with dil igent attention to
Departmental L iaison detail resulting in superior customer service and high
levels
Innovative Problem Solver of client satisfaction. Trusted consultant, l iaison
a nd assistant.
Documentation /Record Keeping
T ranscription
RELEVANT PROFESSIONAL EXPER IE NCE
Aflac Columbus,
GA
Customer Service Specia list I I I
• Five years of servicing policyholders with proper claim fi l ing including
Medicare and Medicaid claim with rules and regulations with the
u nderstanding of crossover claims, proper diagnosis per policy and
corresponding codes for surgeries, cancer, chemotherapy, radiation therapy,
d ifferent level of office visits, MRI, CT, PET, colonoscopy, pap smear,
m ammogram, etc. ICD-9, CPT.
• Process claims with proper coding while customer is on the phone.
• Annual classes and certification for H IPPA Rules and Regulation compliance.
• Use my empowerment and resources given to me to accurately, expeditiously
a nd in a professional manner resolve the policyholder's, account's or agent's
questions.
• Document each call fully and accurately for accurate references in the future.
• Use the numerous "systems" interactively to gather information and resolve
c ircumstances.
• Communicate with other internal co-workers and departments as necessary.
• Able to manage the required 98% accuracy percentile by maintaining 100%.
• Show empathy for others as necessary in their difficult times of medical
c ircumstances.
• Handle calls for policyholders in relation to their policy premiums and status
of policies; accounts' premiums submitted for the policyholders as well as
guidance with instructions with the management of the policyholders and
i nvoices; assist agents with questions or resolutions regarding their
policyholders or accounts.
Funderburk, Day & Lane
Legal Secreta ry
• Personal legal secretary for the number one partner of the fi rm, Kenneth
F underburk.
• Transcribed dictation for legal documents; law suits, wi l ls, divorces,
correspondence.
• Filed legal documents with the court in a timely fashion.
• Assisted with daily deposits.
• Assisted with real estate closings.
I have a total of 8 years experience as a legal secretary and a total of approximately
30 years experience as a secretary. I learned my medical knowledge working for
A flac. The procedure of processing claims and researching claims involves extensive
k nowledge of the medical terminology.