Customer Service Medical

EDUCATION

**** *.*., ******** ************** (with a concentration in the service

sector)

Central Michigan University, Mount Pleasant, MI

Dean's list: 3 semesters

OBJECTIVE

I strive to be in an administrative position with an opportunity to advance

to a management level.

WORK EXPERIENCE

Claims Processor

3/10 - Present: Wright and Filippis, Rochester Hills, MI

As a Claims Processor, it is my responsibility to accurately as, well as

quickly enter a patient's claim for medical supplies or equipment, for

rejection or approval of payment to the provider.

. After the claim has been approved or rejected, it is my responsibility

to precisely narrate the reasons for approval or rejection.

. Gain knowledge of the national medical rejection codes, and other

national provider codes (etc. procedure, diagnostic and duration

codes).

. Gather information pertaining to the correct allocation and payment

schedule of each claim processed through out a pay period, under the

Medicare Laws.

Print Coordinator

7/06 - 2/09: Starcom Mediavest, Detroit, MI

In this position, I managed and followed promotional media material for

General Motors brands.

My work included the following tasks:

. Delegating to clients what ads need to be run, at what time, position,

size, and spacing.

. Reviewing current contracts and rates prior to reserving print space

. Assisting publications in resolving discrepancies delaying the payment

process

. Developing a new process to resolve billing discrepancies.

I was able to find and correct an invoicing error from 3 years prior,

which allowed me to revise the payment schedule and clear the back dated

discrepancy that held up current and future payments. By doing this the

publication agreed to release their hold on the material insuring our ad

would run as indicated, saving Starcom, time and money.

Customer Relations Representative

10/04 - 6/06 Central Transport International, Warren, MI

At this trucking and Logistics Company, I worked as a customer service

representative. This included duties such as, taking payments, for over due

accounts, collections work, setting pick ups and verifying accounts, and

financial status with our company.

. Investigating invoicing discrepancies to ensure company regulations

and procedures were applied correctly

. Expanding industry knowledge through independent competitor research

and analysis, exhibiting loyalty and dedication to company, team, and

self growth

. Diagnosing system billing errors, which increased efficiency in other

departments by reducing their overflow

. Analyzing past due accounts, correcting problems, negotiating and

collecting settlements

I worked full time here and simultaneously completed my studies at CMU's

Detroit extension program.

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