Customer Service High School
Resume:
Tiffany Wright
Jacksonville, Fl 32218
*******.********@*****.***
Objective: To embark on a new career with this company in order to enhance
my knowledge and provide a productive impact.
Experience
2008-2010 TRC(Mayo Clinic)
precert coordinator
* Responsible for obtaining authorizations for patients from their
insurance company using medical and clinical information from the
patients charts.
* Answered calls from clinic staff and approved medical procedures to
be scheduled or pre authorized based on insurance information and
guidelines.
* Served as a liaison between clinic and insurance companies for
patient's medial procedures.
* Used working knowledge of CPT and ICD-9 codes to get medical
procedures authorized.
* Filled in as patient financial services receptionist when needed;
answering calls, setting appointments for patients using outlook,
posting payments and processed customer refunds if necessary
2000-2005 Blue Cross Blue
Shield of FL Claims Representative
? Responsible for processing medical claims accurately and
efficiently.
* Responsible for analyzing and reviewing members' contracts and
benefits, sent letters to providers and members when necessary
regarding business decisions affecting their claims
* Maintained and filed records of all correspondence sent out
? Maintained 100% quality and production
* Participated in Training Applications Unit for several classes of
both new and
existing employees training them on the claims process.
* Assisted with locating errors and updating claims processing
procedure for a more efficient process and recommended improvements
to work methods.
* Used working knowledge of medial terminology, CPT and ICD-9 codes
on a daily basis
1998-2000 First Union National Bank Customer Service
Rep
? Responsible for giving members accurate and detailed
account information.
? Assisted customers with opening new accounts over the
telephone.
? Responsible for reviewing account details to ensure
accuracy.
1997-1998 Accustaff (AT&T) Customer
Service Rep
? Provided quality customer service to new and existing
members
? Responsible for ensuring customers account information
stayed current.
? Kept members informed of any changes with their plans.
Education:
1997 First Coast High School Jacksonville, FL
High school diploma
2010 Baker College Flint, Michigan
Associate of Business Administration(A.B.A)-general business
Proficient in word, excel and 10 key, knowledge of medical terminology and
codes
Contact this candidate