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Customer Service Representative

Location:
Raeford, NC, 28376
Posted:
August 22, 2010

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Resume:

N icole S. Bailey

**** *’Hara Drive

Raeford, North Carolina 28376

Email: p ablil2@r.postjobfree.com

Residence: 910-***-****

Cellular: 910-***-****

Education

Tr iton College / Some College R ivergrove, I l l inois 1990-1993

Proviso East H igh School / Diploma Maywood, I l l inois 1986-1990

Volunteer Expe rience

Rhema Word Worship Center Ministries J une 2008-June 2010

Administrator-(part-t ime)

Input all cash f low into Microsoft Excel, Responsible for weekly bank deposits, Faxed and copied all

correspondence to numerous of churches, Counsel youth and adults, Sent letters of invitation for

church programs.

E M P LOY ME N T H IS TORY

Rush University Medical Center/Chicago, I llinois J une 2007 –

M ay 2008

Patient Access Coordinator

P re-Register patients into the Department Appointment Report system. Obtain accurate and prompt

i nsurance verification of governmental payors via online desktop eligibility inquiry systems. Verify

eligibility and obtain benefit quotes. Obtain authorization for services from payors (collect referrals &

authorization numbers and document in EPIC system).

Total Staffing Solutions A pril 2005-December

2005

Nationwide Credit & Collections/Westchester, I llinois

Debt Collection Specialist

Settled self pay accounts and set up payment arrangements with debtors. Negotiated delinquent

accounts with debtors. Transacted credit card payments and checks over the phone from debtors.

Rush St. Luke’s Medical Center/Chicago, I llinois M a rch 1998-

Ma rch 2003

Financial Representative-Collector

Follow up Blue Cross / B lue Shield to get payment status on patient claims. Follow up activity with

patients verifying insurance information is correct. Received incoming calls from blue cross-shield

regarding claims billed incorrectly or when payments will be released.

Bil ling Analyst

Submitted claims daily to blue-cross /blue shield via electronic bill ing. Submitted hard copy claims to

commercial insurance’s and blue-cross /blue shield. Obtained missing or incorrect data to submit the

complete the correct bill on a timely basis to expedite payments. Corrected claim edits on NEBO

system, and E-CARE, completed daily and weekly high volume /of productivity for management

reporting.

Medicaid Collector

Contacted I l l inois Department of Human Services recipients /or guarantor as needed, for correct

recipient number, date of birth, and social security number. Confirm account balances and perform

account follow-up activity with

I D HS (Ill inois Department of Human Services. Handled 500 page rejection reports and corrected

claims and rebilled to I l l inois Department of Human Services.

Customer Service Representative

Handled high volume call center for patient inquiries and patient complaints. Keep records of customer

i nteractions and t ransactions, recording details of inquiries, complaints, and comments, as well as

actions taken.

Skills-EPIC System, MS Office, MS Excel (intermediate), Loan Pro, Teletrak, Skip Trace System,

N EBO System

References upon available request



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