Customer Service Data Entry
Resume:
ADREYENNE Y. ROCKMAN
**** **. ***** ***** **. Apt 1A
Chicago, Illinois 60649
********@*****.***
OBJECTIVE To obtain a full-time position in a hospital, medical office or
corporation with upward mobility that will utilize my skills and
offers skill enhancement to my professional background and
experience.
SKILLS Excellent communication, organizational and customer service
skills.
Ability to multi-task, prioritize and meet deadlines while
working in a moderate to fast pace environment. Detail and goal
oriented. Good attendance and approachable. Working knowledge of
Microsoft Word, Excel and Internet. Ability to work
independently and with a team. Knowledgeable in reception and
switchboard; support services e.g. data entry, typing 45 wpm,
ten-key, ACD, computer literate, fax, zeta fax, copying, filing,
printer, answering phones, some medical terminology and
transcription. Familiar with AS400.
EMPLOYMENT
6/04 - 8/09 ComPsych Corporation - Chicago, IL
Credentialing Specialist / Customer Service
Responsible for credentialing, re-credentialing, and activating
providers into the network based on company criteria. Request
missing information from incomplete provider applications.
Rotate initial and re-credentialing "missing info drawer" every
two months and reviewing applications via US mail, fax and
email. Assist providers with the status of their application.
Send initial and re-credentialing packets to interested
providers. Assist in the completion of special projects in a
timely manner. Provide back-up support to the Administrative
Assistant. Respond to daily inquiries regarding network
participation. Recruitment of some providers. Complete NPDB
reports for all MD's and DO's. Maintain monthly follow-up calls
to non-responding providers. Update the system per random
correspondence from providers. Terminate non-compliant providers
every month or by request. Provide training for new employees.
Maintain a daily log of work completed. Assist with billing for
onsite providers per month. Ensure quality customer service to
all providers and co-workers at all times. Responsible for
maintaining Department of Transportation (DOT) provider network
by requesting current licenses and certification. Some rate and
contract negotiation. Insurance and license verification via
Internet and CAQH.
1/02 - 6/04 ComPsych Corporation - Chicago, IL
Data Entry Specialist / Customer Service
Responsible for entering out-of-network providers in the system.
Assisting providers with the status of their applications via
provider line. Update the system with current provider
information, i.e. change of address and updating expired
information. Request missing information from noncompliant
provider applications. Activate provider status and send welcome
packets to new providers. Record notes in system when
applicable. Assisting in the completion of various projects in a
timely manner. Retrieve and respond to messages from the after
hours voice mailbox. Entering application received date in the
system then forwarding it to the appropriate Credentialing
Specialists in a timely manner. Responsible for sending provider
packets to interested providers and providers who never received
the packets. Sort and distribute faxes and mail throughout the
department.
12/00-10/01 Magellan Behavioral Health - Chicago, IL
Customer Service Representative
Assisted members and providers with mental health and substance
abuse benefit information, authorization, referrals, claim
requests, complaints and inquires in a clear professional manner
via an inbound call center. Provided back-up support for claim
liaison. Responsible for answering 150 or more incoming calls
via inbound call center. Checked eligibility for members and
providers. Maintain professional manner with all members,
providers and staff.
EDUCATION
01/07 - 08/08 Kaplan University - Chicago, IL
Associates in Applied Science, focusing in Medical Transcription
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