Customer Service Manager
Resume:
Karen Mims
**** ****** **, *****, ** *****
**********@*****.***
Education
University of Texas at Dallas
Bachelor of Science in General Studies
Studies emphasized Public Relations, Personnel Management, Interviewing,
and Organizational Behavior
Certifications
LOMA Certificates in Business Writing, Personal Interaction, Advanced
Customer Care, Medicare Compliancy Certified, CPT/ICD-9, HCPCS, HIPPA
Compliant Certified
Financial Skills
Bookkeeping/Accounting Records Management
AR/AP Ledgers and Payroll Microsoft Office Proficient
Employment History
Southwest Podiatry LLP
Administrator May 2007- March
2009
. Supervise 24 Employees and 6 Clinic Locations
. Hiring, Firing, Evaluations, Training
. HR/Payroll, Benefits, Employee Relations
. Contracting, Credentialing, Reappointments
. Auditing, Insurance Issues, Customer Complaints
. Daily Office Procedures, Bills, Client Relations
. Daily Deposits, Banking
Caprock Home Health Services Inc
Branch Manager March 2006-May 2007
. Supervise 112 Employees and 109 Clients, Hiring, Firing, Evaluations,
Training
. Public Relations, Employee Relations, Strong Leadership Skills, Strong
Oral and Written Skills, Contracting, Billing/Collections,
Establishing Goals and Objectives
. Daily office duties, Customer Service, Payroll, AP/AR, Reporting,
Travel, Education, Financial, Marketing, Detailed Oriented, Great
Organizational Skills, Implementing of New Policies and Procedures,
Government Programs, Employee and Client Complaints
Metrocrest Orthopaedics and Sports Medicine
Director Of Patient Accounts July 2005-March
2006
. Managing an 8 doctor practice, MRI, and Physical Therapy
. Supervising 20+ employees, Hiring and Firing, Evaluations, In-services
. Billing/Collections, Financials, Credentialing, Contracting, Accounts
Receivable
. Reporting, Posting Payments, Detailed Oriented, Strong Leadership and
Relationship Skills, Strong Communication and Written Skills,
Training, Excellent Presentation Skills, Coordination of Staff
Education, Establishing Goals and Objectives as well as Implementing
New Policies and Procedures.
Frisco Medical Center
Insurance Coordinator February 2005-
July 2005
. Billing/Collections, A/R, Client Relations, Strong Communication and
Written Skills
. Insurance Follow-up, Appeals, Insurance Verification and Pre-
Certification
. Registration and Customer Service, Detailed Orientated, Great
Organizational Skills, Reporting, Financials, Strong Relationship
Skills
AdvancePCS/Caremark
Financial Specialist/Team Lead May 2003-
February 2005
. Medical Billing/Coding for Specialty Pharmaceutical
. Collections and Accounts Receivable, For Insurance and Private pay
. System Trouble Shooting, Training, Client and Customer Relations
. Company Lea son with all Insurance Companies, Government and Private
Organizations
. Posting Payments, Reporting, Setting Goals and Objectives, Detailed
Oriented, Strong Leadership, Relationship Skills, Oral and Written
Communication Skills
Independent Contractor
Insurance Consultant July 2002 -
May 2003
. Medical Billing for Hosp, Skilled Nursing Facilities, Nursing Homes,
Physicians, DME.
. Medicare Compliancy, Medicaid, PPO, POS, HMO, IND and Supplemental
Plans.
. A/R, A/P, Insurance and Private Pay Collections, Auditing.
Med-Claims Solutions, Inc
Director of Recruiting September 2001 -
April 2002
. Handled recruiting, job fairs, and job placement of temporary and
permanent employees
. Managed all accounts, 250 employees, as well as other recruiters.
. Implemented and wrote all policies, procedures, and testing materials,
for this startup co.
. Handled all employee and client relations, hiring, firing, resume
review and interviewing.
. Responsible for all day to day functions within the office and outside
the office.
Claims Services Resource Group, Inc (CSRG)
Staffing Manager/Recruiter September 1999 -
April 2001
. Handled recruiting, job fairs, and job placement for temporary and
permanent employees.
. Managed a 1500 database of temporary employees as well as 250 active
employees.
. Improved inner and interdepartmental coordination and communication.
. Reformulated all testing materials company wide and changed
recruitment interview processes. Selling positions, servicing of our
clients, strong employee and client relations.
. Responsible for all travel coordination and resume review along with
the interviews for all new hires.
Unicare
Claims/Customer Service Representative
September 1998 - April 1999
. Paid claims and answered phones for over 250 contracts.
. Dental, flexible/employee spending, re-pricing, billing, all products.
. Troubleshooting for the division on claims paying correctly as well as
training.
United Healthcare, Corp
Senior Benefits/Account Manager
June 1995 - September 1998
Managed all Insurance (PPO,HMO,POS,EPO,etc), Provider Relations, Local
Med Mgt
. Responsible for meeting performance guarantee standards for 25 client
accounts, and for meeting quality efficiency goals for 225 accounts.
Managed 30+ employees.
. Extensive auditing of accounts, employees, billing, interviewed,
hired, trained employees
. Resolved all State Board of Insurance complaints and all contract
complaints.
Excellent References Available Upon Request
Contact this candidate