Customer Service High School
Resume:
Joanna Mallory
**** ****** ***** **. ***. ***
Charlotte, NC 28273
*********@***.***
Summary of Qualifications
. Dedicated and self-motivated individual offering a solid educational
background in business administration, with extensive hands-on experience
of quality customer service in the field of health care
. Excellent communication, organization and time management skills. Strong
multi-tasking abilities needing little or no supervision. Work well both
independently and as a contributing team member
. Proficient in Windows XP, Microsoft Office Suite (Word, Excel, Access)
and the Internet. Applied experience in database management
Education
University of Phoenix, Online August, 2007-Expected Graduation May
10, 2010
Bachelor of Science degree in Business Administration Current GPA 3.11/4.0
Winston-Salem State University, Winston Salem, NC August, 2004- May,
2007
Heritage High School, Newport News, VA September, 2000- June, 2004
Received advanced high school diploma
Experience
The Outsource Group, Charlotte, NC May, 2009- Present
Physician Insurance Follow-Up/Medical Collections Representative
. Responsible for working closely with insurance companies on behalf of
physician practices to investigate and resolve credit balance issues
. Research and secure insurance and patient payments on unpaid claims
. Collaborate with team manager and other team members to correct insurance
payment and adjustment posting errors according to the assigned
explanation of benefits
. Resolve patient disputes regarding medical billing and maintain accurate
records within various practice management systems
. Provide excellent customer service in the processing of patient payment
information via telephone
Coventry Healthcare, Gastonia, NC January, 2008 -
January, 2009
Associate Customer Service Communications Specialist
. Resolved inquiries and concerns involving medical claim payments,
authorizations, denials, coordination of benefits and eligibility.
. Investigated, analyzed and resolved outstanding issues to achieve
customer satisfaction
. Interfaced with both patients and health care providers via telephone,
written correspondence, fax, web and/or electronic mail to respond to
routine inquiries
Computer Skills Microsoft Word Processor, Microsoft Windows, PowerPoint,
Excel, Spreadsheet, Data Entry, Signature Medical Management System, FACETS
Program
References Available upon request
Awards and Publications
2004 District Leadership Conference District Winner, Food Marketing,
Management Level
Contact this candidate