Customer Service High School
Resume:
Rita Gibbs-Norwood
Email: ********@*********.***
Address:
City: Raymond
State: MS
Zip: 39154
Country: USA
Phone: 601-***-****
Skill Level: Any
Salary Range:
Primary Skills/Experience:
Focus on developing high standards of practice, evaluating customer care for effectiveness and implementing necessary changes to programs and policies. Specialist in Medicare statutes and management information system. Dedicated to produce high quality customer service in health care. Strong decision maker who understands the importance and compassion of customers. Medicare Recovery Specialist versed in research and analysis. Seeking a position to develop and implement new and innovative health care improvement processes and standard procedures.
Educational Background:
High School Dipolma from Walden University, Baltimore MD 1/2001 to 5/2012 (Business Administration)
High School Dipolma from Belhaven University, Baltimore MD 1/2001 to 9/2012
High School Dipolma from Hinds Community College, Baltimore MD 1/2001 to 9/2012
High School Dipolma from Yazoo County High, Baltimore MD 1/2001 to 9/2012
Job History / Details:
Professional Summary
Focus on developing high standards of practice, evaluating customer care for effectiveness and implementing necessary changes to programs and policies. Specialist in Medicare statutes and management information system.
Dedicated to produce high quality customer service in health care. Strong decision maker who understands the importance and compassion of customers.
Medicare Recovery Specialist versed in research and analysis. Seeking a position to develop and implement new and innovative health care improvement processes and standard procedures.
Education and Training
2012 Walden University Baltimore, Maryland
MBA Business Administration
Specialized in Healthcare Management
2009 Belhaven University Jackson, Mississippi
BBA Business Administration
2001 Hinds Community College Raymond, Mississippi
Associate of Science Business
1997 Yazoo County High Yazoo City, Mississippi
High School Diploma
Skill Highlights
Government relations knowledge
Quality improvement competency
Medicare Management Information Systems
Knowledge of Medicare statutes and regulations
Professional Experience
September 2012 to 9/27/2012 12:00:00 AM
Cahaba GBA Ridgeland, Mississippi
Medicare Recovery Specialist
Identified process improvements in the day-to-day functioning of the department. Closely collaborated with management team to make necessary improvements and satisfy customer needs.Reconstructed accounting records from customers checks and cash receipts.Performed regular telephone contact with customers to discuss status of rebilling and reimbursement process to ensure case resolution.Reviewed and explained insurance plans to patients to guarantee full understanding of payment policies and procedures.Contacted customers to verify correct insurance information and get authorization for proper billing codes.Verified and applied payments sent by customers for contract guidelines.Performed accounts receivable duties including invoicing, cash application, researching charge discrepancies, issuing refunds, reconciliations and responding to customer requests for documentation.
October 2006 to October 2011
Chickasaw Nation Industries Ridgeland, Mississippi
Medicare Recovery Specialist
Calculated, prepared, and issued bills, invoices and account statements according to established procedures.Cross-trained and provided back-up for other associates when needed.Managed wide variety of customer service and administrative tasks to resolve customer issues quickly and efficiently.Managed quality communication, customer support and product representation for each customer.Attended local training as defined by the company.Worked under strict deadlines and responded to various service request from customers.Generated waivers and appeals on as needed basis for customers.
June 2001 to August 2006
Cahaba GBA Ridgeland, Mississippi
Claims Examiner
Ensured HIPAA compliance. Processed 1500 forms timely with accuracy.Recommended claims for denials based on incomplete submissions.Adhered to all federal and state compliance guidelines for claims processing.Originated, reviewed, processed, closed and administered to Medicare guidelines in processing.
Contact this candidate