Customer Service Registered Nurse
Resume:
Allison Weeks
Aiken, SC **801
*******.******@*****.***
Objective:
To obtain an interesting and challenging position utilizing my education and experience working in customer service and billing as well as being a primary liason between clients and our team.
Price Waterhouse Coopers/People 2.0 Medical Biller 07/2008- 03/2011
Duties:
Interacted with customers to provide information in response to inquiries about medicaid, medicare and commercial insurance and handled and resolved complaints. Billed claims to medicaid, medicare and commercial insurers via Epremis. Prepared and submited claims to insurance companies and prepared and sent statements to patients. Researched and resolved rejected claims. Managed projects and served as primary liaison between clients and multiple internal groups to ensure clarity of goals and quality and adherence to deadlines. Followed HIPAA (Health Insurance Portability and Accountability Act) guidelines at all times and maintained patient confidentiality.
Lexington Gardens Resident Assistant 03/2007-06/2008
Duties:
Assisted residents with activities of daily living. Duties included taking care of the patients by daily bathing, cleaning, brushing of teeth, brushing of hair and all other manner of daily hygiene practices. Also included the duty of collection of patient information or data by monitoring the food intake, mood and many other general signs of health and reported it to the Registered Nurse.
Blue Cross and Blue Shield of SC Claims Associate III 03/1994-03/2000
Duties:
Answered incoming calls from providers and beneficiaries to resolve issues involving Medicare claim processing of Durable Medical Equipment. Followed medicaid review guidelines and medicare policies. Also provided customer service for Tricare. Processed health insurance claims for active duty, retired and dependents of the military. Communicated by phone and written correspondence with hospitals, physicians and insured to resolve claim issues. Conducted training for team members in Medicare setting. Developed employee achievment program.
Education
Clemson University/ Management-Occupational Safety and Health Administration
8/1983 - 8/1987
Clemson, South Carolina
Midlands Technical College 2004-2005
Medical Terminology/Medical Transcription
Volunteer Experience
Volunteer at the YMCA and Florence Humane Society
Interests & Activities Calligraphy, oil painting, reading, exercise
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