Customer Service Manager
Resume:
Wendy Bright- Hunter
*** ***** **** ( Savannah, Ga. ( ********@*******.*** (
Qualifications
o 21 years of experience in the Medicaid and Medicare field
o Knowledge of medical billing, support services, recovery
overpayment, and data intake.
o Several years of clerical and customer service experience
o Proven leadership skills and manager experience
o Over 10 years of cash and check handling experience
o Strong problem solving and math skills
o Knowledge of Claim 1500 and UB-04 Forms
o Experience working with spreadsheets
o Strong written and verbal communication skills
o Proficient with Microsoft Office System (including Microsoft Word,
Excel, PowerPoint, Publisher, Outlook ).
o Proficient in ICD-9, HCPC coding, and Medical Terminology
o Knowledge of office copy and fax machines
Professional Experience
Cahaba Government Administrators, LLC (CMS)- Savannah, GA.
Financial Auditor/Claims Examiner
2000 to 2012
Adjudication and resolution of Medicare Part A and Part B claims to
determine payments or denial based on the Center for Medicare and Medicaid
regulations and policies.
. Credit Balance Report recovery money from hospital- providers for
overpayments
. Voluntary Refund Request credit or debit providers claim with correct
adjustments
. Examine supportive documents and medical information to determine
payment or denial of services
. Identify and resolve problems
. Research, initiate, and correct and adjudicate pending claims and
adjustments.
. Record financial data to books and data spreadsheets to keep a record
on checks and bank deposits.
. Assist customers via phone and in person with claim status
. Provide customers with information regarding policies and procedures,
as well as the appeal process
Data Control Support Coordinator
1995 to 2000
Resolved all PC and Software issues and managed electronic machinery to
ensure functioning.
. Communicate internal trouble calls from associates with PC and
Software problems
. Solved computer troubleshoot concerns as key member of IT
Department
. Report problem to support center help desk
. Distributes reports and mail
. Call vendor for repairs on machines
. Operate and maintains various equipment: Printers, Copy machine,
Mail machine, standard register Busters, Terminals, Controllers,
Muxes, Harris Power Frame Tricord, etc...
Payless Shoe Source, Savannah, GA
Assistant Manager
1985 to 1990
Managed Staff and oversee day to day store functions.
. Coordinated Retail and Promotional Sales
. Conduct staff meetings
. Keep inventory and perform financial audits
. Serve as cashier when needed
. Assist customers
. Formulate reports to Head Manager
Awards and Training
. Cornerstone Award, 2005 - Annual award given to employee for
outstanding work
. Certificate of Completion, 1999- Customer Service Training Program
. Certificate of Completion, 1998- Medicare Training Seminar
. Employee of the Month, 1995
Education
. Savannah Technical College
1997
(Courses in Medical Terminology)
. Savannah State University
1995
(Computer Classes)
. Alfred E. Beach High School
1984
(Diploma)
References available on request
Contact this candidate