Customer Service Representative
Resume:
SHELBY COLLINS
Tallahassee, FL *2311
Phone: 407-***-****
****************@*****.***
Ability Summary
Meticulous and driven Patient Accounting 5+ years and 9+ years Customer Service of hands-on
experience in account opening and management. Proactive personality with a demonstrated ability to
understand and cater for customer’s account related problems. Also graduated from Penn Foster with my
Medical Billing and Coding certification.
Employment History
Provider Enrollment Specialist
09/2015 - Current HP Enterprise Svc 2670 W Executive Center Cir, Tallahassee, FL
Implements the physician enrollment and credentialing process for clients who request provider
oenrollment services.
Maintain the timelines on enrollment/credentialing schedules, communicate with
oproviders and other departments to update as needed, clarify carrier information requirements, and
omaintain a strict level of confidentiality for all matters pertaining to provider credentials.
Reviews new client packet information to determine any enrollment issues.
Coordinates credentialing data needed for enrollment, contracting, and other related purposes.
Credentialing data includes but is not limited to the medical degree, Drug Enforcement Administration
(DEA) number, state license number, Board certifications, CV, malpractice insurance and state insurance
form.
Works closely with Physicians to obtain missing documentation for providers pertaining to provider
oenrollment. Obtains required client signatures and follows up with the carriers on documentation
osubmitted.
Maintains provider information and demographics for all providers.
Responds to internal and external inquiries on routine enrollment and contract matters.
Monitors and advises clients on license expirations.
PBX Operator (Private Branch Exchange Operator)
01/2015 - 09/2015 Capital Regional Medical Center 2626 Capital Medical Blvd, Tallahassee,
FL
Work at switchboards at a variety of businesses and handle outgoing, interoffice or incoming calls.
Operate PBX or private branch exchange switchboards to facilitate connections.
Take and relay messages.
Announce when visitors arrive.
Relay important information.
Handle emergency calls.
Assist customers in making telephone calls.
Operate telegraph equipment and satellite communications equipment.
Perform receptionist functions as needed.
Handle all directory assistance queries.
Account Specialist
Liberty Medical Supply- Port Saint Lucie, FL Account Specialist 6/4/2012- 12/11/2014
Prepares and submits clean claims to various insurance companies either electronically or by paper.
Answers questions from patients, clerical staff and insurance companies.
Identifies and resolves patient billing complaints.
Reviews accounts for possible assignment and makes recommendations to the billing supervisor.
Performs various collection actions including contacting patients by phone,
Correcting and resubmitting claims to third party payers.
Participates in educational activities and attends monthly staff meetings.
Conducts self in accordance with HPA's employee manual.
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
Protect the security of medical records to ensure that confidentiality is maintained.
Review records for completeness, accuracy, and compliance with regulations.
Retrieve patient medical records for physicians, technicians, or other medical personnel.
Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
Process patient admission or discharge documents.
Order Entry Clerk
08/2013 - 10/2014 QVC 300 NW Peacock Blvd, Port Saint Lucie, FL
Take down customer information in order to process order.
Complete fields such as name, address, account number, item number, price, and any sales or
opromotions.
Input data into computer.
Inform customer of prices and collect payment.
Set up payment plan if necessary.
Ensure payment information is accurate.
Process order and distribute receipt.
Input orders into database.
Inform customer of expected delivery date.
Follow up on orders.
Handle complaints about unfulfilled orders.
Check inventory control.
Order more merchandise to replenish inventory.
Inform customer if item is out of stock or discontinued.
Suggest other items.
Prepare invoices and shipping documents.
Have parcel picked up by shipping company.
Work with production, sales, shipping, warehouse, or common carrier personnel to expedite or
Trace missing or delayed shipments.
Customer Care Representative (CCR)
AT&T - Ocala, FL Customer Care Representative (CCR) 08/2010 TO 10/2010
Resolve customer complaints or answer customers' questions regarding policies and procedures.
Supervise the work of office, administrative, or customer service employees to ensure adherence to
oquality standards, deadlines, and proper procedures, correcting errors or problems.
Provide employees with guidance in handling difficult or complex problems or in resolving escalated
ocomplaints or disputes.
Implement corporate or departmental policies, procedures, and service standards in conjunction with
omanagement.
Discuss job performance problems with employees to identify causes and issues and to work on
oresolving problems.
Train or instruct employees in job duties or company policies or arrange for training to be provided.
Evaluate employees' job performance and conformance to regulations and recommend appropriate
opersonnel action.
Review records or reports pertaining to activities such as production, payroll, or shipping to verify
odetails, monitor work activities, or evaluate performance.
Recruit, interview, and select employees.
Interpret and communicate work procedures and company policies to staff.
Receptionist
The Answer 2 - Ocala, FL Receptionist 08/2009 to 08/2010
Operate telephone switchboard to answer, screen, or forward calls, providing information, taking
omessages, or scheduling appointments.
Greet persons entering establishment, determine nature and purpose of visit, and direct or escort them
oto specific destinations.
Transmit information or documents to customers, using computer, mail, or facsimile machine.
Hear and resolve complaints from customers or the public.
Perform administrative support tasks, such as proofreading, transcribing handwritten information, or
ooperating calculators or computers to work with pay records, invoices, balance sheets, or other
odocuments.
File and maintain records.
Provide information about establishment, such as location of departments or offices, employees within
othe organization, or services provided.
Collect, sort, distribute, or prepare mail, messages, or courier deliveries.
Process and prepare memos, correspondence, travel vouchers, or other documents.
Receive payment and record receipts for services.
Customer Service Representative
PSI - Fort Pierce, FL Customer Service Representative 02/2007 to 07/2008
Prepares and submits clean claims to various insurance companies either
Electronically or by paper.
Answers questions from patients, clerical staff and insurance companies.
Identifies and resolves patient billing complaints.
Prepares, reviews and sends patient statements
Evaluates patient's financial status and establishes budget payment plans. Follows
And reports status of delinquent accounts.
Reviews accounts for possible assignment and makes recommendations to the
Billing Supervisor, also prepares information for the collection agency.
Performs various collection actions including contacting patients by phone,
Correcting and resubmitting claims to third party payers.
Processes payments from insurance companies and prepares a daily deposit.
Participates in educational activities and attends monthly staff meetings.
Conducts self in accordance with HPA's employee manual.
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
Education and Training
Completion Date Issuing Institution
Location Qualification Course of Study
2006-2008 Indian River State College
FL 2 Years of College or a Technical or Vocational School College
10/2013-10/2014 Penn Foster Career College
FL Vocational School Certificate Medical Coding and Billing
Contact this candidate