Claims Specialist

Nicole Burt

Claims Processor

Washington, DC ****0

ac06us@r.postjobfree.com - 336-***-****

To obtain a administrative support or customer service position where my skills and expertise can be utilized. Willing to relocate: Anywhere

Authorized to work in the US for any employer

WORK EXPERIENCE

Patient Billing Specialist

LabCorp - McLeansville, NC - March 2017 to Present Collect Payments for Medical Bills

Receptionist

Department of Social Services - Burlington, NC - September 2014 to January 2015 Responsibilities

Scanned/Attached Food Stamp and Medicaid Applications. Assisted Client with questions while filling out applications. Delivered mail to several Departments. Claims Approver

Affinity Health Plans - Bronx, NY - December 2013 to February 2014 Responsibilities

Contributed to daily production standards and output as set forth by the Claims Manager In conjunction with the Supervisor ensures goals are communicated and met by staff Reviewed daily operational reports for the purpose of prioritizing and distributing unprocessed work to staff on a first in first out basis or other established priorities. Completed projects assigned by the management within the specified time frames.

Claims Processor

LogistiCare - Long Island City, NY - January 2013 to November 2013 Responsibilities

Communicated in writing clearly and concisely and using the spoken word; Took care of members’ needs while following company procedures; Corrected, verified and processed invoice forms in accurate and timely manner; Identified and resolved problems with billing invoice forms; Worked closely with Fraud and Abuse Department; Booked on-demand discharges; Reassigned last-minute trip reservations Member Services Representative

GEORGIA MEDICAID - Augusta, GA - May 2012 to September 2012 Received calls - up to 75 daily - from Medicaid members and answered questions about their health plan benefits; Trained on managed care organizations and what benefits health plans covered; Used multiple specialized computer software systems to conduct research, submit requests and place orders Provider Service Representative

BLUE CROSS BLUE SHEILD - Columbia, SC - March 2012 to May 2012 Provide customer service to providers (doctors) about member health plan benefits; Use computer software system to correct discrepancies wit billing and medical coding; Handle local and national accounts for various insurance policies.

Certified Nurse Assistant

ENTERPRISE HEALTH/REHABILITATION - Enterprise, AL - March 2008 to January 2009 Assisted residents with daily living rituals; Checked Vital Signs; Reported resident's activities on computer. Sales Associate/Acting Team Lead

Home Décor Department - North Charleston, SC - August 2007 to October 2007 Promoted from sales associate to team lead within first month of employment; Responsible for upkeep of Home Décor Department; Created "side cap/end cap" displays; Organized and zoned merchandise to be stocked by colleagues; Assisted customers by answering questions, locating merchandise, and completing purchases Customer Service Representative

VERIZON WIRELESS - North Charleston, SC - January 2006 to January 2007 Assisted customer with billing inquires; Educated customers on products and services; Provided technical assistance to customers with equipment issues; Opened new accounts for customers and terminated accounts when needed

Customer Service Representative

THE REPUBLICAN NEWSPAPER - Springfield, MA - August 2004 to September 2005 Opened new accounts for newspaper subscribers; Typed account information obtained from customer into computer; Answered customer's questions, investigated, and corrected errors. Researcher Level 1

FIRST AMERICAN REAL ESTATES SOLUTIONS - Chapin, SC - February 2003 to May 2004 Supervised team of two filing specialists in order to complete daily assignments; Filed correspondence, cards, invoices, receipts, and other records; Created reports of filing fee schedules and requirements for real estate documents; Recruited abstractors nationwide in order to retrieve real estate documents Front End Cashier

WALMART - Columbia, SC - 2002 to 2002

2002

* Operated cash register and reconciled at end of day; Assisted customer with purchases and packing items; maintain high standard of cleanliness and organization EDUCATION

Bachelors of Business Administration in Accounting and Information Systems University of Massachusetts - Amherst, MA

2001

SKILLS

Microsoft Word and Office, Typing 45wpm

CERTIFICATIONS/LICENSES

Certified Nursing Assistant (CNA)

March 2008 to February 2009

ADDITIONAL INFORMATION

• Extensive Customer Service experience including - Call Centers, Retail Stores and Business Offices

• Experience with: Customer Order Fulfillment, Technical/User Support, Complaint Handling, Reports & Documentation, Call Center Operations, Up-Selling/Sales Support, Troubleshooting/ Problem Solving

• Recent Customer Service Awards include - Very Satisfied CSAT 2012, Perfect Attendance 2012

• MS Office "power-user" with additional proficiencies in assorted databases.

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