Customer Service Medical

Jo Marie Dowell

414-***-**** ************@*****.***

Objective:

Seeking a position that will benefit from my Customer Service experience, positive interaction skills where my 15years of experience can improve the customer satisfaction.

Skills and Competencies:

A clear and confident telephone manner

Ability to communicate effectively with a wide range of customers

Extensive knowledge of Microsoft Office and Excel

Experience working in a busy, inbound call center environment

Related Experience:

Claims Processor 01/2016 to 08/2016

Infosys BPO Milwaukee Milwaukee, WI

Processed health-based related data in systems, while maintaining production and quality standards

Manually entered text or numerical data into databases, spreadsheets or word processing programs

Responsible for accurate and timely claims processing

Strong analytical and organization skills

Knowledgeable of system environment, integration and system connectivity

Certified Nursing Assistant 11/2012 to 08/2013

Windsor Cottage Texarkana, AR

Insure all activities of daily living were completed and resident’s needs met

Feed, bathe and dress residents

Take residents vital signs

Serve meals, make beds and keep rooms clean

Set up medical equipment, answer calls for help and observe patient’s condition and behavior

Medical Claims Processor 11/1990 to 02/1993

Aetna Insurance Company Milwaukee, WI

Entered electronic claims into the claims system and determined right payment

Processed medical claims for provision of deductibles, co-pays, co-insurance maximums and provider settlements.

Processed Medicaid, Medicare, Dental and Major Medical claims

Exercised excellent judgement, interpreted medical claims data and contracts

Followed adjudicated policies and procedures to make sure proper payment of claims

Able daily to meet and exceed quota

Customer Service Representative 02/1977 to 07/1985

Blue Cross and Blue Shield of Wisconsin Milwaukee, WI

Answered inbound customer service calls regarding rejection and payment of claims

Exceeded team in number of calls taken daily with accuracy

Addressed customer service inquiries in a timely and accurate fashion

Built customer loyalty by placing follow-up calls to customers who

Wide experience in data entry of medical claims and documented information

Volunteer Experience:

International Deliverance COGIC/Ebenezer Church Outreach /American Heart Association

Milwaukee WI 2014/ Present

Performed roles as a community health worker educating individuals about heart disease and diabetes

Passed out pamphlets and took surveys for American Heart Association during health fair

Meet people in their community to help prevent future medical issues

Education

Certified Nursing Assistant Texarkana Nursing Academy Texarkana, AR 2012

Community Health Worker Healthcare Training Institute Milwaukee, WI 2014

Registered Nursing Program 2014-Present MATC Milwaukee, WI

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