Insurance Customer Service
Resume:
Ginese Riggs-Arnold
P.O. Box ****
Eastpointe, MI 48021
********@*****.***
OBJECTIVE
To obtain a position which allows me to utilize my skills, knowledge and abilities? A hardworking team player who will benefit my employer and be of service to patients, customers, and staff. I have excellent oral and written communication skills. Is able to mufti-task. Schedule diagnostic surgeries and out-patient procedures. Interview patients or families in order to complete documents and forms for intake and insurance information.
SUMMARY OF QUALIFICATIONS
I am responsible for the timely verification of medical insurance benefits. Calling private insurance companies
EXPERIENCE
Customer Service Rep.
Automated Benefits Services, Sterling Heights
12/2016 to Present
Analyzed, and resolve customer/provider inquiries received via telephone, correspondence or in person involving a variety of claim/benefit issues. Conducts internal and external research to determine and request the data needed to handle customers. Provides servicing responses by telephone, handwritten self-composed letter.
Rep-Scheduling ll
St. John Oakland Hospital, Madison Hghts., MI
07/2011 to 12/12/2016
Communicates with patients and staff to accurately schedule patients for prescribed procedures. Gathers necessary demographic and clinical information from patient and enters into appropriate database. Seeks appropriate resources to resolve issues about the type, date or location of prescribed procedures. • Schedules patient procedures in a manner that most efficiently utilizes the patient's time.
Customer Service Rep.ll (Temp)
Blue Cross Blue Shield/BCN /Commons, Southfield, MI
11/2015 to 03/2016
Assisting members with PCP changes in documenting in Macess. Answering phones when members call. Verifying member's information. Trained on telephone work-management per Ref-Cust. Trained on Macess and Facets .
Clerical Administration Support staff
Grace Boggs Inc., Detroit, MI
12/2014 to 10/2015
Assists executive assistants and secretaries by sorting mail, filing, answering phones, greeting clients, scheduling meetings, and restocking supplies. Answer phones and greet clients warmly. Assist in filing duties.
Insurance Verification
Comprehensive Urology, Royal Oak, MI
11/2013 to 03/2014
Verified and documented patient’s coverage and non-coverage. Verification of patient insurance coverage to include eligibility and benefits. Documentation of benefit verification in patients electronic file Confirmation Maintenance of pre-cert Tasks to ensure insurance authorizations are secured and reimbursements maximized prior to scheduled procedures being performed Confirmation of patient’s eligibility and benefits and notification to patient of any applicable co-insurance and/or co-payments with relation to scheduled procedures. Enter patient demographics and insurance information.
Insurance Verification
Henry Ford Health System, Grosse Pt. Farms, Detroit. Clinton TWP., MI
02/1998 to 06/2011
Verified all medical insurance coverage, worker’s compensation insurance, accident insurance and state programs and determined patient’s responsibility. Communicated effectively and professionally with patients, visitors, physicians and co-workers. Verification of patient insurance coverage to include eligibility and benefits Documentation of benefit verification in patients electronic file Determined patient’s qualifications for coverage if a third-party payer Documented pre-qualification before date of scheduled admission Obtained pre-certification for physician office if applicable. Enter daily charges. Post Daily Receipts (insurance and payments). Counsel patients on financial responsibility
EDUCATION & TRAINING
Certificate, Medical Insurance Billing, Ross Business Institute, MI, 1991 year(s)
General Business, Business, Northern Senior High school, MI, 1976 year(s)
non- degree, Liberal arts, Wayne State university, MI, 1977 year(s)
AAS-Medical Coding and Billing, Degree Plan: AAS Medical Coding & Billing, Grantham University, Kansas City, MO,, 2014-2016
HONORS, AWARDS, PROFESSIONAL ORGANIZATIONS
Linked in
Grantham Alumni
Ashford University
Contact this candidate