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Customer Service Insurance

Location:
Posted:
June 22, 2017

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Resume:

Nicole Mize ac0yg7@r.postjobfree.com

Professional Profile

Detail-oriented professional with strong communication skills and the ability to learn concepts quickly. Advanced knowledge of current ICD-10, CPT, and HCPCS codes, medical terminology, and the medical billing process. Proficient with Microsoft systems such as Word, Excel, and Outlook as well as experience with EOBs, RAs, and CMS-1500 forms. A self-starter and team player who thrives in a high stress, fast paced environment.

Education & Credentials

Louisiana State University, Biological Sciences 2004 to 2008

University of Memphis, Biology

Herzing University, A.S./ Insurance Billing and Coding Specialist 2016

American Health Information Management Association (AHIMA), Member Since 2016

Certified Coding Associate (CCA), Certification 2017

Professional Experience

Doctors’ Anatomic Pathology Services, P.A. 2016 to 2017 Insurance Follow Up Specialist Jonesboro, AR

Successfully minimized number of outstanding accounts from aging report through in-depth claim status follow up both online and by communicating with insurance representatives by phone and fax.

Employed critical thinking and analytic reasoning abilities to thoroughly investigate denied claims; submitted corrected claims, appeal letters, and requests for reconsideration as needed to ensure prompt and accurate reimbursement in accordance with payor’s guidelines.

Performed various Accounts Receivable functions, including posting and batching payments for all private pay accounts, preparing bank statements for daily deposits, and assisting in reconciling monthly balance sheet using Excel spreadsheets.

Atlantic Trucking Co, Inc. 2012 to 2015

Customer Service Representative Memphis, TN

Utilized problem-solving, time management, and organizational tools such as Excel and Google Calendar.

Succeeded in fast and accurate data entry using Logimax operating system while sustaining consistent communication with customers for timely resolutions.

Assisted terminal manager in maintaining customer records, driver scheduling, and payroll; emailed customers with driver eta’s and answered any related questions regarding their freight needs.

Sam’s Club 2009 to 2011

Pharmacy Technician Bartlett, TN

Processed all prescription orders using Connexus operating system; performed insurance verification, payment transactions, and monthly inventory counts while providing excellent customer service.

Executed all job duties in compliance with HIPAA regulations for patient privacy and confidentiality.

Organized and oversaw all aspects of company’s community outreach project on weekends.



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