Customer Service Data Entry
Resume:
MELISSA L. MILLER
Lindenhurst, Illinois 60046
WORK EXPERIENCE
*/** – 10/00
Caremark Northbrook, Illinois
Account Manager
Responsible for managing client accounts for a specific region, focusing on client relationships, customer retention, profit maximization and daily management activities through extensive client contact.
Enhance client relationships by solving problems, resolving administrative issues and advising client contacts on a daily basis.
Maintain Caremark partnerships by retaining assigned book of business.
Act as liaison for clients to all other Caremark functions (including Benefits Administration, Eligibility, Provider Relations, Finance, Patient Services and all Mail Service Pharmacies).
Recommend and implement plan design changes.
Analyze client needs and offer appropriate programs and services to maximize profitability.
Communicate account information internally and externally in both verbal and written form.
Support field sales force with ongoing client needs.
eBusiness Leader which included being part of group that was put together to work with the IT team to enhance Caremark’s website.
Strong use of Microsoft Office and Excel
American Imaging Management Northbrook, Illinois
Account Representative
Serve as primary contact to provider community regarding program design, precertification, billing protocols, payment methodologies, assessment, and privileging.
Instrumental in re-implementation of new payment methodology for orthopedists including site visits to provide in-person presentation.
Assist in negotiation, implementation, and renewal of provider contracts between providers and American Imaging Management, Inc..
Facilitate in expansion or downsizing of network including revising providers’ directories and administrative guidelines for assigned health plans.
Work closely with internal departments, including Finance, Claims, Clinical Coding, Assessment, and Customer Service both as a resource and to resolve provider issues.
Act as a primary contact for Information Systems and Technology department in designing and testing web page for provider use.
Senior Customer Service Representative
Provide claim status and assistance in resolution of claims identified as processed incorrectly.
Assist providers with basic questions regarding program design, precertification, and assessment status based on comprehensive knowledge of all clients.
Act as a liaison between providers and internal departments.
Assist with computer and phone training of new representatives.
Support department by retrieving microfilm, processing clean claims, and reprocessing of incorrect claims. In this position I was noted for quick entry of claims into AIM’s claim system indicating excellent Data Entry skills.
10/91 – 11/97
Abbott Laboratories Abbott Park, Illinois
Consumer Advocate
Receive and track incoming telephone and written reports of adverse events from consumers regarding pharmaceutical products.
Process reports within the standard operating FDA reporting requirements and departmental standard operating procedures.
Present reports at weekly safety meetings.
Prepare cases for closure and quarterly and annual periodic submission to the FDA.
Coordinate refunds.
Data Entry Technician
Enter post-marketing and investigational drug safety reports.
Proficient and quick at entering reports into Abbott’s system which allowed me to meet deadlines for having the reports completed according to the FDA’s time requirements.
Took minutes at weekly safety meetings attended by medical staff.
Train new data entry technicians.
Archive post-marketing cases.
Clerical Support
Create and fulfill letters to be sent to consumers and health professionals.
Order departmental supplies.
Back-up for phone desk including taking and triaging incoming calls and routing mail.
EDUCATION
American Healthcare Documentation Professionals Group
May 2013 through March 2017
Studied Medical Transcription
Northern Illinois University
December 1990 De Kalb, Illinoi
Bachelors of Arts
Major: English.
College of Lake County
December 2012 Grayslake, Illinois
Associates in Arts
Contact this candidate