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Customer Service Medical

Mechanicsburg, Pennsylvania, United States
November 27, 2017

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Kim Donohoe


OBJECTIVE: To obtain a position where my experience, accomplishments, and skills will be utilized effectively and allow me the opportunity for growth.

EDUCATION: Harrisburg Area Community College

Associates Degree, Business Administration, December 1996


February 2016-present NATIONWIDE INSURANCE, Harrisburg, PA

Medical Claims Specialist

Duties include all aspects of claims processing, such as contacting policy holders, attorneys, and medical providers, obtaining statements, paying medical bills, correspondence with various entities. Required to perform timely follow ups, bill pay, and handling of Medicare liens. I consistently score perfect 10s on customer service surveys.

July 2012-October 2015 SURGICAL CARE AFFILIATES, Camp Hill, PA

Surgery Scheduler

Duties included scheduling, canceling and arranging surgeries, communications with surgeon offices, insurance verification, patient charts, filing, various medical office work.

Sept 2004-May 2012 DELTA DENTAL, Mechanicsburg, PA

Customer Service Representative

Duties included taking incoming calls from subscribers, providers, and general public, researching claims, taking payments, doing enrollments, member correspondence, general customer service. Successfully completed Delta’s dental class June 2005.

Administrative Assistant

Duties included claims processing, claims research, manual processing including fees, interest accrual, and supplemental payments, correspondence, check returns, claim rebuilds, premium holds, claim correction, member notification. Also responsible for overseeing Delta’s vision claims, which included keying, coding, processing, research, correspondence, claims history and documentation. In addition, I processed all the Delta staff vision claims.

Oct 1999-December 2007 HOLY SPIRIT HOSPITAL, Camp Hill, PA

ER Unit Secretary

Duties included patient registration, assembling, editing, and filing charts, entering charges, collecting payments, ordering labs and radiology, patient correspondence, faxing medical records to other facilities, running the front desk.

Medical Records Clerk

Duties included assembling, prepping, and scanning of ER charts. Successfully completed medical terminology course January 2005.

ADDITIONAL QUALIFICATIONS: Fundamental knowledge of accounting, basic computer skills, strong mathematical skills, very organized, detail oriented, fast learner.

Experience in a fast paced environment, knowledge and use of medical terminology.

Extensive customer service background.

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