Customer Service Representative
Resume:
Fran Weaver Poellnitz
*******************@*****.***
OBJECTIVE: A challenging position that utilizes my education and training, with the opportunity for professional growth based on performance.
HIGHLIGHTS OF QUALIFICATIONS
Medicare, Medi-Cal, Tricare, BCBS, and Workers Compensation Guidelines.
Medical Manager
Managed Care Guidelines including: HMO, PPO, IPA and POS plans.
ICD-9, CPT, HCPCS Coding skills and accurate CMS 1500 completion.
Medical Terminology, Anatomy & Physiology and medical related acronyms.
Medical Front Office Administration, Collection Techniques and Authorizations.
HIPAA Compliant
Eob Review
EMPLOYMENT HISTORY
Sutherland Global (USAA)
Las Vegas, NV
03/2017-
Member Service Representative- Auto Insurance
● Issue, Update, provide detailed information on auto policies.
● Update member demographic information
● Take payments, make payment arrangements, provide detailed billing information Telus International (Google)
Las Vegas, NV
Technical Support Representative
01/2016-03/2017
● Provide user friendly assistance to customers having technical problems with various electronic devices.
● Provide assistance with email retrieval, password reset, creating Gmail
● Billing inquiries, issued refunds, Credit
● Provided detailed information for all Google products Molina Healthcare
Long Beach, CA.
Enrollment Representative
05/2016- 09/2016
● Review EOB’s for correct reimbursement
● Scan and copy confidential documents
● Verify insurance coverage
● Update insurance and patient information in computer
● Research and identify correct insurance billing information Randstad Staffing (UPS)
Las Vegas, NV
Customer Contact Representative
11/2015- 01/2015
● Provide package updates
● Update customers demographics
● Process payments
● Follow up calls, emails
Customer Contact Channels (Humana)
Las Vegas, NV
Customer Service Representative
08/2014- 01/2015
● Verified Insurance
● Processed prior authorizations
● Processed payments
● Updated members demographic information
● Provided insured detail health plan information (copay, deductible, provider info) prescription coverage
Telus International (Netflix)
Las Vegas, NV
Customer Service Representative
05/2013-05/2014
● Take up to 80 + calls daily
● Provide technical support to existing customers
● Resolve billing issues
● Assist with cancellations and new accounts
● Process Payments
Zappos
Las Vegas, NV
Customer Loyalty Representative
11/2012-01/2013
● Responsible for handling incoming calls 60+
processing orders, refunds, exchanges
● Process Credit Card payments
● Responsible for resolving billing issues
University Of Antelope Valley- Student
Lancaster, Ca.
05/2010- 1/2011
Medical Billing and Coding Certificate
Metro Transportation Authority
Transit Bus Operator
Los Angeles, CA
08/2014-03/2009
● Operated transit bus lines
● Memorize all routes, transfer points and fare structures
● Adhere to safety rules, regulation of policies and procedures American Airlines
Long Beach, CA
Customer Service Agent
06/2003-08/2004
● Process passenger tickets
● Check baggage
● Prepare sales reports for distribution
● Provide inquiry assistance for departing and arriving flights
● Collect payments for purchase of tickets
Kaiser Permanente
Los Angeles, Ca.
Medical Receptionist
11/2001- 12/2002
● Check patients in and out of outpatient clinics
● Collect co-pays
● Schedule appointments
● Carg, Opas systems
● Balance and Deposit Daily
Sierra Medical Group
Lancaster, Ca.
Medical Records Clerk /PBX Operator Relief
6/2000- 9/2001
● Create, retrieve, Maintain Medical Records
● File Numerical and Alphabetical
● Transit records per request
EDUCATION
2011 Medical Billing
University of Antelope Valley Lancaster, CA
2010 BLS American Heart Association Lancaster, CA
● EXTERNSHIP
09/2011- 12/2011
Dr.Kain Kumar Lancaster, CA
Perform front office duties-answer telephones, schedule and confirm appointments, create, pull and file patient charts, collect copays, Xerox and fax patient information, patient registration into Medisoft. Entered payments, claims adjustments, insurance verification, explained EOB and performed related duties as assigned situation dictated.
REFERENCES AVAILABLE UPON REQUEST
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