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Customer Service Representative

Oxon Hill, Maryland, United States
January 31, 2018

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Angelica M Hall

Temple Hills, MD ***** - 443-***-****

Efficient and productive in executing daily tasks. Team player. Minimum supervision. Adaptable to changes, willingness to learn new procedures and to accept new policies. Most importantly keeping positive.

Customer Service Representative

INOVA HEALTH - Falls Church, VA - June 2010 to September 2016

● A/R follow up, review EOB's, verify insurance coverage (BCBS - Aetna - UHC - VA MA), contact carriers for resolution on claims, submit claims to appropriate departments for needed corrections, re-submit corrected claims for payment

● Process incoming calls based on patients/insurance carriers inquiries

● Verify coverage

● Review accounts according to nature of call

● Forward accounts to appropriate departments i.e. coding - cash posting

● Contact provider's office if dispute pertain to office visit, discuss account with physician or office manager

● Send accounts to Cash Posting department to process payment or issue refund either to patient or insurance carrier

● Submit Claims to insurance carriers for payment

● Update patient demographics

● Document account

● Research payments

● Assist in setting payment plans

● Conference calls

● Provide interpreter service

● Assist in training new employees


GOOD SAMARITAN HOSPITAL - EMERGENCY - Baltimore, MD - September 2000 to June 2010

● Gather patient demographic for patients to be seen in the emergency room

● Verify coverage

● Collect ER copay

● Process charges for billing

● Assist in training new employees

● Attend meetings

Referral Coordinator

JOHNS HOPKINS - SPECIALITY CLINICS - Baltimore, MD - September 1995 to September 2000

● Submit request to insurance carriers for authorization

● Contact carriers if problem arise in obtaining authorization

● Verify coverage

● Discuss process with physician assistant if no authorization is obtained

● Assist patients obtaining referrals for future visits

● Maintained patients records for one year


Medical Terminology (10+ years), Customer Service (10+ years), Receptionist (10+ years), Administrative

Assistant (10+ years)

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