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Customer Service Care

Location:
Euless, Texas, United States
Posted:
March 08, 2018

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Resume:

To whom this may concern. I am in search of stability within a Customer Service area. Most of my work history will include that of Customer Service with highlights which are of excellent communication status. I have keen display of attention to detail as well as active listening skills which provides my professional Customer Care motivation. I have chosen the precise area of Customer Service that highlights my direct attraction for a people skill specialist. I am currently working within a call center that does include the Customer Care prolog for Workers Compensation and or Insurance Verification, of which allows my time management skills. Currently I am in search of a career opportunity and do have great work ethics. Thank you sincerely.

Lorretta A. Ellis

Customer Service Specialist

469-***-****

ac4qt4@r.postjobfree.com

LORRETTA ELLIS

517 Aransas Dr.

Euless Texas 76039

469-***-****

ac4qt4@r.postjobfree.com

R E S U M E

Current: Southwestern Christian University

Major: Psychology

Goal: obtaining my BA and pursuing other levels including a developed business for substance abuse.

October 2013- Completed

HCA/NATIONAL PATIENT ACCOUNT SERVICES/PARRALLON

Insurance Verifications/ Workers Compensation

March 2016- Current

In performance of my daily work load the assurance of attention to detail and time management with the ability to make quick decisions, threw payment status updates and highlights in collections, as well as billing inquiries, were all essential and demanding. I applied payment plans and also processed full pay transactions and referenced follow up status that was Regulated under FTCPA guidelines in adherence to HIPPA. Within my ability I did acquire needed medical records and generated place of employment contact status. Notations of all call logs and financial responsibility status quotes in detail. Knowledge of all additional accounts that were referenced as total amount due to patient, and or facility. I did log all third party tracking and allowance by state guidelines as well as usage for timely filing deadlines. As portion of workload I gathered all claim numbers, policy numbers, group number and facility address updates. Applied direct attention to detail of all current status of coding dispute and or request from business office for applied reconsideration /appeal claims. I was in direct view of all third party contact and the ability to message coders and billers as well as applied rebill statement, and submit new billing information to facilities in question upon request. Performed tracking of attorney contacts as well as emergency visit, in view of all labs processed and or body part injury in the main frame, which was an addition from facility for reference and verification purpose. As team effort always applied date of injury (DOI) as well as date of service (DOS) as well as social security number inquiries for updates. I maintained all guarantor / patient claim information as well as determined claim and case numbers. In sight of open and closed account information and listed facility/hospital name and address and obtained g w-9 requests, phone verification the group identification and tax id numbers, as well as Medicaid/Medicare provider id numbers. Per quality adherence 95% and above was attained monthly as well as account handling and talk time adherence for quality guidelines as average and acceptable work ethics.

Huma Faith Foundation

House Management

October 2015 – March 2016 (Internship)

I Interact direct with the public as maneuver to communicate effectively for based variety of patrons which are transitioned from rehabilitation or incarceration status within the past 90 day period. Applied duties of screening all applications for generation of guidelines set within organization structure. A daily workload of complete inventory to space available while multi- task abilities highlighted within facility and align necessary reports for all maintenance to property. In compliance to set guidelines I outline varied rule for set regulation as well as assuring any and all patrons are addressed accordingly as well as assign shift priority for structured housing atmosphere allowing adequate listening skills for other ideas and or areas for update or change as daily challenge. Display and announce all house meetings with direct attention to detail as guideline. This position also allows problem solving abilities as scheduling to events are a definite priority. TABC certification allows cash handling as face to face contact is a definite portion and task.

Best Shepherd Home Health-Dallas Tx

Client Care Attendant

August 2013 – September 2015

Daily routine in assistance to patient/client in completion of variety within workload to include preparation of meals, assistance with baths. Home cleaning as well as administering of prescribed medications as directed. Transportation to and from doctor and or grocery. Report any changes to primary doctor as update in case load, reflect orders from primary physician as regulated from State of Texas. In house watch-care per 24 hour schedule within department of Aging and Disability. Supervisory duties to include leadership and direction given per guidelines regulated by the State of Texas.

Federal Reserve Bank-Dallas, Tx/ Kelly Services

Call Center Agent

June 2012-June 2013

Within call center setting I interacted direct phone contact with patrons, concerning any and all benefit payment types processed within the Federal Government

Interacted with banks for the said account holder, retrieving customer information for enrollment process

Processed direct notification for acknowledgement to all parties involved as mail distribution

Confirmed and compiled data as updated and processed order information within database. Phone contact for patrons to all banks for verification on checking and or savings to involve transfer of available funds allowed as well as notifications given for nature of change.

WellPoint Next-Rx-Plano, Tx/ Kelly Services

Patient Client Advocate

December 2009-September 2010

Within call center setting I processed all related duties to reference the assistance of prescription refills and or Rx’s submitted by medical doctors and or network providers within mail order pharmacy.

Displayed co-pay amounts and disputes concerning adverse shipments threw USPS and ups tracking numbers provided. Processed payments and allowed refunds where permitted.

Interacted with pharmacy per drug strength and dispense amount provided for the member and or approval from doctor’s written consent. Phone usage for contacting pharmacies and doctor offices as well as insurance verifications were daily activity within work performance.

C and B Medical Billing Services- Garland Tx

Verifier

May 2008 – July 2010

Within call center setting, I displayed phone usage to insurance carriers for the majority of workload, processed file updates and interacted using professionalism as a highlight to communicate effectively with varied insured plans as well as caution in the capture of HIPPA and FTCPA as guideline for information attained for records submitted. Also mandated updates for any and all payments status that was attainable threw verification. Outbound calling technique with effects of dialer approach were permitted within workload. Goals set by departments were attainable as well as time management. Displayed leadership ability as applied for area with excellent communication skills performed.



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