CARMEN FOWLER
**** ********* **., **** ***, Las Vegas, Nevada, 89145
702-***-**** Cell
*************@*****.***
OBJECTIVE
To obtain a part time data entry position that will challenge my knowledge and skills, which will increase my opportunity for personal and professional growth.
PROFESSIONAL EXPERIENCE
UNITEDHEALTH GROUP
CLAIMS REPRESENTATIVE I JUNE 2016-Present
Completion of 17 claims per hour with 98% quality accuracy
Maintain 98% quality monetary accuracy of claims
Review, research, analyze and process complex healthcare claims by navigating multiple computer systems and platforms and accurately capturing the data/information for processing
Ensure that the proper benefits are applied to each claim by using the appropriate tools, processes and procedures
Complete data entry for all daily documentation and communicate the status of claims adhering to reporting requirements
Ability to learn and leverage new systems and training resources to help apply claims processes/procedures appropriately
UNITEDHEALTH GROUP
DATA ENTRY/CLAIMS CLERK November 2014-Present
12,000 keystrokes per hour, 70 wpm typing. Maintained 98-100% accuracy.
Conduct original data entry and re-data entry of claims. Provide general data entry support by reviewing claims
Receives source documents from (database)
Transcribes selected data into a computer and scans source documents in accordance with specific program instructions
Compares transcribed data, as displayed on a visual screen, from claims document and corrects any errors or rejection of claim
Ability to work independently
MAXIM HEALTHCARE
DATA ENTRY – UNITED HEALTHCARE October 2014-Present
Performed Billing Representative functions for Key Accounts and Group Services
Added new enrollments to individual polices during open enrollment
Utilized the Facets system for processing & building parameters for Renewal applications
Utilized Formworks and Macess for data entry
Assisting in distribution of daily mail
All other duties as assigned
SOUTHEASTERN FREIGHT LINES, LAS VEGAS, NEVADA
DATA ENTRY February 2014-07/10/14
14,000 KSPH Data entry for shipping orders
Processed 300 quality bills nightly
92% accuracy
PRIORITY STAFFING, LAS VEGAS, NEVADA
DATA ENTRY-INT EXPRESS January 2014-03/10/14
Answered phone calls and processed customer shipping orders
Used spreadsheets, Microsoft Outlook and Biz Desk system
Acted as dispatch for freight truck drivers
Arranged and booked airline flights
Entered incoming checks into accounting system
All other duties as assigned
CORNERSTONE STAFFING
Customer Service-Data Exchange May 2013-October 2013
Processed 100-200 inbound/outbound calls for utility/energy enrollment
Obtained all pertinent, confidential customer information from sales agent
Customer callback for verification of all pertinent, confidential customer information
Data entry of all information into multiple utility data bases
100% daily call quota accomplished
WAYNE CENTER, DETROIT, MICHIGAN
Unit Secretary-Mental Health October 2000 - March 2012
Assisted Director of Programs with problem solving and customer based issues
70 wpm typing
Extensive knowledge of Microsoft Word, Excel and office machines and mail room
Compose, type, and distribute meeting notes, routine correspondence, and reports for mental health agency
Conduct searches to find needed information, using such sources as the Internet.
Establish work procedures or schedules and keep track of the daily work of clerical staff.
Transcribed dictation by machine.
Provide training and orientation to new staff.
Set up and maintain paper and electronic filing systems for records, correspondence, and other material, maintenance and mailings of guardianship papers for clients and court
Extensive knowledge of medical and clinical terminology
Receptionist- multi-line switchboard
Customer service and problem solving skills
Exceptional multi-tasking, detail oriented and prioritizing skills
30 years of exceptional computer and office skills.
PROFESSIONAL SKILLS
• Excellent verbal, written communication and customer service skills
• Professional, respectful and personable
• Dependable, organized and detail oriented
• Work well as a team member and independently
• Great time management and multi-tasking skills
EDUCATION
UNIVERSITY OF PHEONIX – LAS VEGAS, NEVADA
Currently attending – Coursework towards BA Business Administration, Graduation Date June, 2017
WAYNE COUNTY COMMUNITY COLLEGE –DETROIT, MICHIGAN
Coursework towards Accounting, September 1975
CASS TECHNICAL HIGH SCHOOL – DETROIT, MICHIGAN
Completed coursework towards Business/Secretarial Diploma
REFERENCES
Available upon request