Donna McCraney

Customer Service Advocate - UnitedHealth Care

High Point, NC 27262

ac657k@r.postjobfree.com

336-***-****

Authorized to work in the US for any employer

Work Experience

Customer Service Advocate

UnitedHealth Care - Greensboro, NC

2017 to Present

answer external calls for members regarding healthcare coverage, benefits, eligibility, and claims using online resources. Offering programs to members through Optum who may benefit from enrolling in programs to improve and educate them with overall health issues.

Office Manager at Rolfing

Rolfing Associates - Greensboro, NC

2014 to 2017

Associates of the Triad practice Part-time. My duties include opening the office daily, checking voice mails and emails. Preparing the Rolfing room for clients. Maintain appointment calendar. Schedule and cancel daily appointments in Acuity software. Send appointment confirmations. Customer service skills a plus. Greet clients. Maintain data bases in Excel, Quickbooks, and MS Word. Create and email customer receipts and invoices. Keep client contact information current, pull client cards for daily appointments, clean the office, wash and dry sheets daily for treatment room. Make weekly deposits at the bank, check deposit reconciliations.

Claims Adjuster

GABS - High Point, NC

2013 to 2014

27265

My duties included processing claims with insurance companies (paper and electronic) according to dates of service, investigated denials and reprocessed claims, payment processing with automated filing of secondary claims, tracked unresolved claims, produced corrected claims, and input patient demographics. Produced aging status reports, working knowledge of HIPPA compliance standards, and ICD-9 and ICD-10 coding. Contacted patients and assisted with explanation of benefits and payment plans, and input. Utilized EZ Claims software to track claims, patients, statements, billing, and reports. Medical terminology background. Transferred employment from Pinnacle to GABS Billing Company. Working knowledge of different types of insurance plans HMOs, PPOs, and commercial. Pinnacle Anesthesia Billing 2013-2014

Same job description as above (company acquired by GABS).

Receptionist

NCBA - High Point, NC

2013 to 2013

Answer and routed calls to Employment Specialists to assist people with unemployment claims. Performed administrative tasks: data input, creating labels for mailings, copy, and faxed, customer service interaction assisted people with filing unemployment claims.

Front Desk Clerk

JH Adams Inn - High Point, NC

2012 to 2013

My duties included greeting hotel guest and checked in arrivals as well as processed departure paperwork into the hotel reservation system using Room master software. Used credit card machine to collect payment for reservations. Made online and phone reservations, and room keys. Sent confirmations and cancellations for reservations. Reviewed policies and amenity policies regularly, setup wake up calls, assisted wherever needed.

Education

Associate Arts in Business

Canada College - Redwood City, CA

certificate in Medical Terminology

Canada College - Redwood City, CA

Bachelors of Science in Human Services Management

University of Phoenix online

Skills

Excel, Outlook, Powerpoint, Internet Research