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Customer Service Data Entry

Location:
Lufkin, Texas, 75904, United States
Posted:
April 26, 2019

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Resume:

Casandra Haynes Mensah

Email address: ac87xb@r.postjobfree.com

Cellular# 727-***-****

Outstanding oral and written communication skills, extensive knowledge of Data entry 8000-9000 KS, proficient in IDX and navigation, familiar with AS400, Oracle, Cerner, Emdeon, Availity, Zirmed system and, proficient in claims processing and work queues. ICPT-4 coding, ICD-9 coding, CM1500 forms. Very good knowledge of customer service skills, medical terminology with the knowledge of the computer skills like: MS Excel, MS word and MS outlook. In depth knowledge of preparing appropriate claims and documents. Type 50 wpm; work with electronic claim processing and UB-92 forms. Recognized for a proven ability to efficiently process medical claims for major and private insurance carriers including Medicare/Medicaid.

•Microsoft Office proficiency

•Meticulous attention

to detail

•Results-oriented

•Time management

•AR/AP

•Medical terminology

•Billing and coding

•Strong problem solver

•Resourceful

•Dedicated team player

•Strong interpersonal

skills

•Auditing

•Proofreading

•Self-starter

•Insurance eligibility verifications

Pinnacle DME Inc. July 2018 to November 2018

Customer Service

Customer call on return labels on braces, sent out return forms for customer to fill out and return to office. Then I email the appropriate people to send a return label.

Regency Inc February 2018 to July 2018

Insurance Verification

•Calling insurance companies verify whether or not customer is qualified for durable medical equipment which is braces.

Crosslet Insurance Services April 2017 to July 2017

Insurance processor

•Answering calls for insurance agents and transferring call to the appropriate insurance agent., updating information in new system which is QQ Catalyst from the old system. Reviewing insurance applications to ensure that all questions have been answered, compiling data on insurance policy changes, compiling data on lapsed insurance policies to determine automatic reinstatement according to company policies.

Macy’s October 2015 to December 2015

Seasonal Employment Specialist Clearwater, FL

•Conducts interviews for designated areas, makes hiring decisions, dispositions candidates post interview and marks as hired once on-boarded

Coventry Healthcare October 2010 to April 2014

Claims Associate

Tampa, FL

•Evaluate and build provider demographic, contracts and/or client provider network information into a transactional system.

•Support accurate claims auto-adjudication and accurate claims payment. Interface with information administrators regarding transactional systems and customer service operations processes.

•Assess, investigates and resolve outstanding issues to achieve customer satisfaction.

•Process basic hospital contracts in accordance with the company policies and procedures.

•Maintain and update established database processes used for tracking and reporting cycle implementation.

•Data entry of new referral patient demographics and updating data of existing patients. Daily processing and mailing of HCFA's posted on computer System.

Central Billing Office for BayCare March 1989 to May 1997

Patient Financial Representative

Oldsmar, FL

Audit patient balances for accuracy.

Follow up with patients on all pre-collection/delinquent accounts to prevent account moving towards collections.

Responsible for preparing accounts to send to collection agency.

Respond to all incoming calls from patients and staff members regarding patient balance questions.

Audit accounts requiring patient refunds and submitting refund requests for approval.

Education:

Saint Petersburg College

Technical Diploma: Medical Coder

Clearwater, FL

Crosslet Insurance School

Certificate: Certified Professional Service Representative-CPSR

Clearwater, FL

Silsbee High School

High School Diploma

Silsbee, TX



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