Customer Service Representative
Resume:
Omar Shellman
Atlanta Georgia. *****
ac8d1a@r.postjobfree.com
SUMMARY
Experienced in high volume and high demand call center environment.
Very well accompanied in Front Desk, Administrative / Human Resource, Benefits Enrollments, Account Receivable, Medical Billing and Coding experience.
Self-motivated, sharp, attentive customer service agent.
Excelled in the performing and evaluating duties and responsibilities.
Excellent communication skills and professional demeanor gained through interaction with public and leadership roles in the workplace.
Fabrico Warehouse, Kennesaw Georgia, 2015-2019
Assembly Line
Prepares work to be accomplished by studying assembly instructions, blueprint specifications, and parts lists; gathering parts, subassemblies, tools, and materials.
Positions parts and subassemblies by using templates or reading measurements.
Assembles components by examining connections for correct fit; fastening parts and subassemblies.
Keeps equipment operational by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs.
Quest Group, Atlanta Georgia, 2012-2014
Customer Service Representative
Received inbound calls from various Doctors, Medical Facilities, and Insurance Companies awaiting responses.
Efficiently managed patients account status. Scheduled on-site charts for HEDIS reviews.
Reviewed accounts in various systems and edited charges incorrectly paid.
Billed accordingly to state and federal fee scheduling.
Reviewed Insurance coverage for accuracy on member’s eligibility for services to be rendered.
Maximus, Atlanta, Georgia, 2009-2011
Customer Service Representative
Managed production operations for payer functions including; eligibility, claims processing and payment processing.
Reviewed Medical Benefits and Insurance coverage for accuracy on member’s eligibility for services to be rendered.
Managed member’s eligibility for the State of Georgia on mainframes including MMIS System, CRM.
Reviewed insurance coverage and ensured active coverage for service being rendered for Medicaid and regular health plan members.
Responsible for maintaining a production level of 150-member accounts per day minimum.
EDUCATION
Northside High School, Warner Robins Georgia.
TECHNICAL SKILLS
SVS / CLIENT Systems, Microsoft Office, Kronos, Knowlagent, Nice, Windows, Lotus Notes, SurgiSoft, Bonified, eCare, Emdeon, and various Computer Programs
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