Customer Service Administrative Assistant

Bobbi J Edwards

**** ********* ****** **********, ** 27403

**************@*****.*** 336-***-****

Professional Summary

Public service oriented professional with the ability to work well with all individuals. Strong organizational, management and leadership abilities. Speak clearly and persuasively in positive or negative situations. Respond to inquiries professionally and demonstrated successful experience in day-to-day affairs of business operations.

Skill Summary

Progressive skill-sets in Business & Healthcare areas: Customer Service 8 years; Medical Terminology 3 years; Insurance Claims- Medicare/Medicaid 4 years; Accounts Receivable /Payable 5 years: Administrative Assistant 4 years and Clerical/Receptionist 8 years; Microsoft Office (Word, Excel, PowerPoint, AS400, Banner Software System); Proactive –Technical Skills; Flexible –Multi Task Duties; Dependable –Team Player

Education & Training

Formal Education: Bachelor of Arts Degree in Business Management, John Wesley University

Professional Training and Technology Updates:

-Completed On-Line Courses at Guilford Technical Community and received

Certification in Communications & Customer Service.

-Completed 3-years NC A&T State University in Computer Science & Business studies.

Professional Experience

Business Office & Medical/Healthcare Administration

Responsibilities included clerical support to the Vice President of Institutional Advancement along with managing daily responsibilities of the office. Remit payments to vendors. Maintain various spreadsheets.

Administrator of Front Office and Human Resources administration.

Prioritize patient accounts economically; identify claims within activity cycle.

Ensure accuracy of accounts for appropriate adjustments according to federal/state laws and hospital preferred provider contract in timely manner.

Project Management/Account & Customer Relations

Project management experience with financial management via spreadsheets and data entry

Analyzed and resolved claim denials for payment. Coordinated claims with various insurance agencies.

Managed Vice President’s calendar (travel schedule, meetings, and other related agendas).

Worked effectively with other staff members to coordinate planning and preparation of grant proposals

Liaison between Healthcare group and third party payers (Processed Medicare/Medicaid claims).

Employment History

patient access rep/medical specialist - Nthrive/Wake Forest Baptist Health, W-S, NC 2018– 2019

Facilitate all components of patient registration by obtaining all demographic and financial information to ensure the most accurate patient data is populated into the patient record

Verify insurance coverage, prepare charts for patient visits, perform clerical functions as well as assist with billing questions and payments

bill accounting rep/customer care specialist (Contractual) –Graham & Associates 2017– 2018

Administrator of Front Office and Human Resources; Communicate via inbound and outbound telephone calls with consumers. Analyze and resolve merchandise inquires.

Maintain account receivable client profiles and various spreadsheets

Provider verification analyst - United Healthcare Group, Greensboro, NC 2015 – 2016

Reviewed provider files to determine correct information; accurately document and update records with detailed notes. Identified and referred complex related claims and researched items.

Verified provider information were in compliance with policy provisions of state and federal regulations

Annuity claims examiner (Contractual)- Lincoln Financial Group, Greensboro, NC 2014 –2015

Admin/Customer Care Specialist - APAC Inc./ MSG Services Corp, Greensboro, NC 2009- 2014

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