Customer Service Management

LaNesha Laverne Houston

acatx8@r.postjobfree.com

Home 336-***-**** Cell 336-***-****

Home Address

*** ***** ******* *****

Winston Salem, NC 27107

Objective

Seeking to obtain a challenging and rewarding entry level Health Care

Management position that will allow me to utilize my organizational skills,

communication skills and ability to work well with others

Education

Deans List 2008-Present

Cuma Laude 2012

Winston-Salem State University, Winston-Salem, NC

Bachelors of Science in Health Care Management, May 2012

GPA: 3.085

Skills

. Productive worker with solid work ethic who exerts optimal effort in

successfully completing tasks

. Resourceful team player who excels at building trusting relationships

with customers and colleagues

. Confident and hard-working employee who is committed to achieving

excellence

. Computer-literate performer with extensive software proficiency covering

wide variety of applications

Experience

EMS Management & Consultants Inc. Winston-Salem, NC

May 2013-Present

Senior Team Administrator

. Manages the distribution, processing, and completion of incoming claims

for the team, including any exceptions/rejections that occur within the

process internally or with our vendors, while maintaining established

deadlines and turnaround times

. Provides daily support to internal departments and external clients by

answering questions, resolving issues, and providing on-time and accurate

scheduled and ad-hoc reports. These include but are not limited to, ACR

Return to Provider, Medicare No Signatures, Final Batch Confirmations,

Facility Claims Management, and professional & timely communication of

information, answering questions

. Regularly manages and works payer rejections from Zirmed or other sources

and then provides timely feedback to the supervisor, billers, and other

departments as needed

. Monitors and promotes team production and quality performance through

established internal systems and collaboration with Claims Management

Supervisors, Claims Management Manager, and Continuous Improvement

Department Supervisor

EMS Management & Consultants Inc. Winston-Salem, NC

October 2012-May 2013

Medical Billing Specialist

. Responsible for billing of ambulance transport of all related functions

and review all incident reports related to billing claims

. Accurately inputting patient demographics, charge entry, ICD-9 coding,

Medicare and Medicaid state billing specifics

. Knowledge in payment posting, coordination of benefits, and medical

condition codes

. Verifying patients insurance coverage and medical necessity requirements

Sam's Club Winston-Salem, NC June 2010-Novemeber2012

Cashier

. Accurately and efficiently range on registers and accurately maintained

all cash and media at the registers

. Maintain orderly appearance of register area and supplies stocked

. Answer customers questions and provided information on procedures or

policies

. Calculate total payments received during a time period and reconciled

this with total sales

Kohl's Winston-Salem, NC

Sep 2008- May 2010

Customer Service Representative

. Responded promptly to customer inquiries

. Obtained and evaluated all relevant information to handle inquiries and

complaints

. Directed requests and unresolved issues to the designated resources

. Followed up on customer interactions

Novant Health-Strategic Sourcing Winston-Salem, NC

March-

May 2012

Intern

. Worked with different systems in Strategic Sourcing

. Filing paperwork in Excel data base

. Assisted with projects and meetings

. Obtained and evaluated all relevant information to handle inquiries

Volunteer / Community Service

Aids Care Services Winston Salem, NC

Sep.-

Dec.2011

Rummage coordinator

. Assisted with the advertisement

. Coordinated fundraising initiatives for this organization

. Promoting for the organization

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