Customer Service Medical

Location:

Savage, MN

Posted:

December 07, 2013

Contact this candidate

Resume:

Louis E. Nelsen IV

*** ********* ** * *** # ***. 912-***-**** . ******@*******.***

Objective:

To obtain a position as a manger in seeking to advance the company in which

I work. I have skill with Microsoft office Excel and Word, and am willing

to learn others that might benefit the company. I have 20 plus years in

customer service, and although I graduated college with a Youth Minister

degree, I am willing if necessary to go back to school to advance in my

Career.

Career Summary:

. 5 solid years of California Medicaid program Customer Service,

Enrollment and Billing, Claims, Grievances and Appeals

. Excellent communication skills. Recognized for exceptional customer

service, knowledge of technology, professionalism and competency.

. Familiar with medical and insurance terminology

. Possess exceptional administrative and organizational skills

. Well-developed interpersonal skills and ability to communicate with

coworkers and customers about transcripts and confidential medical

records

Computer Skills

Microsoft Office Suite . WGS Call Care 2.0. Mainframe (CA) . Avaya. CCB

Phone . Lotus 123. Computer language BASIC

Employment Experience:

Pricing Specialist / Distributor Finance, Ecolab, Eagan, MN 2013 - Present

Customer Care Advocate, WellPoint Inc, Savannah, GA 2006 - 2013

. Responds to customer questions via telephone and written

correspondence regarding insurance benefits, provider contracts,

eligibility and claims.

. Strike a positive and cooperative tone with both customers and

coworkers.

. Strive for one-call resolution of customer issues.

. Utilized multiple call center support applications to efficiently

assist members and providers.

. Performs the assigned administrative tasks

. Interacts with all levels of medical professionals

Patient Representative, Hilton Head Regional Medical, Hilton Head, SC 2004

- 2006

. Handled medical front desk in computerized and manual scheduling,

billing, and health/insurance records supervision

. Responsible for the management of the patient's applications

. Prepare the schedules and keep updates of the equipments and resources

. Kept frequent communication between patients, staff, physician, and

laboratory staff.

. Filed, located and removed patient's charts in alphabetical order.

. Data Entry

Teller/Sales Associate, The Customer First Bank, Hilton Head, SC 2002 -

2004

. Worked with customers on a daily basis, meeting their banking needs

and either answering or referring their financial questions to the

appropriate supervisory individuals.

. Promoted and sold products and services of the bank

. Responsible to keep a record of the daily financial transaction of the

bank

. Issuing computer generated bill after entering the data

. Reviewed and analyzed the data on a monthly basis in order to send

reports to management

Claims Examiner/Data Entry Operator, Blue Cross Blue Shield of MN, St.

Paul, MN 2001 - 2004

. Run claims through a questioner software

. Decide where claims were to be paid.

. Entering the data of 6,000 kph +