Customer Service Medical
Resume:
VALERIE WILLIAMS
. **** EAGLE RDG
SAN ANTONIO, TX 78228
Career Objectives
Customer Service/ Medical insurance rep position with 10+ years experience
that will utilize my computer knowledge, strong people skills,
organizational abilities, and business experience."
Summary of Qualifications
Knowledge of cptcodes, icd-9 codes, medical termonology. knowledge of word,
excel, and windows.
Work History
Coventry Health Care, Inc.
Oct 29-Present
. Interfaces with customers via telephone, written correspondence,
electronic mail to respond to routine inquiries and resolve concerns.
. Researches customer information by effectively using the "Essentials"
on-line resource library and Customer Service Console in response to
inquiries including, but not limited to, authorizations, payments,
denials, coordination of benefits, and eligibility.
. Investigates, analyzes, and resolves outstanding issues to achieve
customer satisfaction; takes responsibility for following through and
bringing outstanding issues to closure. Completes limited transactions
including simple adjustments.
. Maintains complete and accurate documentation of all customer
interactions.
. Demonstrates a basic understanding of all products.
. Demonstrates responsiveness and a sense of urgency when dealing with
customers.
. Maintains production and phone quality standard.
. Proactively takes responsibility for own self-development.
. Demonstrates professionalism and presents a positive image of the
company when interacting with customers
. Supports individual and team goals and initiatives; accepts ownership
for individual results.
UNITED HEALTHCARE SERVICES INC, SAN ANTONIO, Texas
CUSTOMER SERVICE
Apr 22, 2002 - Nov 08, 2010
Authorized medical procedures and handled inbound calls regarding
authorization status. Responsible for providing assistance to providers in
regards to verification of benefits and eligibility for both HMO and PPO
coverage. Also in charge of researching and interpreting moderate to
complex claim situations. Worked pending cases making sure all medical
adjustments were made in a timely manner.
USAA, Texas
Policy service Representative
Apr 02, 1999 - Apr 03, 2002
Provider customer service to members having questions in regards to any of
their member accounts.
Responsible for counseling policyholders with insurance issues and taking
initial claim loss reports by phone
La Quinta Reservations
Feb 05, 1997 - March 25, 1999
Resposible for making reservations, taking credit card payments, booking
rooms, answering questions regarding check in and check out times by phone
Education
O.W Holmes, San Antonio, Texas
High School Diploma/GED
Sep 1988 - May 1992
Computer Skills
. EMail Software (Outlook, Thunderbird, etc)
. Internet Browser (Internet Explorer, Firefox, etc)
. Personal Computers
. Word Processing Software (Word, WordPerfect, etc)
Language Skills
English - Excellent ( Read Write Speak )
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