Customer Service Data Entry

Nicquita Anderson

**** ******** ****** ****# *

North Las Vegas, NV 89031

****************@***.*** - 301-***-****

OBJECTIVE

To obtain a position with an organization that

will utilize my skills and experience in

Administration and the medical field while

Allowing room for professional growth and

development.

Qualifications:

Typing proficiency at a minimum of 40wpm

Medical Terminology

Proficient in the following software programs: MS Word, MS Excel, PowerPoint,

Outlook, Access, Visio, Centricity, eClinical, IDX-Task and Meditech, Accounts

Receivable and Insurance Verification and Medicaid and Medicare parts A B, C,

NextGen, MIYS, EagleSoft

Use of Avaya system, Centrix, EOB, Claim Verification, DME/HME

20-30 Line PBX Switchboard/Call Center/POS System/Telechek/Credit Card Activations

Data Entry Alpha-betic & Numeric CPT-4and IDC-9, AR/AP & CSR Credit/Debit Acct.

Billing and Collections/Hamp Program, REO and Loss mitigation

Work Experience

Activations Representative

United Health Group

-

Frederick, MD

September 2010 to February 2014

Handles customer questions, complaints, and billing inquiries with the highest degree of

courtesy and professionalism to resolve customer issues with one call resolution. Offers

alternative solutions where appropriate with the objective of retaining customer's

business. Handles business transactions in connection with activation of new customer

accounts on a computer terminal. Communicates with customers using web-based tools,

Makes financial decisions to protect/collect revenues and adjusts customer accounts.

Phone Provider Representative

United Health Group

February 2008 to August 2010

Answer incoming calls from providers and members, as well as participate in the

proactive outbound call program Resolve basic types of insurance service call inquiries

including: benefits eligibility authorizations and member

Material requests Resolve complex customer service inquiries including claim status,

claim explanation and claim adjustment and schedule eligibility appointments Establish

and maintain control of inbound calls using a well-organized structure. Provide excellent

customer service to both members and providers by quickly and accurately identifying

and assessing individual provider and member needs. Solve problems systematically

using sound business judgment and follow through on commitments.

Stage Coach Drive

Wells Fargo

December 2006 to January 2008

Mortgage Loan Specialist:

Provide exceptional customer service to all customers

Respond to incoming telephone calls from customers in a professional and timely manner

Answer routine questions regarding a variety of account issues

Respectfully contact customers to collect delinquent mortgage loan payments and

negotiate payment arrangements and loan modifications and referred any payable

accounts to the AR department.

Data Entry Specialist

Westat

April 2003 to December 2006

Process medical and pharmacy data from completed forms or other documents for

accuracy and completeness and enters into database. Reviews audit reports and resolves

errors to ensure integrity of data. Identifies problems with database management policies

and procedures and provides input into their revision. Provides direction or assistance to

users of information regarding data requirements and status of paperwork. Assisted in

distributing reports. Sorts and files paperwork. Performs related responsibilities as

required.

Accounts Payable Clerk

MMP/CBIZ

April 2000 to April 2003

Responsible for interpretation of MMP policies and billing procedures with timely claims

denial review and follow-up with various commercial insurances, managed care, state,

and federal plans. processes insurance rejections to insure proper adjudication of all

claims; reviews patient accounts and billing; facilitates; analyzes patients and physicians

financial status and follows up on all delinquent accounts; reviews charges for

appropriate reimbursement; performs other job related duties as assigned.

Patient Care Assistant

Dominion Hospital

March 1999 to April 2000

Responsible with helping patients in clinics visits outside facility, rehabilitation centers,

and other various hospital visits, hospitals we help and support patients during regular

walking, bathing, eating, getting out of bed, brushing teeth and similar other routine

chores Assists with

Activities of daily living. Obtains vital signs, temperature, heights, girth measurements,

or other specific parameters as directed.

Contact this candidate