Customer Service Medical

THERESA DAWKINS

***** ******** ( Detroit, MI ****4 ( Phone: 313-***-**** (

************@*****.***

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Detail oriented and quality focused professional trained in medical

administrative support. Successful track record of handling complicated

assignments and administrative/clerical requests. Highly experienced in

posting payments and reconciling accounts with a high degree of accuracy.

Proven ability to readily master new technology and proficient in

applications such as Microsoft Word, Microsoft Excel and Mitchell Decision

Point. Effective communication and interpersonal skills. Offering

strengths in areas of:

. ICD - 9

. CPT - 4

. Medical Terminology

. Medical Insurance

. Online Claim Submission

. Medical Software

. Customer Service

. Internet

. Confidentiality

. Facts, IPM, CPS Systems

. Call Center

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PROFESSIONAL EXPERIENCE

ACCOUNTING PRINCIPALS (AAA Michigan), Detroit, MI

Data Entry Specialist (2012-Present)

. Call Center representative

. Scan documents and files into Transpac Solutions System for processing.

. Retrieve files as needed

. Verify liens

. Perform data entry functions (i.e. enter new subrogation claims in

troveris for processing)

PROGRESSIVE INSURANCE, Detroit, MI

Medical Coder (2005 - 2010)

. Coded medical records with ICD-9 and CPT-4. Processed 100 to 120 claims

daily while maintaining 95% accuracy and achieving productivity goals.

. Provided timely bill processing. Researched account receivables and

consulted with insurance companies to institute settlement of accounts.

. Performed clerical duties including answering incoming calls from

customers, providers, billing offices or attorneys. Ensured a timely

response to their claim inquiries.

. Completed exposure analysis.

. Entered medical billing information into medical audit system.

. Distinguished billing diagnosis and procedure codes for high level and

low level bills.

. Answered medical representative coding questions.

. Trained new employees.

. Applied all applicable fee schedule and coding rules.

. Ensured assignments of benefits were submitted to providers.

. Mailed explanation of benefits statements to providers.

UNITED PARCEL SERVICE, Madison Heights, MI

Auditor (2003 - 2005)

. Performed data entry functions (i.e. keying bills from manifests).

. Reviewed invoices.

. Worked with both central and local dispatch offices to assist in managing

load schedules.

. Answered customer inquiries relating to rate quotes, appointments, etc.

RETAIL BRAND ALLIANCE, Madison Heights, MI

Sales Associate (2000-2005)

. Assist customers when needed

. Perform inventory checks

. Work cash register

. Train new employees

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EDUCATION

Wayne County Community College, Detroit, MI

2000 - 2005

Associates Degree in Criminal Justice

Laura F. Osborn

1991 - 1995

High School Diploma

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