Customer Service Insurance
Resume:
LaTrina R. Moore
P.O. Box ***** Jackson, MS *****
accq1b@r.postjobfree.com
Objective: To acquire a Healthcare Administrator position or an entry level position utilizing my professional office,
management, and business experience to promote company growth while developing a sound standing in a
professional setting.
Education:
Walden University, Minneapolis, MN Doctorate of Health Care Administration December 2011- Present
Mississippi College, Clinton, MS Master of Health Services Administration, August 2011
Jackson State University Jackson, MS Bachelor of Science Health Care Administration, December 2009
Experience:
Comcast –Retention Service Center Jackson, MS
January 2013-Present
Customer Account Executive 1, (Retention)
Responsible for answering questions related to customer billing statements and general inquiries, as well as
for the resolution of payment concerns
Elicits and records customer information and inquiries, following prompts from a computerized system.
Corrects errors and discrepancies on customers' billing statements as necessary
Interacts with customers via telephone, e-mail, or face-to-face to assist with a variety of customer inquiries
and issues. Must be able to wear telephone headset and manipulate objects such as pen, keyboard, and mouse
Explains billing cycles, processes, and prorates effectively to ensure that customers understand their
statements Researches billing history using computerized systems Establishes rapport and promotes effective
relationships Attempts to collect delinquent account balances.
Generates copies of billing statements and researches billing history using computerized systems and
microfiche when applicable Facilitates interactions with customers in a way that is in accordance with the
Company's service strategy. Establishes rapport and promotes effective relationships
Maintains and coordinates interdepartmental communications as they apply to customer problem resolution.
Paragon Revenue Group-Healthcare Management Associates Laurel Park Cove Flowood, MS Aug 2012-Nov 2012
Billing Specialist Coordinator-Paragon On-site Representative
Add Insurance in DAR/AS400(Pulse)
Requesting settlement Approval from the BOM.
Update Insurance Status Codes/Update Insurance Action Codes
Print and Mail Itemized billing statements
Copy/Scan mail UB04’s-ISynergy
Request Medical Records-HFR
Payment Plan Approvals
Assist agency with any billing issues or concerns
Process adjustment in DAR
Send referrals and/or forms for Charity and Financial Assistance
Moving accounts from Insurance to Balance After Insurance
Handle patient walk-ins at the CBO
Answer calls that are transferred from hospital staff to on-site staff
Enter address corrections received from return mail report-DAR
Process emailed/mailed correspondence.
Reply to claim status inquiries along with information to submit payment
Adhered to HIPAA guidelines by verifying valid authorizations before providing information verbally or by
documentation.
Transferring of Medicare and Medicaid claims to proper biller after insurance was properly added.
Cahaba Government Benefits Administration-MSPRC, 775 Woodland Parkway Ridgeland, MS Oct 2011- Nov 2012
Case Analyst
Respond to telephone inquiries from beneficiaries, attorneys, other Medicare contractors, and insurance
companies, as well as internal phone calls and email.
Research claims dates and applicable guidelines, make requests for refunds, and provide information to those
making inquiries regarding secondary payer liability and action to be taken. Using ReMas, CWF/HIMR,
ECRS, and Oracle (Higlas).
Review and respond to requests for Conditional Payment Notices and Conditional Payment Letters.
Identify mistaken Medicare primary payments using ICD 9 codes and initiate recovery process with REMAS
and issues conditional payment listings.
Compose letters notifying proper parties of case status.
Perform follow-ups and prescribed Medicare requirements.
Process unsolicited checks for conditional payment amounts.
Commits to departmental goals and develops plans to achieve; verifies the accomplishment of departmental
goals.
Ensures that accounts are worked appropriately without going out of compliance.
Process checks once demand for payment has been issued and issue closure notices if applicable.
researched claims data to ensure all correspondence remain in compliance
provided Medicare billing info
adhered to HIPAA guidelines by verifying valid authorizations before providing information
Chickasaw Nation Industries – MSPRC, Jan 2011- Sept 2011
Case Analyst I
Respond to telephone inquiries from beneficiaries, attorneys, other Medicare contractors, and insurance
companies, as well as internal phone calls and email.
Review and respond to requests for Conditional Payment Notices and Conditional Payment Letters.
Identify mistaken Medicare primary payments using ICD 9 codes and initiate recovery process with REMAS
and issues conditional payment listings.
Compose letters notifying proper parties of case status.
Perform follow-ups and prescribed Medicare requirements.
Commits to departmental goals and develops plans to achieve; verifies the accomplishment of departmental
goals.
Southern Farm Bureau Casualty Insurance, 1850 E County Line Rd Ridgeland, MS
May 2007- January 2011
Senior Customer Service Representative & Policy Service Representative
Prepared and handled claims being filed on homeowners, flood, auto, & glass policies for MS, LA, AR, FL,
SC, TX, & CO.
Act as liaison between policyholder and agents office.
Handle fraud claims inquiries and filing first notice of claim.
Evaluated policy file information on current policyholders to establish rates and changes needed for renewal.
The Waterford on Highland Colony, 619 Highland Colony Parkway Ridgeland, MS
January 2004-January 2007
Head Receptionist,
Provided office support for executive office staff.
Retrieved monthly rental deposits and payments; prepared bi-monthly bank deposits.
Maintain office supplies for entire community.
Supervised an after-hours receptionist staff of four people.
Perform other task as assigned by executive staff.
Internship:
Jackson Hinds Comprehensive Health, Jackson, MS
Student Health Care Administrator, August 2009 - December 2009
Jackson State University, Jackson, MS
Facilities & Construction Management Intern, August 2008 -October 2009
Computer Skills:
SPSS, Microsoft Office: Word, Excel, PowerPoint, and Publisher, AS400, DAR, ReMAS, Oracle-Higlas, ISynergy,
and FACS
Reference:
Ms. Robin Brown
Application Support Analyst -University of Mississippi Medical Center
2500 N. State Street Jackson, MS 39216
accq1b@r.postjobfree.com
Taffany Mannie
Case Analyst 2- Cahaba GBA
775 Woodland Parkway Ridgeland, MS 39157
accq1b@r.postjobfree.com
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