Customer Service Medical

Danita Michelle Haynes

**** ******** *****

Irmo, SC 29063

Home Phone 803-***-****

Cell Phone 803-***-****

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

OBJECTIVE

To obtain an administrative position that will utilize my computer and

business skills.

QUALIFICATIONS SUMMARY

. Customer Service Professional with 10+ years experience in customer

relationships, administrative procedures, follow-up, attention to

detail, and document verification within the insurance industry.

. Demonstrated ability to solve problems and communicate professionally

with diverse populations.

. Motivated self-starter with proven ability to meet or exceed objective

through goal setting, organizing, and attention to customer issues.

EMPLOYMENT HISTORY

Release of Information Specialist I

2013-Dec.2013

HealthPort

Columbia, SC

Administrative experience in an office setting; previous release of

information, medical records, or other related experience in a

healthcare environment is preferred.

Proven customer service experience and/or training.

Ability to effectively use computer software and technology as

required by the member facility including Microsoft Word and Excel.

Ability to understand and become knowledgeable of Release of

Information standards, policies & procedures and HIPAA regulations and

to complete work in compliance of these and other standards.

Ability to read and comprehend simple, healthcare terminology.

Effective verbal and written communication skills.

Effective organizational skills a must.

Ability to use fax, copier, microfilm machine, and multiline phone

system and other required work tools Ability to learn new equipment

and required processes in a fast paced environment.

Ability to work professionally, effectively, and efficiently in a team

environment with customers, management and co-workers.

Parameds 2012-2013

Medical Record Retrieval Remote Work

from home

Kew Garden, NY

As a medical record retrieval remote, I receive new cases weekly,

and I make every effort to complete each case in a responsible and

timely manner. I request medical records and faxes from the medical

facilities doctor's to be sent to our home office in a timely

fashion, however when they can't fax them they can mail the medical

records to our home office. We strive for excellence here at APS

Retrieval Remote to exceed our client expectations.

Senior Claim Processor Specialist

2000-2009

Allstate Insurance

Columbia, SC

. Investigated claims against insurance for personal, casualty,

property loss and damages. I served as liaison between agency and

police department in reference to stolen and recovered vehicles. I

received new claims that field adjusters had settled and moved to

salvage. Followed up on salvage item until sold and updated

documents status.

. I handled 15+ claims daily, collecting information on title,

issuing checks and mailing title to salvage company. I processed

information accurately and in a timely manner for total loss claims

office.

. I communicated effectively orally and in writing in a variety of

situation with policyholders, staff, co-workers and police

department.

. I developed strong understanding of insurance policies and legal

issues and customer service approaches through completion of series

of professional development classes.

. I established system to get information clearly and quickly from

customer and complete required forms to process claim.

. I analyzed problems and provided information to ensure customer

requests and questions were successfully handled in a timely manner

. I worked with a team toward common goals by supporting,

encouraging, and sharing information with colleagues.

Claim Customer Service Representative

1997-2000

Siebels Bruce Insurance Company

Columbia, SC

. I received loss reports over the phone from insured clients,

attorneys, and agents. I provided verification of policy prior to

openings in the claims department. I set up customer claim files

and transferred to proper department. I handled 20+ claims per day

from agents and policyholders while increasing the quality of

customer service.

Librarian Clerk (Part-Time)

1993 - 1997

Richland County Public Library

Columbia, SC

. I assisted in a variety of activities including helping patron to

find materials, take overdue fines and issuing library cards. I

explained and guided patrons in use of references sources, such as

card catalog book and periodical indexes to locate information. I

also assisted patrons with the use of computer for research.

EDUCATION

Allen School

Jamaica, NY

(Courses in Medical Insurance Billing and Coding)

Dec-2010

Midlands Technical College,

Columbia, SC

(Courses in Office Systems Technology)

1995

Corliss High School,

Chicago, IL

Diploma

1986

ADDITIONAL TRAINING/CERTIFICATIONS

Customer Service Training at Allstate

Knowledge, Skills, and Abilities:

1. Knowledge of basic medical terminology, anatomy and physiology,

disease and insurance terminology.

2. Ability and knowledge to use procedure code books and diagnostic code

books.

3. Knowledge and skill of Microsoft 2007 and Word.

4. Knowledge and skill of Outlook.

5. Knowledge and skill of Data Entry and Type 45wpm.

6. Knowledge and skill of Nexgen System.

7. Ability to operate computer and printer, as well as photocopy and

calculator equipment

8. Ability to work independently.

References Available Upon Request

Contact this candidate