CANDACE J CHESTNUT
**** ***** **** ****, ********, North Carolina 27377 (C) 347-760-
**** ****************@*****.***
Professional Summary
I am a dedicated Customer Service Professional and Medical Billing
Specialist with extensive technical knowledge, problem solving skills and
interpersonal communication with customers and clients. I am committed to
being Customer Service driven to exceed sales goals and build long term
relationships with customers. Qualified with 10 years in fast-paced
customer service and call center environments.
Skills
Exceptional communication Medical terminology knowledge
skills Mediation capability
MS Windows proficient POS systems expert
Creative problem solver Multi-line phone talent
Training development aptitude Credit card processing
Strong client relations Local/state health laws
Quick learner knowledge
Exceptional communication Proficient in cash management
skills
Work History
Healthcare Billing & Coding Specialist 06/2012 to Current
Lab Corp - Greensboro, NC
HCPCS Coding * CMS Reimbursement Issues * Coding for Medical Necessities
CMS-1500 Claim Instructions * Filing commercial claims * Blue Cross and
Blue Shield Plans Medicare * Medicaid * Tricare * Workers' Compensation *
Medical Terminology Managed Health Care * Life cycle of an insurance claim
* Legal and regulatory considerations ICD-9-CM Coding * CPT Coding Using
coded data to produce and submit billing claims to insurance companies
Handling collections on unpaid accounts and denial claims Working directly
with insurance companies, healthcare provider, & patients to process claims
Responsible for auditing and analyzing front end medical billing procedures
Collect, post and manage clients and patient accounts Handle information on
patient treatment, diagnosis, and related procedures to ensure proper
coding for billing Maintains strictest confidentiality; adhere to all HIPPA
guidelines/regulation Trained and Lab Corp certified in Billing & Coding
and Translations in company procedures.
Professional Retail Sales Representative 03/2010 to 06/2012
Time Warner Cable - Winston Salem, NC
Educate customers on our products and services and to enhance the image of
Time Warner Cable by accurately and professionally. Ensuring customer
satisfaction in a variety of situations. Provide face-to-face sales and
service to store customers, including payment collection, equipment
transactions and customer training, in a manner consistent with company
policies, procedures and quality standards Retain customers requesting
disconnect or downgrade of service by demonstrating the ability to overcome
objections, explain features and benefits, and explain the benefits of
bundling services. Follow all cash reconciliation procedures in a manner
consistent with company policies and procedures. Work sales floor to greet
customers, answer questions and promote sales. Answer questions, research
customer inquiries and take appropriate action such as correct billing
errors or adjustments. Assist with customer needs and applicable, in a
manner consistent with company policies, procedures, quality standards, as
we. Investigated and resolved customer inquiries and complaints in a timely
and empathetic manner.
Customer Care Representative - Front Counter Rep 01/2009 to 03/2010
Time Warner Cable - Chapel Hill, NC
Order taking, issuing and returning equipment tracking and balancing Order
entry and payment processing Resolution and quality control for
Durham/Raleigh Payment Centers Posting payments and Adjustments on accounts
via Cash, Check, Money Orders Credit Cards Process customer refunds, return
mail, and schedules Handle complaints, transactions and inquires in a
timely, courteous and accurate manner Compiling data auditing and tracking
activity for management reports Maintain converter inventory transactions
accurately and files and maintains all documentation Proficient in all on
duties to include cable television product, programming, pricing, & sales.
Customer Care Representative 03/2008 to 01/2009
Time Warner Cable - Greensboro, NC
Providing exceptional service to customers in account activations,
maintenance, billing & problem solving Correspondence with customers
through answering general information inquires on rates, programming,
installation, upgrading downgrading, transfers, disconnects & billing
questions Operates computerized systems to record data, make corrections
and complete required follow ups Handle and resolve customer complaints,
missed appointments, escalations & accounts disconnected in error
Scheduling installations for Digital Phone, High Speed Data, and Digital
cable Explain all policy & procedures for collections, and policies for
payment options as well as properly explaining billing questions and
correcting billing errors or discrepancies on accounts.
Customer Relations Coordinator/Technical Support 03/2005 to 05/2007
Cablevision Communications - Woodbury, NY
Call Center) for IO, OV & OOL Services Demonstrate basic proficiency in one
or more of the following products & services of Cablevision. Take Inbound
Calls to diagnose and correct High Speed Internet, Video and Digital Phone
issues. Monitor HSD Network via Network Monitoring Tools. Track & Report
potential problems Correct out of balance accounts according to the out of
balance report. Assist with Optimum Online, Phone & Cable issues. Create
and analyze ping plots. Perform callbacks from trouble ticketing system.
Track Remedy Ticketing Application to identify chronic customer issues and
provide point of contact for resolution. Monitor trouble call pool to
assist with limiting unnecessary truck rolls. Work with local dispatch,
field ops and supervisory personnel to identify and track outages.
Knowledge of local area networks and Internetworking Protocols (IP) Ability
to handle various tasks simultaneously,
Member Services Representative 07/2003 to 03/2005
SEIU Local 32BJ - New York, NY
Verifies, prepares and mails Optical/ Dental Packages to participants
Consolidates and send paper correspondence to Empire Blue Cross/Blue Shield
Prepares and mails eligibility packages and other correspondence
participants Created materials database and spreadsheet files Compiles and
types statistical reports Capture images and reassigns them to the
appropriate queues to be processed Prioritize work to meet deadlines
Formatting memos, spreadsheets, reports and; presentations Ad hoc projects,
research as needed Directly working with management & personnel and; staff
Detail oriented with excellent organization and communication skills Good
interpersonal skills and; experience working directly with members Worked
independently; with the ability to work as a member of a fast-paced team
Outstanding work ethic and employment record Performed other duties as
assigned by Management.
Education
Associate of Science: Guilford Technical Community College - Greensboro, NC