Customer Service Sales
Resume:
Frank Boskello
Fairfield, CT **824
*************@*****.***
EXPERIENCE:
Fairfield Clinical Consulting, Fairfield, CT April 2009 - present.
Customer Service Representative/Operations Assistant
. Markets company to potential clients. Sends literature/pamphlets to
prospects via email, mail, and fax.
. Assists in light bookkeeping responsibilities such as accounts receivable
and payroll.
. Maintains diligent spreadsheets on monitoring patient medication dosages.
. Maintains phone and email support for customer inquiries. Sends
literature to new prospects.
. Assesses and evaluates processes and constantly improves and updates
such processes as needed.
. Keeps current with all healthcare rules and regulations, makes sure
environments are up to JHACO standards.
. Pharmacy tech work as needed.
eProfit/NuMoney/CoinNet, Westport, CT, March 2013 - December 2013
Applications Manager/Customer Support - Team Lead/Technical Support
. Phone/email support for both general and escalated issues involving POS
equipment, prepaid/cellular products, and dealer to dealer network
issues. Point of contact for escalated issues.
. Handled financial issues such as bank deposits, funding delays, reporting
functions, and other general inquiries. Helped merchant understand fees
and rates on credit processing statement.
. Supervised and trained support team; assigned work, reported back to
manager of results.
. Assisted in setting up terminals by downloading applications tailored
specifically to their processing needs.
. Processed applications through various credit processing banks. Worked
with merchants, sales reps, IT staff, and credit analysts to achieve
common goal.
. Liaisoned with sales reps, IT departments, and other workers to come to
solutions when getting software to merchants.
. Kept diligent inventory list of terminals, paper, and other processing
supplies; ordered supplies when needed.
. Helps in training and development of sales and other personnel.
. Works in collaboration with sales force by setting up email accounts and
creating business cards and analyzing credit processing statements.
CareCentrix via Medix Staffing Solutions, Hartford, CT November 2012 -
January 2013
Claims Adjudicator
. Reviewed plans, eligibility, patient notes, and authorizations to
determine appropriate adjudication.
. Created authorizations when necessary based on individual provider and
carrier contracts.
. Knowledgeable in CPT, HCPC, ICD9, and ICD10 codes
. Reviewed electronic claims or processing data as necessary into the
claims system, resolving computer generated edit conditions, and
determining correct payment or denial amounts and document notes as
appropriate.
. Identified and referred questionable claims, intakes, authorizations, and
system issues to appropriate Senior Claims Analyst.
. Researched and, if necessary, processed claim payment adjustments
resulting from customer service referrals, audits or data inaccuracies as
detected.
. Exercised good judgment, interpreting medical claim data and contracts,
and remaining knowledgeable in related company policies and procedures.
. Maintained patient confidentiality and claims integrity in accordance
with company policies and procedures.
. Adhered to and participating in Company's mandatory HIPAA privacy program
/ practices and Business Ethics and Compliance programs / practices.
. Participating in special projects and performing other duties as
assigned.
DHL Global Forwarding, Norwalk, CT May 2005 - March 2009.
Claims Adjuster
. Executed standard and non routine claims processes and procedures under
limited supervision.
. Gathered and recorded information and documentation related to claims and
other losses.
. Adjusted claims as required (e.g., for payment or denial) by coordinating
with a wide range of customers, carriers, contractors, vendors, and/or
adjusters as required.
. Made disposition decisions based upon structured guidelines, policies,
and procedures. Consulted with immediate supervisor when appropriate.
. Supervised clerks and temps; delegated work and checked output for
inconsistencies.
. Communicated effectively with associates, internal customers, clients,
outside counsel, and management.
. Tracked inbound/outbound shipments with carriers and 3PL providers per
customer request.
. Prepared standard reports, such as client status reports or monthly
claims payments, as applicable for assigned specialty area.
. Created letters and correspondence as required by assigned specialty
area.
. Analyzed claims/losses, identifies trends, and provides strategy
recommendations. Consistently recommended improvements regarding
processes. Performed other duties as assigned.
. Filed and subrogated claims with underlying carriers and business hubs
. Established effective relationships with customer/client, hub, and agency
personnel. Coordinated air, ocean, and domestic shipment between
customers and stations, if needed.
. Prepared client status reports. Prepared denial letters and check
requests as appropriate.
. Assisted in preparing monthly end statement for accounting purposes
detailing settlement and handling fees expensed according to stations
involved.
Mackey and Guasco, Darien, CT Dec 2004 - May 2005
Marketing Assistant/Claims Clerk - completed two long-term assignments at
DHL Danzas and Reed Exhibitions
-Reed Exhibitions
. Maintained excellent customer relations with clients for various trade
shows
. Answered general customer service inquiries regarding services provided.
. Maintained client database through Onyx Customer Center.
. Provided telephone and email product support to clients
. Provided support to the sales manager and marketing depts.
. Assisted Marketing coordinator in reviewing and processing orders.
. Assisted clients in building up profile in pamphlets and tradeshow
websites.
-DHL Danzas Air and Ocean
. Handled incoming customer calls with the intent of providing customer
satisfaction, retention, and/or extending contract to sell new or
additional products and/or services.
. Worked in conjunction with outside sales representatives to provide pre-
and/or post-sales support.
. Reviewed customer inquiries, problems, requests, and suggestions;
determined appropriate solutions and/or responses.
. Negotiated customer claims, initiated billing adjustments, and arranged
product substitutions and returns.
. Recorded consistent problem areas.
. Provided clerical/administrative support to the customer service
function.
. Assisted in monitoring the volume of inbound call traffic and distributes
calls based upon staff availability.
. Ensured customer needs are met by coordinating and adjusting call volumes
in a timely manner.
. Coordinated with other departments when outages occur and calls must be
redirected.
. May have a significant part of work initiating out-bound communication.
Silver Hill Hospital, New Canaan, CT 2000-2004
Data Entry Clerk/Pat Acct Admin
. Provided overall technical support including troubleshooting network,
hardware and software problems, and act as a helpdesk coordinator for the
hospital.
. Maintained Eclipsys/SDK Healthcare Information/Financial Class software,
including backing up, upgrading, journaling, and adding workstations on
the Alpha Server.
. Maintained and supported printer issues via desktop
. Entered accounts receivables batches and produced billing runs.
. Entered payroll and produced checks through ADP payroll for 300+
employees. Attended PC for Payroll and Reportsmith classes at ADP
location. Trained staff on procedures.
. Maintained relational database for patients and their referring
therapists in Paradox. Used database to send thank-you letters and
discharge summaries to referring therapists.
. Provided billing, cash posting, and bank deposit support to the
department.
SKILLS:
Word, Excel, PowerPoint, Outlook Express, Internet Research, Ecylipsys
Medical Billing System, Chase PaymenTech and First Data Client Line,
International and domestic freight systems such as FMS and Logis Air and
Ocean, RSG claims system, Amisys claims system.
EDUCATION:
Masters of Business Administration, University of Phoenix, Norwalk, CT
Graduated November 2010
Bachelor of General Studies, University of Connecticut, Stamford, CT
Focus: Corporate & Organizational Studies Graduated Dec 2006
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