Customer Service Medical
Resume:
Merryck C. Stormer
Winter Springs, FL
acegr7@r.postjobfree.com
Summary: Educated, skilled and experienced business office professional – dependable and versatile,
team player with a can-do attitude and the ability to produce high quality work under minimum
supervision.
Work Experience
Sleuths Mystery Dinner Shows January 2002 – Present
Office Assistant/Actor Part-time
Answer phones, take reservations and provide customer service.
Assist the accountant with various duties such as data entry, filing, bank deposits, and reconciling.
Acting in various murder mystery shows.
Walgreens February 2013 – June 2013
Resolution Specialist
Reviewed and resolved Rx Claims.
Communicated with insurance companies, specialty pharmacies, and patients over the phone.
Checked Rx's for accuracy and contacted Physicians as needed for verification.
Verified prescribed dosage, measurements and dates.
AmeriPath Inc. January 2010 – August 2011
Customer Service Representative – Billing
Answered calls from patients, insurance companies, attorneys, etc.
Processed correspondence received via e-mail and regular mail.
Provided all patients with the highest quality of care and ensured that all are treated with respect,
compassion and understanding.
Provided all patients with positive problem resolution utilizing all tools available.
Identified trends; brainstormed with management and team to improve all aspects of customer
service.
Hewitt Associates March 2005 – September 2008
Claims Auditor - Flexible Spending Plan
Audited Flexible Spending Account Claims for various clients.
Saved money by tracking and trending quality assurance data which led to minimizing errors.
Coached and mentored claims processors to improve their performance.
Selected as first Subject Matter Expert for new Tuition Reimbursement Program based on
attention to detail and high quality of work produced.
Developed and wrote training procedures based on various claim types.
Completed various projects as assigned.
Insurance Overload Systems November 2003 – February 2005
Medical Claims Analyst/CSR
Processed and audited Medical, Dental and Flexible Spending Account claims for various clients.
Handled Customer and Client Service Calls for various clients answering participants' questions
and developing strong problem-solving skills.
Performed various administrative duties as needed.
Thrived in the atmosphere of diversity and change and immersed myself in the constant
opportunities to learn new skills and broaden my knowledge base.
Advanced Administration Inc June 2001 – October 2003
Medical Claims Supervisor
Supervised all aspects of the Medical Claims Department.
Trained, coached and mentored Claims Processors.
Processed and audited medical claims for various clients.
Audited medical records.
Audited Summary Plan Descriptions for various clients.
Made major claims decisions based on above-referenced materials.
Education
Flagler College – St. Augustine, FL
B.A. - Theatre Arts / Psychology Minor – Cum Laude
Valencia Community College – Orlando, FL
A.A. - Psychology – GPA 3.75
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