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Customer Service Representative

Location:
Houston, TX
Posted:
June 26, 2014

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Resume:

***** ****** ******* #**** *******, tx *****

Phone 720-***-**** • E mail ***********@*****.***

Kendra m. Love

Objective

To obtain a challenging position in the medical/business field that will

enable me to use and enhance current skills while contributing to

company growth and development

Education

Spring 2013 2014 Community College of Aurora

Degree Accepted in Associate of Arts

Denver, CO

2007 2014 Lone Star Community College Houston, TX

Degree Accepted in Associate of Arts via CCA

2005 – Fall 2006 University of Houston Houston, TX

Seeking Degree

2001 2005 Denver East High School Denver, CO

Diploma Accepted

Work experience

January 2014 May 2014

PFS Team Member Kaiser Permanente, Aurora,

CO

Receives, responds to & accurately documents incoming phone calls for

various insurance types using Web & system based resources

Responds to inquiries regarding details of coverage & explains specific

bills in detail

May conduct quick audits of accounts for members including checking

deductibles, co insurance, out of pocket max, payments posted, date of

posting, what has been billed & not billed, etc

Makes adjustments to accounts as needed, or notifies other department

to make corrections (coding, claims, pharmacy, etc)

Takes payments over the phone, sets up payment plans, re ages

accounts & works w/ collections vendor as needed

Escalates refunds for overpayments, worker's comp issues, coding

errors, claims issues, etc

Responds appropriately to observed fraud & abuse

May 2012 January 2014

Member Services Representative Kaiser Permanente,

Denver, CO

Handle member inquires

Assist department in reaching call handling goals, complaint

resolutions

Provide empathy when dealing with members

Demonstrate knowledge, skills, abilities to perform professionally

Communicate between members and providers when necessary

Take credit card payments for services rendered

Assisting current management with providing additional support for

new hires

Basic claims training

KP.ORG password resets

December 2011 May 2012

Customer Service Representative Kaiser Permanente,

Denver, CO

Schedule appointments in a prompt and courteous manner

Confirm appointments and handle cancellations

Expedite resolutions to patients

Communicate between nurses and patients

Transfer calls when necessary

August 2010 July 2011

Patient Account Analyst Kelsey Seybold Clinic, Houston,

TX

Verify insurance eligibility and benefits

Maintain the enrollment integrity of the Practice Management

Systems

Analyze eligibility media, utilizing various system applications

for reporting purposes

Interpret multiple medical plan benefits to maximize accurate

collections

Communicate with clinic and/or patient with any necessary

information prior to or during patient’s visit

March 2009 August 2010

Customer Service Representative Kelsey Seybold Clinic,

Houston, TX

Schedule appointments in a prompt and courteous manner utilizing PC

and IDX scheduling software

Confirm appointments and handle cancellations

Expedite resolutions to patients

Communicate between nurses and patients

Transfer calls when necessary

May 2008 December 2008 Regions Bank, Houston, TX

Senior Teller

Conduct customer transactions

Handle currency

Balance a drawer

Provide assistance to customers via telephone

Vault teller

Opening and closing procedures

July 2006 May 2008 JPMorgan Chase, Houston, TX

Teller

Conduct customer transactions

Handle currency

Balance a drawer

Provide assistance to customers via telephone

Opening and closing procedures

March 2006 June 2006 Sonic Restaurant, Houston,

TX

Cashier

Placed orders

Prepare Food

Maintain cleanliness in lobby

November 2003 – July 2004 Arby’s Restaurant, Denver, CO Denver,

CO

Cashier

Placed orders

Prepare food

Maintain cleanliness in lobby

skills

Typing Skills: 40 wpm

Epic 2007/2008/2009

Microsoft Office Suite (Excel, Word, Outlook, Adobe)



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