Customer Service Representative

SOPHIA DE LOACH

*** ******** ****** • El Cajon, CA 92021 • 619-***-**** • *********@*****.***

PROFESSIONAL PROFILE

Hands-on, task focused professional with strong communication skills leveraging vast customer service

experience. Attention to detail needed to review and correct errors and maintain high levels of accuracy.

Problem solving skills essential in researching and resolving billing and coding issues.

Microsoft Word and Excel; Type 45WPM.

Academic Recognition; Dean’s List

KEY QUALIFICATIONS

Medical Billing Medical Coding Payment Posting

ICD-9-CM, HCPCS, CPT Introduction to ICD-10-CM Scheduling

Insurance Verification Co-Payments and Deductibles Medical Terminology

Anatomy & Physiology HIPAA Compliance Government Payers

Medicare & Medicaid Tricare Third- Party Payers

CMS 1500, CMS 1450 (UB-04), EOBs Electronic Health Records Worker’s Compensation

Managed Care (HMO, PPO, and POS) Greenway PrimeSUITE (EHR/EMR) Office Management

Insurance Claim Processing Insurance Billing Procedures Medical Office Procedures

EDUCATION & CERTIFICATION

Ultimate Medical Academy, Tampa, FL – Medical Billing & Coding, 07/2014 (GPA 3.21)

Completed an intensive, accredited training program which included:

Anatomy and Physiology, Disease Processes, Surgical Procedures, Life Cycle of an Insurance Claim, Health

Care Settings, Health Care Payers, Procedure and Diagnosis Coding from Medical Records, Reimbursement

Systems, Keyboarding, Word Processing, Medical Practice Management Systems and Life Skills for Success

■ Pursuing National CPC-A Certification ■

PROFESSIONAL EXPERIENCE

HD Supply, Poway, CA 05/2008 – 01/2012

Customer Service Representative/Catalog

Supported and provided individualized sales and customer service.

Answered phones and responded to customer requests.

Sold product and placed customer order in computer system.

Provided customer with product and service information.

Red Envelope, City, ST 12/2007 – 01/2008

East Ridge Group/Red Envelope, City, ST 03/2006 – 11/2007

Customer Service Representative/Catalog

Interfaced with customers via inbound calls, took orders and resolved issues.

Prepared complete and accurate work and updated customer data using computerized systems

(MACS).

ADDITIONAL EXPERIENCE

Verizon, San Diego/Irvine, CA – Technical Support/Customer Service 06/1999 – 06/2004

Jo-Ann Fabrics, Poway, CA – Cashier/Customer Service Associate 05/1994 – 07/1999

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