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Customer Service Representative

Location:
Clayton, NC
Posted:
August 19, 2014

Contact this candidate

Resume:

Phone 919-***-****

E-mail acfg8q@r.postjobfree.com

*** ***** **

Clayton, NC 27520

Candi H. Sanders

Objective To find an interesting position with a growing company that is focused on growth and success.

Work experience 07/2013- Present CSC

Customer Service Representative

• Gained and applied knowledge of the NCTracks web portal for providers.

• Assist providers with registrations, payments, claim denials, prior approvals.

• Handled inbound calls in a call center environment in a timely manner.

• Assist with email correspondence to providers that have issues with NCTracks provider

portal.

02/2013- 05/2013 Cigna Insurance

HEDIS Administrative Assistant

Contact health care professionals to request the medical records of patient’s that were seen

in their office during 2012, and abstract the necessary information needed to comply

with HEDIS measures to comply with NCQA accreditation.

06/2012- 09/2012 RTI International Raleigh, NC

Data Collection Specialist

Receive and abstract medical information from CMS-1500 forms, medical records, and EOB

statements provided by providers relating to the cost of care that patients receive from

providers.

The primary purpose of the Medical Provider Component is to collect detailed charge and

payment data from hospitals, physicians, home health care providers, and pharmacies to

supplement information received from Household Component respondents on their

health care expenses. The billing data collected includes whether a visit was capitated,

charges for each procedure (CPT4) for office-based and outpatient department visits,

and amounts for each source of payment. Diagnosis codes for medical visits and stays

and NDC codes for prescription drugs are also collected. While the Medical Provider

Component was not designed to make stand-alone national estimates, the detailed

information on payments, procedure codes, and diagnostic codes support a variety of

analyses not possible with the Household Component data alone.

10/2011-06/2012 Notifymd Raleigh, NC

Patient Account Representative

Answer urgent and non-urgent phone calls from patients and take messages to relay to

healthcare clients. Must take detailed, critical, pertinent and relevant patient information

to help expedite the providers response time to the patient.

Make outbound telephone calls by contacting patients for a variety of patient out-reach

efforts such as scheduling an appointment, wellness programs, satisfaction surveys,

overdue mammograms, and immunization compliance.

Enter patient information into customized computer system for client records.

May be called upon to provide detailed information to clients regarding a call with a patient.

02/2011-05/2011 Hospira Inc. Clayton, NC

Production Line Operator

Worked on a production line, bottling medications and preparing them to be shipped to

various pharmaceutical companies.

Also assured that equipment is operating properly, reports and or/corrects malfunctions and

may assist others in complex set up/repair operations.

Complete a variety of accountability reports, pull samples for identification, testing and may

perform routing product/process functional tests on line.

01/2006- 08/2010 The News & Observer Raleigh, NC (Delivery hours were 3am-6am)

Contractor

Was responsible for the delivery of the local morning newspaper.

Was responsible for making sure that all customers’ accounts are paid up to date. Billing

customers.

Was in charge of stopping and starting subscriptions upon request.

08/2009-10/2009 ACS ( Voluntarily quit due to high risk pregnancy)

Customer Service Representative

Was responsible for gaining knowledge about Medicare Part D.

Answered calls from customers regarding their current insurance coverage.

Answered questions about what medications would be covered during the next calendar year,

and whether or not there were generics available.

12/2004- 12/2005 Advanced Health Resources Raleigh, NC

Mentor

Assisted individuals with physical or mental disabilities to accomplish goals set forth by the

state or legal guardian.

04/2002-03/2005 The News & Observer Raleigh, NC

Customer Service Representative

Assisted customers with daily delivery of the local newspaper.

Assisted customers with posting payments properly.

Dispatched trucks out to carriers that have called in shortages.

06/2001-04/2002 Sunnybrook Alzheimer’s Center Raleigh, NC

Certified Nursing Assistant

Performed duties in care of patients in nursing homes under the direction of nursing and medical staff.

Answered signal lights, bells, and intercom systems to determine patients’ needs.

Recorded temperature, blood pressure, pulse and respiration rates, food and fluid intake and output, as

directed.

11/2000-05/2001 Holiday Inn Hotel and Suites Cary, NC

Night Auditor

Verified and balanced entries and records of financial transactions reported by various hotel

departments during the day, using adding, bookkeeping and calculating machines.

Greeted registered and assigned rooms to night guests.

Kept records of room availability and guests’ accounts.

Computed bills, collected payments and made changes for guests.

10/1999-09/2000 American Kennel Club Cary, NC

Customer Service Representative

Applied knowledge of dog registrations and assisted customers with completing the registration process

for dog shows.

Assisted customers with completing registrations to get dogs registered for Westminster Dog Shows.

09/1998-08/1999 Learning as We Grow Childcare Raleigh, NC

Toddler Teacher

Prepared outline of material to be covered and submitted it for approval.

Selected and assembled materials to be used, such as pieces of pottery or samples of plant life.

Instructed children in activities designed to promote social, physical and intellectual growth.

09/1997-06/1998 Food Lion Raleigh, NC

Office Assistant

Kept records of financial transactions for establishment, using calculators and computer.

Verified details of business transactions recorded on sales slips, invoices, receipts, check stubs, and

computer printouts.

Analyzed office operations and procedures, such as typing, bookkeeping, preparation of payrolls, flow

of correspondence, filing and the requisition of supplies.

Coordinated front-office activities.

Education Wake Technical Community College 1995-1997

Business Administration; Early Childhood Education

Virginia College 2010- 2012

Medical Office Administration

Kaplan University 2013- currently pursuing

Medical Office Management

References Available upon request



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