Customer Service Insurance
Resume:
Mildred M Dugan
Bridgeville, Pa 15017
Email: ************@*****.***
CAREER SUMMARY
Exceeded outbound/inbound calls from customers; patients and providers
Excellent Outbound Education Verifications calls for new Medicare Plans
Knowledgeable Basic computer skills
Welcome Background Check and Drug Testing
Clearance for Act 33 (Child Abuse) and Act 73 (FBI Report), as of 03/2014.
PERSONAL STRENGTHS
Teamwork attitude
Committed to customer service
Outstanding time management ability
Excellent organizational skills
Assignments (3) at Office Team (Robert Half) from 11/07/2013 to 02/16/2014
- as follows:
02/16/2014
Summit Professional Education
One day seminar - Set up and closed registration table; sign in and out
forms; distribution of workbooks; issued documents to attendees; faxed
forms to corporate office; and assist instructor and attendee's.
01/27/2014 to
01/28/2014 Su
mmit Professional Education
Two day seminar - Set up and closed registration table; sign in and out
forms; distribution of workbooks; issued documents to attendees; faxed
forms to corporate office; and assist instructor, and attendee's.
11/07/2013 to
12/30/2013 AA
A
AAA for Basic Membership(seasonal) for new enrollment and Associate in the
same household. Setup and remove display daily at kiosk. Advised of
products and enter membership on laptop and used portable printer at
Robinson Mall.
09/04/2013 to
01/17/2014 Macy
's South Hills Village
Merchandising (seasonal) for departments of china; linens; and house wares.
Bending; lifting; staircases; stepper ladders; empty dollies for restoring
shelves on floor and placing merchandise in storage areas.
04/17/2013 to
06/17/2013 Ran
dstad Agency/Citizens
Inbound call center for Citizens Bank in the downtown area of Pittsburgh,
Pa., to assist customers for
new accounts; questions on rates for certificates; renewal of certificates;
fees for overdraft on customers account; charges not authorized on
accounts; and to promote products to customers.
8/15/2012 to
04/10/2013 D
ial America
Inbound Medicare Advantage (Care Improvement Plus) claims from providers;
hospitals; ambulance services; home care service; long term acute service;
etc. to answer questions on claims statues; eligibility; benefits summary
for coverage; claims mailing address; overpayment and faxed copy to
provider EOB on patients of over payments; routed calls to reprocess
claims to pay according to Medicare guidelines. Outbound Education
Verification (OEV) for new members for Medicare Advantage advised of in
network providers; hospitals; pharmacies; formally prescriptions;
specialists; type of plan for Medicare Card for Medicare Advantage;
Supplement; and Medicaid.
Assignments (4) at NCO Financial Group from 11/25/1998 to 09/08/2011 - as
follows:
01/06/2009 to
09/08/2011 Amer
ican Electric Power
Inbound calls to updated customer's personal information, set up payment
arrangements for delinquent accounts and advised of local agency to assist
to help pay bills; and billing questions.
01/09/2001 TO
01/05/2009 Clevel
and Clinic Foundation
Outbound calls to insurance companies and patients for denial hospital and
physicians claims. Access to Navigator and Hyperspace websites to verify
medical insurance verification and/or to update. UPMC for physicians and
gynecology membership cards update; and UPMC Enrollment.
Assignment ended project
closed/Transferred
01/04/2000 TO
01/08/2001 Aurora
Health
Inbound calls for hospital and physicians claims, reviewed denial claims
from insurance companies for rebilling and/or updating patient's medical
information.
Assignment ended project
closed/Transferred
11/25/1998 TO
01/03/2000 Allegh
eny Power
Inbound and outbound (dialer) for updating customer's information and
setting up arrangements for delinquent accounts to cancel disconnection
notice; advised agency for assistances on delinquent accounts.
Assignment ended project closed/Transferred
Contact this candidate