Customer Service Medical
Resume:
TERESA M. CROCKETT
Unit *
Philadelphia, PA 19154
******.**********@*****.***
OBJECTIVE
To obtain a position where I can utilize my capabilities and be an asset to an organization, as well as continue to develop my skills.
WORK EXPERIENCE:
October 2010 – Present IBC - AmeriHealth Administrators Fort Washington, PA
Customer Service Rep
Expediting of incoming medical insurance inquiry calls to the Fort Washington Call Center. Assisting member, providers and facilities
with inquiries regarding insurance eligibility and benefits, claims status and various issues regarding PPO, COBRA, FSA and Dental
policies administered by AmeriHealth Administrators. Collecting and forwarding of various information needed to process claim for
payment to Coordination of Benefits, Subrogation and Enrollment Departments.
April 2008 – August 2010 Medical Home Care, Inc. Wayne, PA
Lead-Customer Service/Account Receivable/Collection Rep
Be the go to person on the floor, assisting the Customer Service Department with various customer relations issues that arise externally
and internally, as well as in the retail location. Processing the daily receivables for bank deposit, as well as posting the daily receivables
to the appropriate accounts. Processing of the electronic billing to various insurance carriers including Medicare, BC/BS, Aetna and
United Healthcare. Distributing of paper claims to the appropriate Billing Representative for processing. Work closely with the Billing
Department Reps to assure that EOB are worked correctly to assure prompt resubmission of rejected claims for payment. Assist the Vice
President with annual evaluations of office personnel and addressing performance issues as need with office staff. Keeping track of
office supply needs and preparing order for the Purchasing Department.
March 2004 – April 2008 Medical Home Care, Inc. Wayne, PA
Customer Service/Account Receivable/Collection Rep
Verifying Insurance eligibility to assure payment of Durable Medical Equipment claims to Aetna, Independence Blue Cross, Medicare,
Medicaid and other various insurance companies. Follow up on Explanation of Benefits forms to resolve open and rejected claims.
Gathering proper documentation to be submitted to the review department, assuring Certificate of Medical Necessity are valid and clean
to support patient need for services rendered, to assure payment of claims. Processing electronic claims in a timely matter and
processing appeals to the various insurance companies with the proper documentation to have unresolved claims processed for Payment.
October 2001- November 2007 GAP, Inc Ardmore, PA
October 2010 - Present
Sales Associate/Cashier
Assisting consumers with various needs, while they are shopping in the store. Maintaining Fitting Rooms during store hours and
clearing away all tried on merchandise, prior to closing. Maintain cash wrap while on register, as well as market GAP Cards to
consumers while they shopping in the store and when they are at the check-out counter. Provide supreme customer service at all times to
uphold the GAP standard.
EDUCATION
Overbrook High School High School Diploma – 1981
Temple University Non Credit Program Advance Courses for Windows 95 - 1998
Micro Soft Word 6.0, Beginners 7 advanced Courses
Beginners Excel 7.0
REFERENCES UPON REQUEST
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