Customer Service Insurance
Resume:
Melissa Harris
Covington, GA ***16
Home Phone: 770-***-****
E-mail: *****************@*****.***
Objective
To benefit your company with my strong customer service, collection skills
and with full knowledge and understanding of customer satisfaction.
Work History
Healthcare Customer Service/Collector, United Health Group ~ Atlanta, Ga ~
12/13 ~ Present
* Answer and Resolve heavy incoming calls in a call center environment
* Contact members to discuss outstanding balances and payment arrangements
* Post payments to member accounts
* Bill medical and hospital claims to patient insurance company
* Assist team members with questions regarding new contract policies and
claim backlogs
P/T Work @ Home Customer Service Rep, New Corp/Assurion, Sterling, VA ~
09/13 ~ 12/13
* Review and Resolve customer billing inquiries
* Setup payment arrangements and resolve customer discrepancies
* Assist with technical issues pertaining to their home service
* Answer Heavy Inbound Calls from membes
Collector, Gentiva Health Services ~ Atlanta, GA ~ 10/11 ~ 10/13
* Process and Bill claims to correct insurance companies
* Answer Heavy inbound calls from members and providers
* Contact clients and Insurance payers via phone to resolve issues and
outstanding balances
* Assist bank card members with payment arrangement options
P/T Work @ Home Bank Card Collector. Delanor, Kemper & Associates ~
Atlanta, GA ~ 11/09 ~ 09/11
* Contact debtors via telephone/dialer about outstanding balances on bank
cards and payday loans
* Answer and Resolve heavy incoming calls pertaining to outstanding
balances and payments on accounts
* Setup payment arrangements and negotiate balances for Settlement Offers
on delinquent accounts
* Process credit card payments daily
Reimbursement Specialist. DeKalb Medical Business Office~ Decatur, GA ~
10/08 ~ 10/11
* Bill medical claims to appropriate providers for payment
* Review and Resolve Denied Claims on Weekly Reports to completion
* Contact insurance companies to verify member eligibility, Co-Payment,
Deductible & Coin
* Follow Up with healthcare payers for claim status, payments and denials
Commercial Insurance Biller/Collector. HCA Healthcare Company ~ Norcross,
GA ~ 07/05 ~ 10/08
* Bill claims electronically to Medicare and Commercial Insurance companies
for payments
* Contact insurance companies/members via telephone/mail to resolve unpaid
hospital claims
* Assist patients with questions concerning charges and unpaid claims
* Update patient accounts records with address and new insurance
information
Claims Analyst/Team Lead...TPA/ Magnacare ~ Garden City, NY ~ 09/00 ~ 06/05
* Answer Heavy Inbound Calls from members and providers in a call center
environment
* Bill medical and hospital claims to insurance companies
* Contact insurance providers for claim status and additional information
needed to process payment
* Review contracts and claims for correct charges and payments
* Process Medical and Hospital Claims
* Contact Union Reps for Self-Funded High Dollar Claims that required
additional review
Education
* NYS Licensed Day Care Provider
* NYS Licensed Real Estate Salesperson
Computer Skills
* Micro Soft Word, Power Point, Excel, Word Perfect and Lotus
References furnished upon request
Contact this candidate