Customer Service

Tiajahnye C. Robinson

**** ***** ***

Sacramento, CA 95757 Cell 916-***-****

CAREER OBJECTIVE

To obtain a position within a professional setting that requires customer

service and administrative skills

SKILLS & ABILITIES

Alpha - Numeric Filing Processing Payments

Cashiering

Operate Office Machines Applying Cash

Team Work

Authorizations Medical Billing

Scheduling

General Office Duties Communications Skills

Computer Systems

Appeals Answer Multi-line Phones

ICD 9/ CPTCoding

EXPERIENCE

Claims Compliance Auditor/Account, Wittman Enterprises, CA 9/09 to

current

Follow up on unpaid claims and denials, contacted healthcare providers and

automobile claims adjusters to research payments on claims, submitted

claims for payments, contacted patients for remaining balances on accounts

and submitted appeals to providers.

Externship, Timberlake Home Healthcare & DME supplies, Sacramento, CA,

09/08 - 10/08

Updated patients medical eligibility information, prepared and mailed out

medical claims, mailed out correspondence letters to patient and obtained

prior authorizations

Accounts Receivable, Coram Healthcare, Sacramento, CA 02/05 - 10/07

Prepared and maintained patients charts, followed up on unpaid medical

bills, Identified and prepared adjustments and write offs as appropriate.

Construed contracts with payers to ensure proper payment. Sent initial or

secondary bills to insurance companies. Processed refunds, reinstatements

and rejections of insurance claims. Applied cash reports bimonthly.

Performed administrative functions including sending outpatient letters,

Mac pricing and working a weekly average of 150 accounts daily. Ensured all

cash, adjustments and refunds are posted to system before the close of each

month.

Customer Service Rep, California State Automobile Association, Elk Grove,

CA 09/02 - 01/05

Answered incoming calls, advised auto club members of their coverage and

insurance status, re-rated auto policies, added vehicles and drivers to

auto policies and memberships, performed motor vehicle checks.

Customer Service Rep, Advance PCS, Rancho Cordova, CA 07/00 - 08/02

Answered incoming calls, advised members of the types of prescription

coverage they had, gave co-pays, located pharmacies, and requested prior

authorizations from health plans for non-covered prescriptions.

EDUCATION & TRAINING

San Joaquin Valley College, Rancho Cordova, CA

Administrative Healthcare Management

Medical Computer Software Systems

Sacramento Job Corps, Sacramento, CA

Data Entry, Computer Systems

PERSONAL QUALITIES

Reliable Professional Responsible Energetic Motivated

Focused

Contact this candidate