Customer Service Medical
Resume:
Esther umahon-otono
*****************@*****.***
Houston,TX 77033
Phone832-***-****)
objective
Articulate, energetic, customer service oriented self-starter seeks an
opportunity to become a value-adding employee of your company.
High Lights of Qualifications
• Proven ability to obtain results, hard working, willing to learn and accept
constructive criticism.
• Excellent writing, oral communication, and listening skills.
• Ability to file, answer multi-line phone system, type 45 wpm, and
knowledge of 10 keys by touch and sight 10,000 Keystrokes
• Able to view problems in a positive way and propose solutions.
• Strong knowledge of Windows: Excel, Word, PowerPoint, Access
• Oracle, SAP, and Peachtree Software
• Reliable, adaptable, with a quick grasp of new systems, and training initiatives.
Experience
01/2015-Present Geico Katy,TX
Claims Adjuster
• Obtains information by telephone/internet from policyholders, claimants
or adverse carriers
• Establishes new loss reports and sets up the subsequent claim file
• Verifies necessary accident facts and circumstances by telephone, internet
and/or mail and determines applicable policy and coverage
• Determines the company’s loss payment exposure under the policy
contract and prepares claims for payment
• Receives telephone and/or internet inquiries from policyholders, claimants
or repair shops and resolves questions and complaints
• Maintains and settles first and third party none or full liability,non-injury
claims by telephone and/or internet working files toward closure
• Detrmines possible payment recovery. Opens or refers claims to payment
recovery
• Speaks with internal and external customers in a way that builds Geico’s
customer base and promotes customer satisfaction through
efficient,accurate, and courteous interactions
08/2010-01/2012 University of Texas MD Anderson Cancer Center
Houston,TX
Patient Services Coordinator
• Prepares and submits claims to insurance companies either electronically
or by paper.
• Maintain hard copy and electronic filing system.
• Converting patient paper medical charts to electronic medical records
chart (EMR) system. Processing requests for medical records for clients
and/or Doctor’s offices or medical practitioners.
• Ability to interpret and discuss insurance explanations of benefits and
payments.
• Researches billing issues and responds to telephone, electronic & in-
person account inquiries and complaints.
• Researches unpaid and denied claims to determine course of action.
• Knowledge of basic accounting principles and healthcare billing and
collection practices.
• Submits letters of appeal on denied insurance claims.
• Ability to interact with, understand and update applications used to
manage patient accounts.
• Communicates with providers, patients, and families to ensure the
continuity of care.
• Accurately maintains and files medical records and documents.
• Files all medical records in proper order following office guidelines.
• Processes and obtains accurate requested information ensuring the proper
release of information according to Federal/State/HIPPA guidelines.
• Answer telephones and transfer to appropriate staff member.
• Meet and greet clients and visitors.
• Maintains strictest confidentiality; adheres to all HIPPA guidelines and
regulations
02/2007-08/2010 Kalei Hair Studio Inc. Houston,Tx
Accounting Clerk/Office Manager
• Responsible for invoicing,
• Data-entry, preparing documentations and handling incoming mail.
• Handled daily inventory audits, accounts payable, and receivables.
• Responsible for all cash management functions: This includes but is not
limited to daily check runs, reviewing and approving accounts payable
vouchers.
• Processed credit card charges and applied check batch totals in accounting
system
• Provided excellent customer service to clients.
• Handled all vendor request and scheduled pickup and delivery for salon
items and uniforms.
• Vendor Maintenance
10/2005-01/2007 International Facility Management Association
Houston,TX
Accounting Clerk Specialist
• Maintained the overall integrity of the iMIS database, adhering to strict
input guidelines, and assisting with the maintenance of the iMIS database
records
• Heavy Data Entry
• File and Database Management
• Entered data from all new membership applications as well as renewals in
the iMIS database. This includes the review of membership records in
order to identify duplicate records and duplicate payments.
• Processed credit card charges and applied check batch totals in iMIS
accounting system
• Entered data from event registration forms in the iMIS database Processed
credit card charges and applied check batch totals in Excel Spreadsheet
Format
• Prepared confirmation letters and receipts for all transactions
• Followed up on declined credit cards, returned checks and refunds
• Reviewed, coded and approved all new membership applications, and
invoices for membership renewals
10/2003-10/2004 Affiliated Incorporated Services (Xerox Services Inc.)
Houston,TX
Account Receivables Clerk
• Recording of manual payments
• Data-entry, preparing excel financial reports
• Handled accounts payable, and receivables.
• Generate daily reports including electronic fund transfers (EFT),
• Manual payments and foreign currency payments,
• Manual wires, clearing payment rejections.
• Provided excellent customer service to clients.
Education
2011-Present University of Houston
Houston,Tx Bachelor of Arts
2004–2011 Houston Community College
Houston, Tx Associate of Arts
1996-1999
Oakland,CA Castlemont Senior High School
Diploma
Employee that is hardworking and willing to do what is asked of me to
improve my skills and the overall production of the company. Reliable and
adaptable to any situation with the ability to view problems in a positive
way and come up with appropriate solutions.
Contact this candidate