Customer Service Medical

LASHAWN PILLAR

SUMMARY

LaShawn has over * years of clerical and customer service experience. She is familiar with informing customers about benefits, data entry of provider and enrollment information, submitting claims, and assisting providers with member eligibility. LaShawn focuses on quality and efficiency and possesses strong communication skills.

TECHNICAL SKILLS

Microsoft Office Suite (Word, Excel, Outlook, PowerPoint), Medical Manager Software;10-Key; HIPAA, Oracle, Touch star, five nine, Cisco, Right Now, and Putty, POS, Navigator

PROFESSIONAL EXPERIENCE

Aetna 11/13 – 10/14

Associate Customer Communications Specialist

Assisted customers with locating a PCP and appointment scheduling

Provided claim status for providers, assisted with submitting claims for reprocessing and appeal statuses.

Informed customers of benefits, eligibility status and enrollment information

Made updates on address changes, newborn enrollment and PCP changes

Assisted providers with member eligibility, authorization status and updates on patient’s coordination of benefits

Men's Wear house 08/11 – 04/13

Office Staff

Performed various secretarial/clerical duties such as documenting, photocopying, faxing, mailing, and organizing filing system

Answered telephones and transferred calls to appropriate staff members

Updated customers profile, documented complaints, questions and changes to accounts

Processed payments via phone and online

Men's Wear house 04/10 – 08/11

Customer Service Representative

Set quality appointments for in store bookings

Received measurements and accepted payments by phone

Filed and recorded corporate documentation, electronic files, inventories and reports

Okehie & Associates 01/07 – 07/09

Medical Administrative Assistant

Ensured the accuracy of the codes and bills

Called patients and Insurance companies to verify Information

Filed claim forms and updated payments

Maintained records of solved and unsolved medical billing claims

Organized information for individual employees and clients

Iqor 07/08 – 10/08

Medical Insurance Agent

Processed medical claims

Communicated with Insurance company to check claim status and patient eligibility

Mailed correspondence to patient's and verified information of delinquency’s

Made sure CPT codes were entered correctly and patients information

EDUCATION

Westwood College, Houston, TX

Medical Insurance, Coding and Billing Diploma

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