Customer Service Representative
Resume:
SYLVIA PROPHET
New York, NY *****
*************@*****.***
SUMMARY OF SKILLS AND QUALIFICATIONS
• NYS Security Guard registration card and 8 and 16 hour training certificates.
• Experienced in bank operations and auditing.
• Experienced in Managed Care and medical billing, Medicaid and data entry.
PROFESSIONAL EXPERIENCE
Health Plus Brooklyn, NY
Enrollment Representative 1/2005 to 2/2009
• Reviewed Family Health Plus, Child Health Plus, Recert, HCP, and FEEA applications.
• Prepared return slips for incomplete FHP, CHP, Recert, and FEEA applications.
• Reviewed documents provided with the applications for appropriateness in accordance with
New York State guidelines.
• Performed data entry of applications in Health Plus submission database.
• Verified status of Health Plus members.
• Searched Memberpro for household and customer IDs.
• Ran Epaces to ensure that applicants were not active with HCP or another plan.
• Searched Alchemy for birth certificates and proof of citizenship for active applicants.
• Removed audit request and audited applications.
East Village Foot Care Center New York, NY
Medical Biller 7/2004 to 9/2004
• Reviewed Explanation of Benefits for paid and unpaid claims.
• Called insurance companies to find out why claims were rejected and sent letters of appeal.
• Verified that cpt codes were correct on unpaid claims.
JP Morgan Chase New York, NY
Customer Service Representative 4/1986 to 3/2000
Operations Assistant/ Special Service Teller/ Head Teller/ Teller
• Approved all transactions over teller limit using the WOW approval screen for cash checks,
withdrawals, cash advances, check deposits, and checks to be certified.
• Handled customer inquiries concerning new accounts, loans, mortgages and credit cards.
• Researched missing deposits and payments so accounts could be credited.
• Replaced lost, stolen, or worn ATM debit and classic cards on Sinaps.
• Replenished ATMs with cash and ensured ATMs were operational.
• Processed ATM and point of sale claims on computer for ATM compliance area to investigate.
• Responded quickly to telephone messages received from service line.
• Cross-sold banking products and services, and increased sales.
• Opened new savings and checking accounts and activated ATM cards.
• Performed internal audits on ATM books, ATM captured logs and ATM cards, and ensured
compliance with all bank policies.
• Posted to ledger book foreign currency bought and sold, and travelers checks sold.
• Reviewed new account applications for proper documentation.
• Fine counted travelers checks and foreign currency; ensured branch was in proof.
• Spot-checked tellers’ deposits and cashed checks for procedural compliance.
• Performed teller end of the day; ensured journals and cash sheets were initialed.
• Conducted interdepartmental research; resolved customer inquiries.
• Reviewed safe deposit delinquent report.
• Participated in branch monthly cash-count; ensured branch was in proof.
• Processed cables, wires, and drafts for wire department.
• Prepared collection items for Collection Department to process.
• Processed foreign currency bought and sold from customers.
• Ordered money to replenish branch cash supply.
• Prepared excess money for shipment to currency services.
• Prepared payrolls for commercial customers.
• Processed payments, withdrawals, cash check, money orders, and checks to be certified across
the window.
• Prepared individual and department proof.
• Trained new tellers.
EDUCATION
SUNY/Manhattan Educational Opportunity Center New York, NY
Security Officer Training program 4/2011
Caliber Training Institute New York, NY
Medical Insurance Billing program 9/2001
The City College of New York New York, NY
Liberal Arts (Broadcast Journalism) 2/1985
Professional references upon request.
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