Customer Service Medical
Resume:
Rosemary Herger
Tampa, FL 33617
813-***-**** **********@*****.***
SUMMARY
Responsible, dedicated, highly dependable and achievement oriented Data
Entry / Clerical professional. Successful in completing work accurately
and on time. Strengths include the ability to work well with people, team
player, learn new skills quickly, and work well under time pressure.
Ability to work well with co-workers and management. Ability to deal with
customers. Bilingual: English / Spanish.
Expertise in
Multi-tasking Willing to Learn
Data Entry Computer Proficiency
CSC, XTCM Telephone Answering, 5 Lines
Filing Customer Service
Analytical Skills Excellent Organizational Skills
Office Machines: Fax, Scanner, Microsoft Office: Word, Excel,
Copier PowerPoint, Access
Professional Experience
Tampa Family Health Centers / Tampa, FL 2014-2015
Referral Clerk
Responsibilities:
. Processing referral requests from clinics.
. Inbound and Outbound calls to insurance carriers to obtain authorization
and patients eligibility
. Support for referral unit volunteering with other pools and mail
processing
METLIFE, Inc/Manpower, Inc. Tampa, FL 2013-2014
LTC General Clerk
Responsibilities:
. APS requests
. Onsite Assessments requests
. Support for LTC unit & care coordinators
. Processing of HIPAA-Special Auth ltrs and med releases
Rosemary Herger Page Two
ADT, Inc/Apple One Staffing a Tampa, FL 2013
File Clerk
Responsibilities:
. Pulling files
. Sort files into categories
METLIFE, Inc/Avion Systems, Inc Tampa, FL 2013
Document Specialist
Responsibilities:
. Policy Assembly
. Binding
. Stuffing policies to be mailed.
. Support for policy assembly department
. Process of AUD-DEC Letters
. Gauls
Humana, Tampa, FL 2007 - 2013
Claims Clerical Mail Clerk
Achievements:
. Created a log for easy tracking for Claims and Service operations unit.
. Created a form for the clerical unit which allows for less paperwork.
. Helped with the improvement of the Medicare medical log.
. Perfect service to the clerical unit in helping meet datelines.
. Inside customer service.
Responsibilities:
. Sorted, doc stamp and batch CMS-1500 and UB-04 claims.
. Log and attach certified mail CMS-1500 and UB-04 into Microsoft One Note.
. Preload of CMS-1500 claims into CSC.
. Support for clerical, service operations and MCR.
. Picked up and file batched claims after examiner's processing.
Rosemary Herger Page Three
Choice Medical Management, Tampa, FL 2004 - 2007
Complex Care Billing Coordinator / MBR Clerk
Achievements:
. Work supporting the departments in several ways.
Responsibilities:
. Administrative support for the field representatives.
. Scanned and Indexed medical records and other correspondence.
. Faxing, filing, handling correspondence including mailing and enter
information related in logs.
. Sorted and batched medical claims.
. Spanish interpreter for the Telephonic Case Managers.
. Reception support.
. Audit claims and EOBs.
Remedy Staffing, Tampa, FL 2004
General Clerk
Achievements:
. Perfect service on an assignment resulted in being hired as a permanent
employee.
Responsibilities:
. Incoming and outgoing mail, batching, medical bill review.
. Filing.
Additional Experience
Stewart Enterprises, Inc., San Juan, PR
Receptionist
Achievements:
. Customer service satisfaction.
Responsibilities:
. Reception.
. Scheduled cemetery services and helped customers with the location of
their loved ones
. Customer Service.
EDUCATION
B.A. Health Sciences Mgmt., University System Ana G. Mendez, Tampa, FL,
current
Psychology & Social Work, Stratford Career College, online, VT, current
Accounting and QuickBooks, Erwin Tech, Tampa, FL 33619, 2014
Medical Terminology, Medicare 101, Learning Center / Humana, Tampa, FL,
2013
Medical Billing and Coding, Penn Foster Career School, Scranton, PA, 2013
Medical Administrative Assistant, Everest University, Tampa, FL, 2010
Computer Software Specialist, Erwin Tech, Tampa, FL 33619, 2003-2005
Medical Secretary, American Educational College, Bayamon, PR, 1995
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