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Customer Service Insurance

Location:
Tacoma, WA
Posted:
July 04, 2015

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Resume:

TERESA GILMAN

**** *** *** #*-** Tacoma, WA *****

253-***-****

Profile

A graduate of Everest College in the Medical Insurance Billing and Coding Program maintaining a 4.0 G.P.A recognized on the Presidents list winter and fall quarter. I am experienced in following procedures in a timely manner, meeting hard deadlines and proficient in insurance billing and coding. Insurance claim follow up for delinquent customer accounts. Data entry insurance, patient postings, and reports. Proficient in typing, 10 key by touch, Word, and Excel. Externship of 200 hours at Davita.

Education

EVEREST COLLEGE, Tacoma, WA

2013

Medical Insurance Billing and Coding Program

4.0 GPA, President’s List

Clinical Skills

Arranging Patient Accounts

Medical Records Management

Claim Gear

EOB Breakdowns

CPT-4 Coding

ICD-9 Coding

Cimo

Patient Data Entry

Patient Education

MediSOFT

Experience

DaVita Extern 200 hours

EOB breakdown, fax rebills, verify authorization, eligibility and claim status, phone experience.

Worked on spreadsheets, data entry, short pay accounts, Medicare and Medicaid crossover electronic billing.

Follow insurance company’s policies and procedures. Familiar with all major insurance companies BCBS, VA, Medicare, and Medicaid.

McDonalds Restaurant 2007-Present

Crew Trainer

Demonstrated, instructed and trained crew proper techniques, procedures and guidelines with teaching and follow up.

Organized, assembled and maintained product for the days shift.

Strength in accurate order taking multi-tasking, time and money management, attention to detail and following procedures in time allowed.

Customer service skills experience in handling difficult situations.

Olympic Auto Glass

1997 to 2003

Auto Glass Specialist

Followed up on telemarketing lead for customers with windshield damage with specific script provided.

Verified insurance coverage for date of incident. Filled comprehensive claims. Documented necessary information for billing department. Followed up on delinquent accounts.

Managed and scheduled appointments. Scheduled warranty issues for customers. Routed daily appointments for glass repair or replacement. Maintained quota.

Certifications

*CPR/First AID Certified *HIPAA Certified *OSHA Certified *AIDS Education Certified*Certificate for Claim Gear



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