Customer Service Machine Operator
Resume:
Teresa A. Sowell
**********@*****.***
ADDRESS:
LaVergne, TN
EDUCATION:
West Tennessee Business College
Jackson, TN
Graduate of 2001
Medical Administration
Strayer University
Nashville, TN
Currently enrolled
Bachelor in Business Administration / Human Resource
EXPERIENCE:
HCA Brentwood, TN
Cash management May 2011- present
Managed 50 medical clinics –Researches all credit balance accounts and identifies source(s) of overpayment..
Identify coding or billing problems from EOBs and work to correct the errors in a timely manner.
Monitor insurance claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in a timely manner
Completes refund request voucher in accordance with departmental policy and submits to AR Manager for approval.
Caremark/CVS Nashville, TN
Enrollment Specialist Oct. 2010- Feb.2011
Enrolled clients in medical insurance part D and took orders for RX refills
Convergys Clarksville, TN
Customer Service Rep Feb. 2009 - Oct. 2010
Trouble shoot mobile devices for technical issues, add lines and features to customer accounts, took payments, made payment arrangements, discussed accounts with customers
Centennial Pediatrics Nashville, TN
Medical Coding Specialist Jan. 2005- Jun. 2009
Evaluates medical record documentation and charge ticket coding to optimize reimbursement by ensuring that diagnostic
and procedure codes and other documentation accurately reflect and support the outpatient visit.
Interprets medical information such as diseases or symptoms, and diagnostic descriptions and procedures for a given visit in,
order to accurately assign and sequence the correct ICD-9-CM and CPT codes.
Identify and resolve issues or errors, such as incomplete or missing records and documentation, ambiguous or
nonspecific documentation.
Insurance Coordinator
I was responsible for the pre-verification of insurance for outpatient care from primary care physician.
Ensures insurance coverage by telephone/internet, resolves any issues with coverage and escalates complicated issues to the manager.
Interviews patients and completes all paperwork necessary to ensure the visit is efficient and regulatory policies
are in compliance.
Provided benefits administration services including the determination of eligibility, the communication and explanation of
available coverage - checking for enrollments/terminations and the resolution of claim issues.
Department of Children’s Services Coordinator
Responsible for office visits pertaining to children in the custody of The Dept. of Children’s Services including the
scheduling of procedures/follow-up appointments. Ensured and reviewed all demographic data for outpatient clinic visits.
Edgehill Center Nashville TN
Teacher July 2002- Jan 2005
As a head start teacher, I created and employed curricula that was developmentally appropriate and meets the needs of children from diverse backgrounds. I was responsible for participating with a team on a daily basis in planning curricula and adding the necessary parental contribution. Created and maintains relationships with every child and family and assesses their needs. I evaluated the progress on an on-going basis and implements the necessary modifications. As a Head Start teacher I made sure the required documentation was completed and complied with the standards set by the National Head Start program.
Michael Jaynes Law Firm Jackson TN
Office Assistant May 2000-June 2002 Maintains office operations by maintaining supplies and equipment; receiving, preparing, and transmitting communications; picking-up and delivering items.
Douglas and Lomasom Milan TN
Machine Operator/ Quality Control June 1991- April 2000
I operated a double –needle over lock machines in a stand up sewing position. Assist the line in making changeovers and cleaned machines and work areas.
I ensured that the head and arm rest being sold was not in any way harmful or defective. Also ensured that, product should be a functioning tool or item, that worked properly without a hitch.
REFERENCES PROVIDED UPON REQUEST
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