Customer Service Representative

Cathy Bailey

I am a very hard worker, dependable, great customer service skills, team player, quick

learner and excellent phone etiquette.

Las Vegas, NV 89118

********@*****.*** - 717-***-****

Patient-focused Medical Receptionist/Representative with more than [20] years experience working in a busy medical office/ hospital setting in different departments, and customer service representative in claims corrections for Medicare. I have also worked in retail, warehouse and secretarial positions as well. I have recently moved to Nevada in July and presently searching for employment. Authorized to work in the US for any employer

WORK EXPERIENCE

Customer Service Representative in Claims Corrections and Medicare Part B Novitas Solutions - Mechanicsburg, PA - June 2014 to June 2015 Medicare Appeals Part-B and Customer Service Representative. Answered incoming calls from providers and facilities. Verified that codes and charges were able to be changed for payment. Transferred calls when needed.

Typed up letters to inform provider if part of claim was payable and why part of it was not. Used outlook and excel.

Shoe clerk,Cashier,Ad-set. (part-time)

Kohls Department Store - Carlisle, PA - July 2011 to December 2014 Stocked and replenished merchandise according to store merchandising layouts. Priced merchandise, stocked shelves and took inventory of supplies. Cleaned and organized the store, including the checkout desk and displays. Identified potential shoplifters and alerted management. Welcomed customers into the store and helped them locate items. Used time efficiently when not serving customers, including folding clothes and cleaning out fitting room. Followed merchandising guidelines to present visually appealing displays. Always have a positive attitude and work environment by consistently treating all employees and customers with respect and consideration.

Recommended merchandise to customers based on their needs and preferences. Maintained knowledge of current sales and promotions, policies regarding payment and exchanges and security practices.

Responded to customer questions and requests in a prompt and efficient manner. Contacted other store locations to determine merchandise availability. Engaged with customers in a sincere and friendly manner. Completed all cleaning, stocking and organizing tasks in assigned sales area. Prioritized helping customers over completing other routine tasks in the store. Processed cash and credit payments rapidly and accurately. Medical Receptionist/Unit Secretary

Holy Spirit Hospital/Spirit Physician Services Inc/Carlisle Family Practice/Urgent Care Facility. - Carlisle, PA - October 1998 to May 2014

Patient Service Represent

Scheduled appointments, registered patients.

Completed appropriate claims paperwork, documentation and system entry. Professionally and courteously verified appointment times with patients. Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).

Manage a multi-line phone system and pleasantly greeted all patients. Prepared patient charts accurately and neatly for the clinic. Prepared patient charts, pre-admissions and consent forms as necessary l Coordinated luncheons with Pharmaceutical Representatives.

Maintained strict patient and physician confidentiality. Resourcefully used various coding books, procedure manuals and on-line encoders. Accurately posted and sent out all medical claims. Performed billing and coding for outpatient services. Precisely evaluated and verified benefits and eligibility. Updated patient financial information to guarantee accuracy. Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner. EDUCATION

Medical/Dental Secretary

Correspondence School - Scranton, PA

1989

High School Diploma in Business

Carlisle Senior High School - Carlisle, PA

1985

SKILLS

Customer Service Experience (10+ years)

ADDITIONAL INFORMATION

Skills

Attention to detail, billing, customer satisfaction, faxing, filing, financial, forms, home care, insurance, inventory, good listening skills, medical terminology, front office skills and some back office, organizing, multi-line phone system, follow policies and procedures, coding, phone service representative for claims, retail sales, store merchandising, team player, dependable, phone etiquette and a quick learner, excellent communication skills, excel in front office, data entry/typing,file/records maintenance, filing and data archiving, insurance eligibility verification and self-starter.

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