Customer Service Sales

Jhayla Weston

**** ***** **** ** ********, GA 404-***-**** *********@*****.***

EDUCATION

Penn State University, Pittsburgh, PA

Candidate for Bachelor of Science

Psychology and Accounting 2004-2007

PROFESSIONAL EXPERIENCE

Highmark-Blue Cross Blue Shield

Contractor Billing Specialist, July 2015-Current

Demonstrates analytical and problem solving abilities while processing a mindset of accuracy and attention to detail

Ability to perform detailed research resolve issues, close them out and follow up with impacted partner about how matter resolved or outcome of research

Work closely with internal staff as needed to ensure effective A/R collections effort

Manage external client reports on a monthly basis and process billing queues/inquiries in a complete timely manner

Claims submission along with posting payments for all insurance and subsidiary carriers including Medicare and MediGap

Use and Knowledge of billing software for also verify patient information( ICIS, INSINQ, mainframe, Enrollment Communication System, Oracle PeopleSoft (Accounts Payable/Accounts Receivable))

Make follow miscellaneous adjustments, unapplied cash, and request refunds for members

Post and reconcile insurance and patient payments, research and resolve incorrect payments, and other issues with member accounts

Reviewed and analyze customer-billing inquiries submitted by call center and field service reps. Processed account corrections and transactions as directed by business operations managers and analysts.

Oversight of cash applications activities (including checks, credit card and ACH/Wire/Lockbox payments)

Guaranteed the accurate recording of customer payments by researching misapplied inquiries

Maintain compliance with all company policies and procedures

Family Eye Care, Atlanta, Georgia

Assistant Manager/Ophthalmic Assistant, June 2013 – September 2014

Recorded patient medical history(EMR) and explain sign-in form questions

Effectively sold associated products such as frames and lenses through consultative selling techniques

Managed administrative duties of the office, obtain appointment schedules stays on track

Performed various vision and diagnostic tests such as tonometry, visual acuity (distance and near), color vision, stereopsis, blood pressure, IOP, and refractometer

Explained post-visit care to patients after procedures are completed

Supervised and trained employees on company policy procedures

Interpreted prescriptions written by ophthalmologists and optometrists

Collected of eye measurements including corneal width and thickness

Use a variety of equipment to fit, adjust and dispense eyewear, contact lenses and low vision aids

Maintain budget for purchase of inventory to obtain goods quality eyewear and examination products

Organize and maintain exam room to keep efficient flow for the office.

Adidas, Atlanta, Georgia

Sales Team Lead, April 2011 – June 2013

Provided assistance in recruiting, training and supervising 15+ customer service reps and cashiers.

Fostered an environment in which guests enjoyed high levels of service and employees were motivated to deliver top performance

Prioritized duties of labor planning (payroll), sales, inventory, merchandising, direct messages, emails, conference calls and manager meetings

Skilled in in-store operations, POS systems and various software packages including MS office to use excel to report data analysis tasks for daily sales and end of month trends for customer sale comparison within the store

Supervised sales transactions to ensure quick and accurate processing while adhering to cash protection procedures

Meeting and Exceeding assigned goal targets and KPI’s

Marketed sale promotions within the business to advertise to consumers

Minimized loss by implementing, monitoring and tracking all loss prevention activities

University of Pittsburgh Medical Physician Services, Pittsburgh, Pennsylvania

Unit Clerk/Receptionist, June 2006– March 2011

Provided clerical support to all central billing office staff (CBO)

Interacted with personnel from the practice and UPMC hospital organizations to coordinate the exchange of information in a timely manner

Operated telephone switchboard- answering, screening and forwarding calls, providing information, taking messages, greeting/directing arriving clients and scheduling appointments

Increased office organization by developing more efficient filing systems and customer database protocols, and memorandum for organizational support

Assisted medical billing, collection specialists, and customer service representatives with various tasks as needed by use of epic hyperspace medical software (e.g., research information, sort correspondence/claims, photocopy bills or EOBs/ABN, request referrals, pull files, etc.)

Reviewed documents, reports, and applications for inconsistencies ensuring data entry was complete and accurate using Microsoft Excel to organize patient names and health information

SKILLS

Knowledge of HIPPA and OSHA policies and procedures

Microsoft Office Suite/Software

Compulink

My Vision Express

Officemate

Emdeon Software

Knowledgeable of Health Insurance

Regulated PeopleSoft (Accts Receivable & Accts Payable)

Use SQL Development (Basics)

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