Customer Service Data Entry
Resume:
Casey Hawkins
Lanham MD *****
*******@*****.***
As you will see from my accompanying resume, my skills and experience are an excellent match for the position you are now trying to fill. I have been involved in the healthcare industry for most of my career. I believe that the healthcare / customer service is a lucrative and successful business.
I hope you find my resume attached for your review, Of particular relevance/interest is the 14 years I’ve spent with APS Healthcare/UAM working in Claims/Customer service, is that I have a passion for client service and, also from my resume, I have a great understanding of the fields that I would be working in.
I am glad to have this opportunity to talk and/or meet with you to further discuss how I can contribute to your team.
Sincerely Yours,
Casey Hawkins
Casey L Hawkins
7207 E Forest road
Landover MD, 20785
*******@*****.***
QUALIFICATIONS:
•Over 18 years of experience in working insurance, benefits and claims processing in a contact and corporate settings
•Strong data entry skills and background, using various medical and vision proprietary software
•Familiar with HCFA and UB92 claims coding through the knowledge of Facets and Premia processing system
•Knowledgeable in using in Microsoft Office: Word, Excel spreadsheets and Outlook, Facets and DMS
•Adept in multitasking and use to worked in a multiple applications
•Strong analytical skills and keen to details
•Work well with management and team members to contribute to the achievement
•Available for interview anytime and can start immediately
EXPERIENCE:
October 2015-Current
SuperiorVision
Claims Specialist / Customer Service
•Processed claims, resolved pends, edited inconsistent data
•Handled duties on a daily basis, coordinating with the customer and providers
•Adjudicated claims in a timely manner in a productive environment
•Applied Superiorvision policies and procedures and client specific claims
•Using Premia processing system to apply and adjuticate claims
•Utilized MS Word and Excel for data entry and tracking
•Used MS Outlook for various correspondence to clients and providers
May 2015 – October 2015
Cleannet USA
Quality Assurance Coordinator
•Handles 10-20 calls per day consisting of general inquiries or customer escalations
•Locates a cleaner or FO (Franchise Owners ) who are looking for work
•Contact clients to ensures that the cleaners are reporting to the assigned shifts
•Uses MS Outlook for various correspondence to clients or building administrator
March 2014 April 2015
Employment gap
•Actively looking for employment
June 2014 February 2015
Staffing Agency
Business Analyst
•Handled projects for BCSB of Maryland, Accums and CVS Project
•Tracked old pharmacy information and amounts from Facets
•Entered the claim info into a CD OTS audit template
•Utilized MS office Outlook in constant communication with internal and external correspondence
•Used MS Word and Excel for data entry
September 2001 February 2014
APS Healthcare
Claims Specialist / Customer Service
•Handled duties on a daily basis, coordinating with the customer and providers
•Processed claims, resolved pends, edited inconsistent data
•Applied applying APS policies and procedures and client specific claims
•Identified pending claims that require referral to support areas for evaluation or correction of data
•Responded to complex service requests and adjusted claims appropriately to resolve the issue
•Adjudicated claims in a timely manner in a productive environment
•Resolved complex claims issues and initiated and tracked recoupment of mislaid claims
•Entered claim information from HCFA 1500 and UB92 claims into system
•Identified claims that required referral to support areas for evaluation
•Tracked claims to ensure that they are returned and resolved
•Initiated recovery of overpaid claims, including tracking and follow ups
•Used Facets 4.81 and Facets 5.0 and 5.10, also DMS (document management system) imaging system for claims analysis and investigation
•Utilized MS Word and Excel for data entry and tracking
•Used MS Outlook for various correspondence to clients and providers
EDUCATION:
Cardozo Senior High School
•High school Diploma (1986)
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