Customer Service Representative
Resume:
Krista Johnson
Richmond, Texas 77407
E-mail: **************@*****.***
OBJECTIVE:
Obtain a position utilizing my skills in an environment conducive to continued personal and professional growth.
QUALIFICATIONS SUMMARY:
• Dependable professional
• 7+ years of experience in providing effective client and administrative support
• Excellent verbal, written and customer interfacing skills
• Strong research skills
• Excellent communication skills
• Great analytical skills
• Demonstrates ability to prioritize and meet deadlines
• Self-motivated
• Result-oriented
• Strong desire for constant learning
• Proficient in Microsoft Office Suite (Word, Outlook, Excel, PowerPoint)
• Knowledge of peripheral devices
COMPUTER SKILLS:
•Online capabilities (Internet, Email),CSP Facets, Macess, Citrix, Care One, Care Core, Psi, Type 65 wpm, 10 key, insurance verifications, Billing, Invoicing, CPT & ICD-10 Coding, HCPCS,1500 Claim Forms, UB- 92, Medisoft, Patient charting, Medicaid and Medicare terminology, Transcripts.
EXPERIENCE:
July 2015- February 2016
UNITEDHEALTH GROUP (UNITEDHEALTHCARE COMMUNITY & STATE)- Clinical Administrative Coordinator
•Respond to incoming Provider and Enrollee calls for state plans (TX, NE, LA, KS, NY, NJ, AZ)
•Enter notifications, Providers' status of an existing notification, and determining if notification is required.
•Complete Notification Wizard, along with ICD-10 and CPT Coding.
•Provide excellent Customer Service to both Providers and Enrollees.
•Assist with faxes and emails.
•Build authorizations in UHC system.
•Provide clear and accurate documentation in accordance with CMS
•Verify Eligibility and Patients benefits
•Check claim status for Providers
February 2015- June 2015
Baylor College of Medicine- Patient Account Representative
• Responsible for billing and Coding of patient accounts
• Established payment solutions for Clients
• Verify patient benefits with insurance companies
•Appeal denied claims
•Rebill claims
August 2014- December 2014
Optum/ United Healthcare- Customer Service Representative
• I worked in assisting Vermont Health Connect project in assessing the needs of applicants into healthcare services and other needed options. Providing needed customer service to the applicants in order to expedite any needed services being rendered for them. I provide education to the applicant on the process and completion of all needed updates and changes for their family members or themselves; meeting the deadlines to maintain the prerequisites that have been given to me by management.
August 2013 – April 2014
Global Healthcare Alliance- Claims Specialist
• Responsible for billing and Coding of patient accounts
• Established payment solutions for Clients
• Verify patient benefits with insurance companies August 2011 – October 12
Foundation Surgical Hospital- Claims Specialist
• Responsible for billing and Coding of patient accounts
• Established payment solutions for Clients
• Verify patient benefits with insurance companies May 2010 – August 2010
Foundation Surgical Hospital- Receptionist/PBX Operator
• Answering phones on a multi-line phone system
• Responsible for admitting Emergency Room patients
• Entering patient food orders into the system
• Customer Service
February 2009 – September 2009
Fort Bend ISD- Assistant Site Coordinator
• Worked with students in After School Program
• Carry out instructional procedures
July 2008 – January 2009
First Data Corporation- Account Manager
• Collected overdue payments from Clients
• Established payment solutions for Clients
• Customer Service
July 2006 – July 2008
Don McGill Toyota- Receptionist
• Responsible for answering phones on a multi-line system
• Daily general office administration (Typing, filing, mail)
• Customer Service (Showroom)
EDUCATION:
Wharton Country Jr. College
Sugar Land, Tx
Major: Business/Accounting
George Bush High School
Richmond, TX
Graduation – May, 2006
REFERENCES:
Kary Jackson – Optum Healthcare
Team Lead
Jasper Johnson -JSI Air Conditioning & Heating
Owner
Belen Hall- Houston Orthopedic Surgical Hospital
Verification, Admissions, and Billing Supervisor
Contact this candidate