JENNIFER DENSON
HOUSTON, TX *****
****************@*****.***
Objective: Seeking to obtain a position within a business oriented environment, which will allow expansion in knowledge and provide growth and opportunity within the company, motivated to provide prompt, friendly and professional service at all times.
Summary of Qualifications:
Exceptional phone etiquette
Advance in all Microsoft software
Able to type 45 wpm
Able to multitask at a consistent pace
Excellent organizational, communication, interpersonal and intrapersonal skills
Ability to maintain accurate and auditable records.
Medicare Claims processing knowledge
Able to safely operate and effectively maneuver a sit down forklift
Experience: LIGHTNING ROADSIDE/TOWING & RECOVERY Houston, TX
Dispatcher 11/2015 to Present
Answering calls from various insurance providers to provide roadside assistance or towing and recovery for members needing assistance. Accepting assistant requests through online portal, speaking with customers to ensure proper assistance, and location. Responsible for inputting correct information into the database in order to dispatch the correct equipment necessary for the assistance needed to a total of 25 drivers within a 45 minute ETA. Log all incomplete or non-serviced customers by purchase order number to ensure adequate payment.
NORTHWEST WOMEN’S CENTER Houston, TX
Insurance Verification 03/3015 to 08/2015
Verified insurance coverage through online provider portal, out to seven business days, contacted insurance carriers; BCBS, Aetna, UnitedHealth Care, Cigna, Humana, UMR, and various private insurances, to verify in network availability and in-office procedures/surgeries using ICD-9/10 and CPT codes, and kept log of any add-on patients to ensure coverage and notified patients of responsibility per insurance.
Front Desk Clerk 10/2014 to 03/2015
Checked patients in and out, scheduled future appointments, and collected copayments and balances, configured coinsurances.
COVENTRY/AETNA HEALTH CARE Houston, TX
Associate Customer Communications Specialist 11/2012 to 09/2014
Assisted members, Providers, Brokers/Agents, delegated vendors, as well as non-members through incoming calls, concerning Medicare Advantage plan inquiries. Updated member’s information and quoted benefits within the member’s policy through Aetna’s database. Assisted callers by researching the appropriate care that coincides with the member’s plan, and found contract vendors to render the services outlined in the member’s benefits.
Trained Claims Processor 03/2014 to 09/2014
Made outbound calls to various billing departments, to update claims processing and billing adjustments. Communicated via internet with provider’s disputing claims processing errors, reprocessed claims, and routed Medical records for review. Pulled contracts to verify accurate adjudication and payment of processed claims. Received medical documentation through the internal system and routed those documents to the appropriate department for review
Home Health Care Provider Houston, TX
Private Patient Specialist 01/2012 to 10/2012
Prepared meals, bathed and up kept patient personal hygiene, dispensed medicine, cleaned and dusted patient home, utilized lift van to take patient to and fro scheduled appointments, provided care throughout the night when patient was hospitalized, and hosted patients celebrations within her home.
FRY’S ELECTRONICS Houston, TX
Customer Care Associate 09/2003 to 11/2003
Dealt directly with customers by telephone, electronically and face to face. Responded promptly to customer inquiries, obtained and evaluate all relevant information to handle inquiries and customer complaints. Kept record of all transactions, counted down cash draw at the start and end of each shift.
KROGER SIGNATURE STORE Houston, TX
Guest Service Representative 05/1999 to 07/1999
Cashier; kept record of all transactions, assisted customers with purchases and refunds, paid bills for customers, aided in faxing and copying information per the customer’s request.
Education: SOUTHWEST FORKLIFT SCHOOL Houston, TX
Sit Down Forklift Certification 07/2016 to 07/2016
CENTRAL TEXAS COLLEGE Killeen, TX
Business Administration 08/2006 to 12/2009
REMINGTON COLLEGE Houston, TX
Pharmacy Technician 02/2004 to 08/2004
DWIGHT D. EISENHOWER Houston, TX
General Education 08/1999 to 05/2003