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Customer Service Representative

Location:
Madison, MS, 39110
Salary:
negotiable
Posted:
August 13, 2016

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Resume:

Precious Y. Miller-Tate

*** ******* *****

Madison, MS 39110

Home 601-***-****

Mobile 601-***-****

E-Mail acv5r0@r.postjobfree.com

OBJECTIVE

Seeking an opportunity for continued growth in a customer service environment. Desire position with upward potential to demonstrate communication and interpersonal skills while contributing to the company's growth.

EMPLOYMENT EXPERIENCE

Feb. 2009 to Chickasaw Nation Industries (CNI) Ridgeland, MS

Aug2011 Case Analyst I

Research claims data and applicable guidelines, makes request for refunds, and provide information to those making inquiries regarding secondary payer liability and action to be taken. Compose letters notifying proper parties of case status. Review and process correspondence received in relation to the work performed for the Medicare Secondary Payer Recovery Contract. Responsible for ensuring payments and adjustments of claims have occurred in accordance with the MSP laws, laws and will initiate recovery of mistaken payments in accordance with the laws established for each category.

Sept. 2007 to PharMerica Ridgeland, MS

Nov. 2008 Consultant Biller

Received promotion in September. Bill Consulting and Medical Records for 16 Pharmacy in 6 states on a monthly basis. Bill IV nurse and Beverly charges. Responsible for Facility Contracts. Liaison between Consultants and Facilities. Reconcile Friends home, and Delta Facilities. Adjust Matria charges and run the monthly statements to send to PCA Indy. Make sure all miscellaneous batches are closed before month end. Handle Ledgers, variances, write offs, and adjustments. Work general ledger, responsible for AP/AR accounts. Train admission and billing reps.

Feb. 2005 to PharMerica Ridgeland, MS

Sept. 2007 Facility Coordinator

Act as a liaison between 33 Facilities and a Pharmacy. Responsible for admitting all resident from each facility into the system. Obtaining accurate billing information, verifying all insurance, reversing payments and collecting money on the front end. EOM billing, PPS billing, Beverly Billing, 25th month Billing and numerous reports and spreadsheets. Knowledge of Medicare A and D, Medicaid, and Private insurance.

Jun. 2003 to AT&T Wireless/ Cingular Ridgeland, MS

Feb. 2005 Porting Administrator

Negotiate with different carriers to successfully port customers’ number to system. Resolving problems and trouble shoot equipment. Acts as a liaison between customers and carriers. Responsible for new activation, and billing.

Dec. 2001 to Tate's Furniture Canton, MS

Jun. 2003 Administrative Assistant (Part-time)

Schedule customer deliveries while coordinating all in-house activities that include shipping and receiving coordination. Acts as a liaison between the suppliers and buyers. Responsible for general office duties such as customer correspondences, answering of phones, heavy data entry and posting daily transaction records. Handling all accounts payable and receivable accounts. Also recently trained as a sales assistant and a purchasing agent.

Dec. 1999 to Health Care Source Jackson, MS

Nov. 2001 Senior Customer Service Representative

Interacted with patients in resolving problems with health care claims. Trained customer service representatives in the procedures of dealing with workers compensation. Medicaid, Medicare, and Privately owned Insurance companies. Also responsible for recovering money, client eligibility and balanced daily cash.

Mar. 1999 to Temporary Services Jackson, MS

Dec. 1999 Customer Service Representative

Processed Medicare, Dental, Pharmacy, and Insurance claims following guidelines and rules mandated by the Insurance Commission.

Feb. 1999 to Skytel Jackson, MS

Jul. 1999 Customer Messaging Agent

Processed incoming calls while employing active listening skills due to the importance of typing verbatim messages for electronic devices.

May 1996 to Cabot Lodge Ridgeland, MS

Aug. 1997 Front Desk Supervisor

Supervised front desk employees in guest services, implemented and enforced policies and procedures in ensuring customer satisfaction. Addressed customers’ inquiries and complaints in a positive manner. Proven success in overall customer satisfaction. Worked as Audit, closed out end of day, month, and year. Recorded information in daily/monthly ledger. Posted payments, handled credit cards and reservations.

EDUCATIONAL BACKGROUND

Jan. 1997 Holmes Community College Ridgeland, MS

Associate of Arts in Business Administration

Dec. 2000 Belhaven College Jackson, MS

Bachelor of Arts in Business Administration w/ emphasis in Management

COMPUTER SKILLS

236. Windows

237. Microsoft Office

238. Night-fire

239. Siebel

240. AS-400

241. SOA

242. Web-axe

243. Excel

244. REMIS

245. SMART

246. HIMR

247. IVAULT

248. ECRS

249. Profit Systems

REFERENCES

Excellent references available on request.



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