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Customer Service Representative

Location:
Kansas City, MO
Salary:
35275.00
Posted:
June 30, 2016

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Resume:

Chrishawn D. barker

**** * ******* ***. ****** City, MO 64117

913-***-****

**********@*****.***

Overview: A highly motivated skilled administrative professional with a verifiable record of accomplishment spanning ten years. Highly creative, recognized as a results-oriented and solution-focused individual. Areas of strength include:

Ø Medicaid/Medicare Inpatient Advocate Ø ICD-10,9 Medical Code Specialist

Ø CPT Code Transcribers

Ø Medicaid Eligibility Processor

Ø Proficient in MS Office, Excel, Word

Proficient in Power Point

Financial Clearance Counsel

Ø Sr. Financial Revenue /Reimbursement Specialist

Ø Front/Back End Claims support

Ø Mutual Fund/Tax Account Management

Ø Sarbanes Oxley Compliance Officer

Ø Tax Support Specialist

PROFESSIONAL EXPERINCE & CORE DUTIES

07/2014 - PRESENT – HUMAN ARC

PATIENT SERVICE REPRESENTATIVE

Travels around with my remote desktop to see patients from all departments from Medical ICU, NICU, Psychiatric, Rehabilitation areas. Main responsibility is to help build a case for the patient’s eligibility/medical necessity.

Review/Screen referrals from client site portal for Medicaid/ Disability eligibility.

Submit Completed Medicaid and Disability packets to proper state office.

Work with Social Services, Financial Counseling and RN Case Management on site with payor source plan

Communicate on all referrals that meet eligibility requirements

Collaborate with legal department on all cases that present barriers for eligibility.

Review all final Charges on accounts accepted from referral database and confirm via monthly site report.

03/2013- Jan 2014 – INTERNAL REVENUE SERVICE

TAX EXAMINER

Evaluate all available information and take corrective actions, such as credit transfers requests, re-computed tax, and/or penalty and interest.

Recognize indications of tax fraud; make determinations and use sound judgment concerning taxpayers' data and responses.

Interpret the law as it relates to the issues and if affects the performance and efficiency of the Internal Revenue Service.

08/2012-11/2012 – L&S ASSOCIATES (DCS) TEMP-PERSONNEL WORLD

OFFICE ASSISTANT

Perform search and update data base with pertinent information.

Input SSA information into SSA System

Complete various projects as business needs permit.

09/2011-3/2012- AETNA, Okemos MI

Customer Service Rep I

Engaging via telephone our members. business partners, customers, regarding new or existing Aetna claims, EOB, denials.

Data entry, documentation, correspondence and reporting, and responsible for handling both incoming and outgoing communication regarding inquiries concerning government benefits, approvals for procedures, code corrections, communicating with medical staff.

Completing forms in compliance with government regulations and following up through closure, and review Social Security Disability questionnaires and/or interview claimants to ascertain whether he/she is an appropriate candidate for Social Security Disability benefits

01/2010- 09/2011 –Jackson National Life- Lansing, MI

Customer Service Advocate I – Customer Service

Engaging in telephone conversations with our business partners, customers, and associates regarding new or existing Jackson accounts in connection with multiple products and services

Responding to questions about products, account status, and transfers of assets from other financial firms.

05/2009-11/2009-Verizon-Contractor- Lansing, MI

Retail Sales Representatives/ Customer Service Representative

Provide technical support/troubleshoot software/handset errors for customers service that may cause service interruptions.

Reconcile accounts for end of business day transactions daily. Balance books for next day’s business and resolve customer disputes & complaints with the intentions to retain customer business.

07/2008-11/2008- Securitas USA, Lansing, MI

Security Officer/Foot Patrol CCTV Compliance

Organized nightly shift rotations for adequate coverage on assigned properties. Assign phone to each officer as required per client contract.

Participate in apprehension as instruct by law enforcement when needed to correct violations on property per client contract. Report events that occur during shift to management.

07/2006-03/2008- DST Systems, Kansas City, MO

Client Relations Specialist

Enhanced Mutual Fund clients (MASS & BFDS) automated voice response system into digital voice application. Coded VRU to report errors in call menu.

Developed monthly billing format to be used department wide. This format met Sarbanes & Oxley compliance and enabled our department to produce billing statements without over forecasting figures.

Generated monthly billing statements for Executive department heads to review in meetings for budgeting department expenses.

Education

J. C Harmon High – Graduate- Class of 1996



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