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Customer Service Representative

Location:
Port Saint Lucie, Florida, United States
Posted:
October 28, 2016

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Sabrina Richard

INSURANCE VERIFICATION SPECIALIST/AUDITOR/BILLING SPECIALIST

Port Saint Lucie, FL

acw97r@r.postjobfree.com - 772-***-****

To obtain a position where I could use my experience in medical office administration Willing to relocate: Anywhere

Authorized to work in the US for any employer

WORK EXPERIENCE

Customer Service Supervisor

Claim-Doc - Stuart, FL - December 2015 to Present

Supervisor of Customer Service

Trainer

Implentation Specialist

Phone Call Analyist

Overseeing the call center and responding to escalated phone calls. Assisting other departments with daily workloads. Processing and reviewing big weekly timesheets and a host of other responsibilities. Such as:

- Eligibility

- Claims

- Provider look ups

- Contracting

- Benefit questions

- Making sure HIPAA is verified

- Verifying that ALL calls are properly documented by reps

- Reviewing employee phone calls for the purpose of quality assurance and training purposes. INSURANCE VERIFICATION SPECIALIST/AUDITOR/BILLING SPECIALIST Aid In Recovery - Palm City, FL - September 2014 to March 2015

• Used various systems to include Group Me, Avality and KIPU to maintain confidential patient information

• Verified and authorized inpatient and outpatient services, ensured timely and accurate insurance authorizations

• Process claims, ensure verification, authorization and documentation requirements meet payer requirements

• Prepare final bills for submission; follow up on unpaid claims and maintain records of claim status DENIALS AND APPEALS REP

Liberty Medical Supply - Port Saint Lucie, FL - April 2014 to September 2014

• Contacted insurance companies to inquire about denial reasons and follow up on status

• Submitted corrected claims with correct CPT codes to determine if claims need to be written off • Follow HIPPA guidelines

• Filed procedures to insurance companies timely

CUSTOMER SERVICE REPRESENTATIVE

Maximus/Florida Kid Care - Fort Pierce, FL - September 2013 to January 2014

• Advise customers of payment due dates and scheduling

• Provide information on children's plans

• Assist customers with completing applications and setting up online accounts

• Process income documents and verifying coverage and enrollment start dates CUSTOMER SERVICE REPRESENTATIVE

Maximus/Florida Kid Care - Port Saint Lucie, FL - September 2012 to August 2013

• Handled inbound phone calls;

• Researched patient medications, refilling prescriptions, advising of recalls, processing payments, verifying personal information

• Contacting patients advising of upcoming shipments EDUCATION

HIGH SCHOOL DIPLOMA

St James Academy - Fort Pierce, FL

2005 to 2009

SKILLS

Proficient in word, access, Excel, PowerPoint (5 years)



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