Customer Service Data Entry
Resume:
Dorothy A Harker
Enfield, CT *****
Email: *************@*****.***
PROFESSIONAL SUMMARY
Over 40 years of experience in the clerical industry with expertise in data entry and customer service, along with 10+ years in a call center
Extensive background within healthcare insurance, prior employment with Aetna, Cigna and Apria Healthcare
Experience processing Medical, Dental and Flexible Spending Claims, mentoring and assisting claim processors and customer service representatives with claim, billing and provider questions
While at TeleTech Financial Services, responsible for understanding and managing confidential member health information in accordance with HIPAA regulations, answering provider inquires regarding Eligibility and Benefits
Proficient in Microsoft Word, Excel, Access, Rumba and AS400
Graduated from high school and holds certification in Court Reporting
Tested in Alphanumeric Data Entry, scored 10723 kpm with 100% accuracy
Tested in Microsoft Excel 2003, scored 93% correct
PROFESSIONAL EXPERIENCE
Helper October 2015 – Present
Cartamundi, East Longmeadow, MA
Assist machine operators by checking the deck of cards
Advise machine operators of any issues with the decks of cards
Load boxes of cards onto pallet
Move pallet of boxes once it is full
Clean, sweep floors of any debris from the machine
Other duties as assigned by supervisor
Guest Service/Stocker/Cashier August 2014 – August 2015
Target Corp., Enfield, CT
Assist guests with questions on where they can locate an item within the store
Ensure that the prepared salad mixes, fruit, vegetables, meats and bakery goods are all checked daily for expired items
Stock food items that need to be replenished
Assist the front end supervisor with cashing out guests
Assisting other team members with lifting large items and placing the item into the guests vehicle
Other duties as assigned by team lead
Customer Service Professional (seasonal) January-April, 2009, 2010, 2011, 2013 and 2014
H&R Block Services, Inc. Enfield, CT
Customer Service within Financial Service industry
Heavy volume answering phones and making appointments
Greeting and checking in clients
Office Coordination – Notifying the Tax Professional that their client has arrived
Taking Client payments
Close out and balancing the cash drawer
Data Entry Associate – June 2005 – October 2009
CIGNA, Bloomfield, CT
Responsible for viewing and printing the UB-92, HCFA 1500 along with the
EOP/EOB
Responsible for entering the information from the EOB/EOP using Microsoft Access
Applying accuracy and quality with attention to detail
Forwarding information to the analyst once all information is complete and ready for review
Provider Service Advisor – October 2004 – June 2005
TeleTech Financial Services, Enfield, CT
Responsible for understanding and managing confidential member information in accordance with HIPAA regulations
Answer provider inquiries regarding member Eligibility and Benefits
Research provider inquiries on member claims
Issue Explanation of Benefits/Payment (EOB/EOP) to the inquiring provider
Inform the provider that they may print out the EOB using the website
Interact with other team members to enhance project performance
HIPAA Certified
Collector/Billing Representative – June 2003 – October 2004
Apria Healthcare, Cromwell, CT
Responsible for processing appeals for durable medical equipment and supplies using the AS400 system
If certification is on file, the appeal is sent back for reprocessing of the claim
Contact liaison if additional information is required on delivered equipment
Keep supervisor informed of any trends in the appeals
HIPAA Certified
Customer Service Representative – February 2002 – June 2003
Dari Farms Ice Cream, Tolland, CT
Responsible for organizing the daily routes
Enter orders for ice cream, water and other frozen items using the A400 system
Responsible for making outbound calls to customer for deliveries for the next day
Taking inbound calls from customers that need to place an order
Process the EDI (Electronic Data Interface) orders daily
Confirm with the order writer that all orders were sent electronically
Claims Benefit Specialist – July 1997 – January 2002
Assistant Team Lead – January 1999 – September 2001
AETNA, Windsor, CT
Responsible for processing Medical, Dental and Flexible Spending Claims using the RUMBA system
Mentor and assist other claim processors and customer service representatives with claim, billing and provider inquires
Provide training classes for new claim processors on reprocessing of claims
Identify and correct the billed amount and copayment prior to submitting of the claim for payment
Install/Upgrade computers for 3 different units
HIPAA Certified
EDUCATION
1977 St. Xavier Academy, Providence, RI
1978 Certificate in Court Reporting, New Britain, CT
2014 Certificate in Flora-Culture, Stratford University online
2017 Certificate Medical Billing and Coding, ACC, Enfield, CT
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