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Customer Service Representative

Location:
Glen Ridge, NJ, 07028
Salary:
40,000
Posted:
November 27, 2016

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Resume:

JOYCE L. WHITE

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

East Orange, NJ 07017 acxnzz@r.postjobfree.com

973-***-**** - Home 862-***-**** - Cell

Objective: To acquire a position where I can apply my expertise performing Customer Service and Data Entry environment.

Experience:

2016-Present Logisticare – Edison, NJ

CUSTOMER SERVICE REPRESENTATIVE

*Observing, receiving and obtaining information from all relevant resources.

* Using computers to set up functions, enter data and process information.

* Correspond with insured or agent to obtain information or inform them of account status. 2009-2014 Magellan Health Services - Parsippany, NJ MEMBER ADVOCATE

* Verify insurance information for clients.

* Tracked client’s information in office data base.

* Supplied members with information regarding medical insurance coverage, eligibility, and copayments.

* Set up authorizations and appeals for members.

* Examined claims for accurate information to be paid.

* Knowledge of medical terminology, ICD-10, CPT-4 coding, NASCO and RCOE.

* Four plus years of experience in a managed care setting with demonstration of medical/office administrative duties .

* Converse with Doctors or Office staff regarding claims and office visits. 2007-2008 Affiliated Computer Systems (ACS) - Little Falls, NJ CUSTOMER CARE SPECIALIST (temporary position)

* Support help desk for health and welfare systems, Active & Retiree Open Enrollment, HMO, PPO, POS and Medicare.

* Responsible for making transactions, analyzing and resolving client’s issues, de-escalating major problems and document issues. Work closely with operations and business partners.

* Extensive knowledge of Health Savings Accounts. (HSA) Flexible Savings Accounts (FSA) and verify billing information regarding accounts. 2005-2006 IDT America - Newark, NJ

CUSTOMER SERVICE REPRESENTATIVE (VIP)

* Responsible for the handling multiple accounts such as basic customer service, payments, and technical support department.

* Processed payments of customers using credit/debit cards and/or electronic checking accounts by phone.

* Established payment arrangements for customers to restore service.

* Discussed and explained customer service invoice billing. 1999-2004 Merck Medco – Parsippany, NJ

CUSTOMER SERVICE REPRESENTATIVE

* Assisted members in ordering medication through mail service

* Supplied members with information regarding medical insurance coverage, eligibility and co-payments on a daily basis.

* Assisted members with pharmacists regarding side effects of medications.

* Contacted doctors regarding discrepancies with prescriptions when required. 1997-1998 Cullen & Dyckman - Newark, NJ

Customer Service Representative/Data Entry Clerk

* Worked closely with lending institutions and title companies to fulfill real estate contractual obligations.

* Conducted all post-closing work by obtaining recorded documentation and title policies.

* Assisted receptionist in other office procedure when required. 1993-1997 Eltman, Eltman & Cooper - Bloomfield, NJ Customer Service Representative

* Verified insurance information for clients.

* Tracked client’s information in office data base.

* Advised clients of Charity Care

Education

2015 Academy of Allied Health Sciences, Newark, NJ Certified BLS (Basic Life Support) and Medical Billing and Coding 2009-2014 Magellan Behavioral Health, Parsippany, NJ Received Certificates in Quality, Attendance and Adherence 2007 Com-Tec, East Orange NJ

Received Training Certificate in Microsoft Office

2005 IDT America, Newark, NJ

Received Training Certificate in Payment Specialist and Technical Support 1975-1976 Essex College of Business, Newark, NJ

Received Graduation Certificate in Business Administrative Procedures Skills: Customer Service, General Office Procedures, Data Entry, Microsoft Office, Med iSOFT, EMR and EHR



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