Customer Service Insurance

Carroldean Moore, NCICS, BBA, AAS

Lithonia, GA **058 C: 678-***-**** ***************@*****.***

Summary of Qualifications:

Medical Insurance Biller and Coder, with previous management and insurance experience, possessing strong interpersonal skills, strategic planning, budget management/development, problem solving, quantitative/qualitative analysis, and organizational skills. Advanced professional office skills and experience in all office aspects. Sound fundamentals in operational support, process implementation, support services, and activity engagement. Proven skills in oral/written communication and leadership. Experience in telecommunications, education, and customer service.

Skills:

Billing/Payment Posting Practice Mgt.Soft ICD-9/10/CPT/HCPCS CMS1500/UB04

Patient Registration Scheduling CPR Certified 10 key

Insurance Verification Data Processing Microsoft Office Claims Submissions

Relevant Experience:

Medical/General Insurance:

Performed Claim Status follow up, Authorization, and Benefit Verification. Generated CMS 1500 forms from Clearing House. Wrote all classes of general insurance products. Opened three offices throughout the western region. Managed and trained six sales and service representatives. Customized insurance programs to suit individual customers, often covering a variety of risks. Gathered information from clients to assess their insurance needs and arrange insurance coverage. Renewed and/or changed existing policies. Collected premiums and processed accounts. Facilitated, documented, and followed up on client claims. Input data to a computer system, submitted letters, and maintained detailed records.

Management:

Hired, trained and managed four sales and service employees. Delivered exceptional customer service and horticultural services to over twenty five clients per year. Maintained repeat customer base of commercial and residential clients. Prepared project estimates and maintained schedules to efficiently meet deadlines. Managed administrative and fiscal responsibilities, including: time records, inventory records, and accounting.

Professional History:

Southside Family Practice Morrow, GA 2016 -

Front Desk Receptionist

Total Billing Management Conyers, GA 2015 – 2016

Medical Insurance Billing and Coding

VITAS Austell, GA 2012 – 2014

Hospice Volunteer

The Fruitful Bough Farms and Gardens Mandeville, Jamaica, W.I. 1998 – 2011

Owner/Manager

CMOR Enterprises Mandeville, Jamaica, W.I. 1986 – 1993

Manager/Owner of Insurance Agency

Education:

Everest Institute Norcross, GA Medical Insurance Billing and Coding

R.S. Thomas Training Associates, Inc. Atlanta, GA Property and Casualty Insurance

College of Insurance Manhattan, NY General and Life Insurance

Insurance College of Jamaica Kingston, Jamaica, W.I. General Insurance

Bernard M. Baruch College Manhattan, NY Bachelor Degree of Science – Business

Manhattan Community College Manhattan, NY Associate Degree – Accounting

South Florida School of Floral Design Lake Worth, FL Floral Design Diploma

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