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Customer Service Manager

Location:
Yakima, WA
Posted:
January 26, 2017

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Resume:

Angela Marie Psomos

Address: ***** ********** ***, ******, ** 98908 Phone: 509-***-**** Email: *********@******.***

Skills and Abilities

Over 15 years Customer Service experience

Over 10 years Healthcare experience, including delivery systems and insurance

Experience as a Trainer, Lead and Assistant Manager

Consistently exceeded call quality standards with scores of 90% and higher, in high volume call centers

Experience with a variety of systems, including: IDX term, IDX web, IDX flow cast, Star, GE healthcare, Trace, IBM, Lastword, Epic, DSBS I&E, KEEP, MP (Market Prominence), File Net, Aviva, eWatson, Lotus Notes, MARX, RLI (Retail Lock Box), Doc View, Atlas, Stream, Concur, and Prime.

Education

Certified Nursing Assistant Certificate 10/2004

Renton Technical College, Renton, WA

Medical Terminology Certificate 03/2004

Renton Technical College Renton, WA

Employment History

Program Assistant II, Donor Services 06/2016 – 07/2016

BloodWorks NW, Renton, WA

Process Group Renewals/Terminations

Assist with escalated issues

Assist account managers/brokers

Account Advisor for Small Business Group 03/2015 – 07/2015

UnitedHealth Group, Seattle, WA

Process Group Renewals/Terminations

Assist with escalated issues

Assist account managers/brokers

Patient Services Representative 12/2014 – 03/2015

Overlake Medical Clinics Urgent Care, Issaquah, WA

Registered new patients into system including demographics and insurance

Answered and triaged multi-line phone system

Collected co-pays and posted to accounts

Verified insurance through One Health Port

Membership Account Representative 10/2011 – 11/2014

Group Health Cooperative, Tukwila, WA

Processed enrollment applications, terminations, change of effective dates and refunds

Researched and reconciled membership accounts, including aging accounts, member charges, late enrollment penalties and NSF fees

Analyzed accounts for delinquency and or discrepancies. Process JV’s (Journal Voucher’s)

Processed Medicare COB (coordination of benefits)

Researched and resolved enrollment, eligibility and ID card errors

Patient Financial Specialist 02/2011 – 10/2011

Group Health Cooperative, Tukwila, WA

Processed professional and hospital billing claim edits, returned mail and no payer responses

Assisted members with billing and health plan coverage inquiries

Posted member payments using Epic and IPAY

Assisted with collection payments, including outbound collection calling

Patient Access Representative – Behavioral Health Access 07/2010- 02/2011

Group Health Cooperative, Tukwila, WA

Triaged multi line phones, verified demographics and insurance coverage

Screened members for intake referrals and schedule appointments

Trained new employees on EPIC scheduling, BHART and call quality; created training manual

Patient Care Representative – Primary Care Appointing Center 01/2009 – 07/2010

Group Health Cooperative, Tukwila, WA

Triaged multi line phones in a high volume call center

Verified demographics and insurance coverage

Processed daily cancellation e-mail lists and rescheduled as needed

Audited provider schedules for scheduling errors and grammar

Patient Registrar

Kadlec Regional Medical Center, Richland, WA 10/2008 – 01/2009

Registered patients in the ER, ASC and Inpatient Hospital; entered diagnosis codes

Switchboard Operator/Rover (Pager)

Entered demographics, insurance and hospital admitting questions

Received and maintained patient consent forms

Checked-in patients for hospital and medical imaging appointments

Prepared surgery packets

Business Office Specialist 04/2007- 10/2008

Pacific Medical Centers, Renton, WA

Certified trainer and part of the “Task Force Team”

Registered new patients into system including demographics and insurance

Answered and triaged multi-line phone system

Scheduled appointments and called patients for follow up visits

Collected co-pays and posted to accounts

Verified insurance through Regence, Provider One, Premera, Molina, First Choice

Medical Records File Clerk 03/2006-06/2007

Pacific Medical Centers, Renton, WA

Pulled, logged and scanned charts for appointments

Delivered and picked up charts from nurses stations

Processed Release of Information for patients; faxed information to facilities and patients

Prepared new patient charts

Dental Receptionist

Crestview Dental Office, Dr. James H. Phillips DDS, Tukwila, WA 11/2005- 03/2006

Answered phones, scheduled appointments and prepared daily schedules

Filed charts, posted payments and ran daily reports

Cleaned and prepared procedure rooms

Verified insurance coverage

Lead Customer Service Cashier

Rainforest Café Tukwila, WA 11/2002- 04/2006

Retail Lead; Certified Trainer for all new employees

Stocked and organized merchandise

Cash handling and balancing of register; ran daily reports

Ability to accurately respond to customer inquires regarding products

Assistant Manager

‘Tis the Season, Tukwila, WA 10/2003 – 01/2004

Assistant Manager responsible for opening and closing kiosk in high traffic shopping center

Cashier, ran daily reports, close out/countdown register for nightly deposit

Assistant Manager

Subway, Renton, WA 10/2000 – 11/2002

Assistant Manager responsible for opening store

Ran daily reports and cash outs

Verified timecards and managed break schedules for all staff



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