Customer Service Data Entry

Tracy King

***********@*****.*** - 480-***-****

KEY STRENGTHS:

Customer service professional with background including 10+ years of billing and cash handling experience and over 10 years providing office assistance to departments in the areas of medical, banking, public and social services.

Core competencies include:

Data entry in large quantities of patient demographic information and insurance verification

Data scanning

Supporting team members

Empathetic yet practical in dealing with the general public in high-contact situations

Strong communication skills and attention to details

Being flexible within a work unit

Able to work in fast-paced environment

Positive, enthusiastic and dedicated

Able to prioritize and manage multiple tasks

Excellent customer service and support in the public sector

Good verbal, written and interpersonal skills

WORK EXPERIENCE

Verification Benefits Specialist / Reimbursement Specialist – November 2016 to January 2017

Contact patient insurance carriers to verify coverage and level of coverage benefits.

Documented and entered accurate patient coverage to perform benefit investigations.

Verified Primary billing and Specialty pharmacy information to ensure payment for specialty pharmaceutical to be administered for patient.

Medicare Operations Clerk - June 2015 to September 2016

CONIFER Health - Phoenix, AZ

View and update Medicare claims demographic and Medicare option information into database system.

Verified and selected Member Choice of Medicare Service Carrier.

Collected and distributed live and returned mail sent to health plan, to be reviewed and redistributed.

Sorted and prepared Health Coverage verification, approval, denial, and disenrollment correspondence.

Contact Members, Agents, and Authorized Representatives to ensure accurate data is verified and updated into database system before being exported to Enrollment files.

HR Document Scanner - December 2014 to April 2015

DISYS / Wells Fargo Bank (Contract), Phoenix, Arizona

Performed a variety of routine general human resources duties such as maintaining personnel records, compiling statistics and /or processing employment applications, insurance forms, and salary increases.

Assisted employees on matters regarding personnel forms, records, and procedures.

Was required to pay strong attention to accuracy and detail.

Customer Service Representative I - July 2012 to November 2014

State of Arizona, Department of Economic Security - Phoenix, AZ

Started as temp with Kelly Services; was hired full-time with the state in February 2014

Provided accurate quality assistance to local office managers and staff by scanning documents and uploading data accurately and efficiently.

Utilized knowledge of a variety of office equipment to scan and submit changes and standard requests of clients' personal and confidential information.

Created barcodes for labeling of file-ready documents to be scanned into On base system, so that FAA can make timely and accurate eligibility decisions for clients seeking help with food, cash, and medical assistance.

Utilized Microsoft Excel on a daily bases to compile data of duties performed.

Processed client packets to verify eligibility and prepared them for distribution to staff.

Childcare Assistant - June 2007 to December 2009

Phoenix Day Early Learning Center / Valley of the Sun - Phoenix, AZ CPR and First Aid certified Assistant providing care for children ages six weeks - 12 years.

Effectively worked parents and peers in a team environment and instructed children in activities designed to promote developmental, physical and emotional growth skills.

Utilizing problem identification and resolution techniques, aided children in play and in everyday functions.

Patient Services Representative / Billing Specialist - April 2000 to November 2005

University of Pittsburgh Physicians - Pittsburgh, PA

Application of general laws, rules and regulations and policies and procedures.

Verified confidential patient information by completing data entry of patient demographics and information into system database.

Ensured timely and accurate payments to Physicians for services rendered.

Effectively utilizing accurate verbal and written communication skills was able to communicate with insurance companies to verify type and level of patient coverage.

As a Billing Specialist, utilized knowledge of customer service techniques, assisted in resolving billing disputes, and followed payers and subscribers on unpaid medical claims to ensure timely reimbursement.

Using knowledge of automated databases, successfully validated transmission of claims to insurance carriers and intermediaries on assigned claims.

Researched, analyzed and reviewed claim edits from the rejection report, and performed all necessary corrections to clear the error report and ensure physician compensation for services rendered.

EDUCATION

Diploma

Woodland Hills High School - Pittsburgh, PA

VOLUNTEER EXPERIENCE

STAY AT HOME MOTHER - January 2010 to July 2012

Volunteer with children's school

TECHNICAL SKILLS:

Data Entry (10+ years), Customer Service Skills (10+ years)

Intermediate Microsoft Office Word, Excel, and Outlook 2010

AZTECS, On Base, Lawson database system experience

Multi-functional printers, Kodak, and HEA Scanner proficient

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