Customer Service Manager

Tenesa Moultrie

*** *. *********** ****, #****, Grand Prairie, TX 75052

Phone- 409-***-****

Email: **********@*****.***

CAREER PROFILE

Highly motivated, innovative and tenacious professional armed with broad-based background and skills in the areas of Administration and Management consulting.

A highly competent, adaptable and responsible professional with over 20 years of experience in areas of Administration and Management consulting with a proven record of providing outstanding services and implementing necessary systems, procedures, policies and providing necessary support.

Display outstanding ability to plan, coordinate, and implement practices and procedures to bring significant improvements in efficiency towards the successful attainment of organizational goals.

Demonstrate proven effectiveness to concurrently prioritize and assume management, administrative, and technical tasks. Determined to implement earned skills and knowledge for the rapid growth of the prospective organization by working effectively and consistently.

I have successfully dealt with different cultural environments, large amounts of unstructured data and manifold obstacles in every stage of change management process.

SKILLS AND COMPETENCIES

Organized and dedicated to cause and work well even when under any type of pressure.

Excellent oral and written skills

Highly proficient in Microsoft outlook, Peachtree accounting, luminX and AMIS

Time management skills

Possesses a positive, mature and professional attitude.

Ability to inspire and motivate

Energetic, creative, innovative, and committed to work

Able to build lasting relationships with people.

A friendly, passionate and confident communicator.

Ability to perform tasks in a collaborative and consultative manner.

Ability to work with others to achieve the organization goals.

EMPLOYMENT HISTORY

Greentree Health Sep 2012 till Present

Clinic Manager

Highly responsible for Interviewing, hiring and training staff

Responsible for addressing all staff issues

Conduct performance reviews

Conduct meetings to inform employees about new developments

Making deposits, handling of payroll and keeping track of paid time off

Oversee and keep track of overtime

Review billings, prior to submitting to the billing department

Oversee the use of equipment making sure it’s working properly

Supervise the selection of ordering supplies

Ensure that the staff is using correct procedures

Handle all reporting (PT, referrals, DME, etc.) and handling all patient complaints

Meet with building management and realtor regarding lease negotiations and marketing

Greentree Administrators Inc. Nov 1998 till Present

Claims/Customer Service Manager

Responsible for managing the claims and customer service department (administered service for several groups totaling nearly 5000 people)

Responsible for processing medical, dental and short term disability claims

Audit all medical claims including large hospital claim

Filed stop loss claims, adjusted claims by processing voids and refunds

Train new employees

Handling of troubling calls from providers and participants

Wrote appeal letters for claim disputes

Responsible for processing medical and dental pre-determinations

Handling plan building, provider additions and terminations

Able to process over 300 claims daily with a 99.8 percent accuracy rate

Extensive knowledge of CPT codes, DRG’s, groupers, HCPS, ICD-9 codes, HCFA’s, UB’s

Negotiating provider contracts

S & A Builders, Dallas, TX 1995 to 1998

Administrative Assistant

Worked close to the Vice President of the company

Trained new employees

Handled calls for field representatives

Set all appointments for field representatives

Processed proposals after acceptance of an estimate

Occasionally worked back up for the accounting department.

CERTIFICATIONS

Notary Public 2018

BLS Certified 2017

EDUCATION

Lamar University, Beaumont, TX

Sociology

West Brook Sr. High School, Beaumont, TX

REFERENCES

Available upon request

Contact this candidate