Mary Hils

229-***-**** ad04vw@r.postjobfree.com Fort Gaines, GA 39851

Professional Experience

Customer Service Representative II, Firstsource Health Plans, September 2021-Present

● Handled all aspects of inbound provider customer service for the BCBS of Michigan contract, including verifying eligibility, quoting benefits, routing authorizations and appeals, and escalating inquiries to appropriate areas.

● Quickly promoted from CSR I to CSR II, taking on additional responsibilities for processing and adjusting medical claims.

● Guided providers to satisfactory resolution of complex claim and authorization issues.

● Exceeded performance on technical quality, relationship building, and survey metrics. Customer Service Representative, VXI Global Solutions, March 2021-September 2021

● Handled high volume inbound calls for the utility industry.

● Initiated enrollments, renewals, cancellations, and plan changes for customers.

● Resolved complex billing inquiries.

● Exceeded performance on technical quality, relationship building, and survey metrics. Admin./HR Assistant, Fort Gaines Health & Rehab, June 2019-December 2020

● Responsible for all aspects of payroll, utilizing Paychex software.

● Ensured timely and accurate processing of accounts payable, utilizing AvidXchange.

● Processed new hire paperwork and maintained employee records, including verifying accurate timekeeping.

Cook, Fort Gaines Health & Rehab, May 2008-June 2019

● Prepared breakfast and lunch for 60-bed Skilled Nursing Facility.

● Ensured safety and cleanliness in accordance with state guidelines.

● Assisted Dietary Manager with running the kitchen, handling inspection, and filling in for other kitchen staff roles.

Skills

● Microsoft Word, Excel, Outlook, and PowerPoint

● QuickBooks

● Accounts Payable and Receivable

● Records and Information Management

Education

● A.A. Criminal Justice, Tallahassee Community College