Client Services Associate
Resume:
Andrea Cotton
Client Services Associate-May
Aubrey, TX 76227
*************@*****.***
Seeking a full time / part time position that requires strong organizational skills. To work in an environment that has opportunity for advancements within a company. Set goals high for myself by extremely working hard and acquiring the most knowledge as possible. Work Experience
Client Services Associate-May
Perot System
2009 to August 2011
Responsible for processing Blue Cross Blue Shield Claims for Wal-Mart for Employees. Under the umbrella of Ross Perot, answer calls related to any questions on policyholders accounts such as premiums, deductibles, Oop expenses. Co pays etc. Programs to know such as Amisys, Blue Advantage, File net, Outlook, Oscar, CSW and several others. Take inbound and outbound calls from members and providers. Knowledgeable of EOBs, EOPs, Cobs, Member Details, Claim Summary (UB), CPT codes, ICD 9, Pre certificates ETC. Many other duties in other to make sure all calls are routed to correct department. Take up to 100 calls daily. Medical terminology very important to know. Billing Insurance Reimbursement A/R Rep II
GE Healthcare - Plano, TX
April 2007 to January 2009
Responsible for posting payments in IDX adjustments on payments and follow up notes for Children of Oakland Hospital in California. Responsible for Medicaid, Medicare, Blue Cross Blue Shield of California, Cigna, United Healthcare etc. Updated Spreadsheets for end of the month on each Claim. Processed EON'S, Denials and Remittances. Responsible for Lockbox, faxes and mail. Worked with ICD 9 and CPT CODES(Theses are codes needed to bill the claim and HCPC. I also worked on SUB'S 1500. Multitask in many different duties, understudy for other job duties.Adheres to state, federal and HIPAA laws and guidelines with regard to patient records and collections. Underwriter / CSR
Affirmative Insurance - Addison, TX
November 2004 to April 2007
Responsible for knowing and following underwriting policy & procedures for insurance customers as well as agents' knowledge of new state law changes in insurance. Took inbound from agents and assisted policyholders with comp/collision calls. Give quotes to policy holders. Responsibility for reinstating a policy, canceling a policy, posting payments ( credit card, and check by phone) to a policy, opening a new policy and verify information such as address changes, coverage's vehicles, drivers etc. Responsible for all other underwriting duties that are required to function professionally. Claims Support Associate
Safeco Insurance - Richardson, TX
March 2004 to November 2005
Responsible for receiving and paying Claims (Auto and Property) via email from Field Adjusters and/ or Contract Adjusters. Process 60 plus claims daily. (Collections) Responsible for calling for making outgoing calls to Body Shops, Adjusters and Insured regarding correct information so claims can be filed in a timely matter. Process information in Detail and with 100% accuracy. Billing Coordinator
ECI Consultants - Richardson, TX
October 2003 to January 2004
Responsible for calling hospitals if needed to follow-up on claims after accounts are transmitted, paid in full, denied or require billing. Responsible for (VOC, Medicaid and Medicare claims) Scanned email accounts to check claim status. Reviewed, corrected and added payments into Excel. Responsible for a monthly report on payments at hospitals (Baylor, Parkland, Harris, Presb. of Plano, Medical Center of Plano) etc.
Account Representative I
State Farm Insurance - Monroe, LA
May 2001 to June 2003
Processed insurance forms for policyholders and agents as well as take calls regarding questions on a health, life, fire or auto policy. Corresponds with banks and agents (Call Center, CSR). Task involves accuracy as well as quantity. Make due date changes, bank information changes and any address changes or other information that would affect policyholders account. 10 key data entry and organizational skills and typing skills.
Education
Associate in Sociology
University of Louisiana at Monroe - Monroe, LA
College of Liberal Arts
Additional Information
Excel, Microsoft Office, Microsoft Word, Lotus, Quarto Pro, 10 Key Data Entry skills, Receptionist/ Switchboard, Customer Service and Call Center skills. Dictation and typing skills are exceptionally good. Ability to multi-task, adapt to changes, regulatory system and departmental procedures. Knowledgeable of medical terminology.
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