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Customer Service Retail Sales

Location:
Little Rock, AR
Posted:
December 02, 2023

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Resume:

Premarah White

501-***-****

Resume **** Past * years work History

Related Fields: Customer Service, Claims, Healthcare, Retail

Present: Broadpath Healthcare Solutions

Provider Service Claims Representative

● Service healthcare provider with Paid or Denied Claims

● Go over claim details of if CPT required Prior Auth

● Communicate with provider over if they are active as In Network

or Out of Network

● Inbound/ outbound call

Former: Verizon

2022- 2023 Verizon Retail Sales Rep

● Phone plans

● Internet

● Technology

● Phones, tablets, home security

Former: MedEvolve Through Career Staffing Services Temporary to Hire

2021-2022 MedEvolve

Process bills/ send medical claims to insurance companies Communicate on phone with patient taking payments or discussing EOB / health plans

Communicate with insurance in regards to patient bill

Knowledge of medical / insurance Codes

Work closely with Healthcare facilities in regards to internal billing compliance

Explain bills to patients according to EOB

RCM System

Account management is the practice of providing customers with

service, support and improvement opportunities to increase their consumption of a product or service and maximize retention, cross-sell and upsell opportunities within the customer base.

Former: Arkansas Blue Cross Blue Shields (Usable Mutual Insurance)

2019-2021 Claims Specialist

● Investigate and Process claims

● Work independently

● Use Outlook, Excel, Microsoft Word



Contact this candidate