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Customer Service Representative

Location:
Hudson, FL
Salary:
17.00
Posted:
December 04, 2023

Contact this candidate

Resume:

Renee White

Spring Hill, FL *****

ad1o36@r.postjobfree.com

+1-813-***-****

Objective: Seeking a position in the healthcare field that will allow me the opportunity to apply my current knowledge, enhance my skills, and ability to grow within the organization. Summary of Qualifications

• Personable, persuasive, and communicates effectively, as well as being adept at defining customers’ requirements and meeting their needs with professional integrity, strong moral, professional work ethic, and honest.

• Proficient in Microsoft Office, Windows software, and various healthcare and medical coding software such as Practice Fusion, ADS, Covermymeds.

Authorized to work in the US for any employer

Work Experience

Customer Service Representative

Ultimate Health Plans - Spring Hill, FL

December 2022 to Present

Understands and provides accurate information regarding Medicare Advantage products courteously and professionally.

• Asks appropriate questions and listens actively to customers to identify needs to resolve the inquires in a timely and professional manner.

• Conducts accurate research to resolve issues regarding Medicare Advantage products using appropriate systems and departments.

• Ensures first call resolution to resolve customer needs and concerns effectively.

• Adequately documents all calls/contacts in detail as required by Department standards clearly and concisely.

• Effectively translates healthcare-related jargon and processes into simple, step-by-step instructions customers can understand and act upon.

Caregiver

Papa Pal’s - Brooksville, FL

December 2022 to Present

I help with cleaning, taking to doctors and pick up RX if needed. I also help with whatever member needs that I am allowed to do.

Office Manager/Patient Care Coordinator

Statewide Dermatology - Odessa, FL

October 2017 to December 2022

• Responsible for conducting second-level internal audits to ensure coding compliance and make any necessary adjustments following finalization of encounters to ensure proper assignment, sequencing, and/or validation are appropriate ICD-10-CM, ICD-10-PCS, CPT codes.

• Applies all appropriate coding guidelines and criteria are met in all code selections and scenarios.

• Medical Coding for Dermatology

• Schedules for multiple nurse practitioner and coordinating with over 100 facilities.

• Answer phones

• Work on Audits for insurance such as Humana, Atena, Well Care, Medicare

• We work with nursing homes to get the correct credential per guidelines

• Pull biopsy results- Informed Diagnostic

• Attaching to medical records insurance and consents

• EMR systems as Practice Fusion, ADS

Claim Representative

Acosta Sales & Marketing - Tampa, FL

June 2011 to November 2013

• Resolves administrative problems by coordinating preparation of reports, analyzing data, and identifying solutions.

• Ensures operation of equipment by completing preventive maintenance requirements; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques.

• Provides information by answering questions and requests.

• Maintains supplies inventory by checking stock to determine inventory level. Customer Service Representative / troubleshooter

Graybar Electric Company, Inc. - Florida

May 2001 to October 2009

• Supervise customer service department, which included conducting performance appraisals for clerical staff, overseeing daily data entry and approval of branch transactions, billing, and adjustments, reviewing and approving all reports generated by department in accordance with company policy, and assisted by performing administrative tasks including credit and billing to/from customers, faxing orders and quotations, and provided POD for warehouse shipment. Assisted financial department by calling customers for collections of funds, worked on budgets for all branches, processed credit card payments, provided release of properties once a claim is settled and visited customers to work out payment arrangements to meet their needs.

• Performed service functions for the warehouse including filing and mail handling, customer credits and deductions, resolve customer billing issues, and backing up receptionists (as needed). Education

Associate in Radiology

Keiser University-Ft Lauderdale - Lakeland, FL

August 2012 to December 2015

Skills

• Microsoft, excel outlook (10+ years)

• ICD-10

• Office Management

• Medical Records

• Medical Billing

• Medical Coding

• EMR Systems

• CPT Coding



Contact this candidate