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Customer Service Representative

Location:
Glastonbury, CT
Salary:
22 hr
Posted:
January 25, 2024

Contact this candidate

Resume:

Jasmine Huff

Glastonbury, CT *****

ad23qc@r.postjobfree.com

+1-860-***-****

Medical Assistant Professional with four years' experience as an Insurance Customer Service Representative Eligibility Consultant. Expert in processing medical claims, triaging incoming calls and explaining insurance benefits. Proven interpersonal skills; can start a conversation with customers and obtain information needed to address problems easily. Experienced in Microsoft Office,

Microsoft Word, Excel, Access, and PowerPoint. Trained in medical terminology, billing and coding. Authorized to work in the US for any employer

Authorized to work in the US for any employer

Work Experience

Medical Scheduling Coordinator

Elara Caring - Cromwell, CT

September 2021 to Present

Scheduling of Lpn Rn Home health aides

Supports Administration ( Or Branch Directors ) in scheduling patients visits Advancing Key workflows throughout the patient journey Manages direct care team member schedules to ensure adequate and timely patient care visits Acts as an intermediary between Clinical Team Manager Medical Scheduler/Receptionist

CTGI - Rocky Hill, CT

March 2018 to June 2020

Schedule procedures and office visits appointments Update insurance and demographic information

Obtain cardiac for patients scheduled for procedures Maintained familiarity with providers preferred prep Properly answer incoming phone lines taking clear concise messages Referral Center Coordinator

Hartford HealthCare - Wethersfield, CT

May 2017 to March 2018

· Coordinating referral appointments

· Verifying insurance

· Assign referrals to close location for the patient to be seen

· Triage to nurse for patient ekg, records

· Ensure that referral are addressed in a timely manner Financial Analyst

Uconn Hospital - Farmington, CT

June 2016 to April 2017

· Answer Incoming calls from Patients/ Insurance carriers about account balances

· Reviews the explanation of benefits for each patient /Bills primary and secondary insurance

· Set up budget plans, When account goes past due sends the bill to an outside collection agency

· Assist patients in premium payments / record and document conversations follows HIPAA guidelines

· Process Refunds adjust account balances / apply small write offs when needed Epic Data Conversion Team

Epic Data Conversion Team Hartford HealthCare - Newington, CT August 2015 to April 2016

• Converting patient demographic data from Allscripts/cerner programming into the electronic medical records Epic Careconnect

Financial Eligibility Consultant

ConnectiCare - Farmington, CT

April 2014 to March 2015

· Assist individual policyholders in premium payment submissions, providing options and resolution

· Contact brokers and clients on past due premiums to obtain payment commitments and monitor.

· Follow through with callers when inquiries/issues cannot be resolved on first contact.

· Verify membership status/eligibility to internal and external customers and provides instruction to customers for submitting enrollment events to CCI.

· Use "best in class" performance, to execute incoming and outgoing communication

(phone, e-mail, correspondence) to/from Employer Groups, Third Party Administrators, and Individuals regarding accuracy on invoices, premium payments, outstanding premium balance resolution, and any enrollment issues. Customer Service Rep

Ticket Network - South Windsor, CT

June 2013 to April 2014

· Assisted Customers in browsing online inventory for suitable tickets and placed orders over the telephone

· Troubleshoot problems with existing ticket orders

· Answered general inquiries regarding upcoming events Customer Service Representative

Aetna Insurance Company - Windsor, CT

June 2008 to September 2011

· Answered and resolved customer inquiries based on phone calls/letters from member providers

· Processed claim referrals, such as, new claim handoffs, nurse reviews, complaints, grievances and appeals

· Handled incoming requests for appeals and pre-authorizations

· Determined applicable coverage provisions and verified member plan eligibility

· Opened, sorted, and routed incoming mail, answered correspondence, and prepared outgoing mail• Compiled, copied, sorted, and filed records of office activities, business transactions, and other activities

· Performed EKGs, took vital signs, and prepared patients for monitoring

· Resolved customers' inquiries regarding benefits of insurance, services offered and policies available Answers calls from insurance carriers about prior authorization inquires Temp

Education

Medical Assistant

Medical Career Institute - Hartford, CT, US

Skills

• Customer service

• Data entry

• General office

• General office skills

• Office skills

• Accounting

• Time management

• Excellent communication skills

• Microsoft office

• Billing

• Epic (5 years)

• EMR

• Filing

• Medical Records (5 years)

• Word

• MS Office

• Scheduling

• Receptionist

• EKG

• Medical Terminology

• Insurance Verification (3 years)

• Allscripts

• Proficient to Expert-level skills with Microsoft Office Suite

• Excellent Communication skills

• General Office Skills

• High Volume Data Entry and Accounting

• Extensive customer service both in person and via phone, email, etc.

• Excellent attention to detail and written communication skills

• Exceptional time management, and proven ability to work independently within given constraints

• Experience with de-escalating customer complaints

• Computer skills

• Medical receptionist

• Front desk

• Administrative experience

• Office experience

• Medical scheduling

• Medical records

• Medical terminology

• ICD-9

• EMR systems

• Typing

• Epic

• HIPAA

• Documentation review



Contact this candidate