JENNIFER CLEVELAND
**** **** ** ********, ** ****0 469-***-**** ad2ulh@r.postjobfree.com
OVERVIEW: A highly motivated professional seeking a career to utilize my expertise with a progressive organization within the medical industry. Capable of demonstrating excellent communication and time management skills with a strong sense of responsibility and detailed oriented.
SKILLS PROFILE: Microsoft Word – Outlook Email – Billing and Insurance Verification –
CPT & ICD9 Coding – Medical Terminology – Typing 50wpm – Office Skills - Spring Chart – Electronic Medical Records.
EMPLOYMENT HISTORY
Teleperformance Dallas, TX 7/23/2018 – 5/25/2022
Customer Service – Inbound and Outbound Calling - Humana Insurance
Medical Insurance Verification – Verified medical benefits with clients. Updated the clients on their benefits.
Pharmacy Claims – Pricing and updated on any changes in pricing of prescription drug plans. Explained their accumulators – meaning their deductibles, coverage gaps. Performed over-rides with their billing issues. Except members premiums bill payments in a payment system.
Medical Billing and Claims – Explain and review the client’s medical claim. Medical Coding. Process premium payments – Verify and update any changes to their billing. Submit documentation to the appropriate department. HIPPA Trained –
Documentation – Note all accounts – Detailed oriented. Referral submission with authorization updates on behalf of providers and members. Update members demographics in CRM systems as needed.
World Flight Services Dallas, TX 10/2/2017 – 7/1/2018
Customer Service - Provided accurate and appropriate information in response to customer inquiries
Gave accurate and appropriate information to answer questions, troubleshoot issues, and resolution.
Warehouse – Tie down and inventory of cargo.
Telvista Group Dallas, TX 6/17/2008 - 7/12/2011
- Reservation Specialist for Virgin American Airlines
- Answering phone calls and giving information to passengers as per their travel plans
- Handling questions, complaints, and inquiries from customers politely and discreetly
- Taking customers' information and feeding in the computer systems and making reservations
- Using airline's computer system for checking flights, fares, and new updates
- Booked domestic and international flights for travelers
Aegis Communications Group Irving, TX 2/11/2003 — 6/10/2008
Answered inbound/outbound calls in regards to registration for Medicare Part D Humana
Processed medical claims and knowledge of the HIPPA Law.