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Customer Service Representative

Location:
Dallas, TX
Posted:
January 17, 2024

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Resume:

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.



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