Candace Benton

**** *** **** **

Hampton, GA ****8

678-***-****

ad33m3@r.postjobfree.com

Objective:

Dedicated professional seeking a position to be a team player, working for a reputable company for further growth and development to become an asset to your company.

Education:

Everest University

Jacksonville, FL

Medical Assistant Program

Mar 2010-May 2011

1GPA—4.0

Clinical and Administrative Skills:

Vital signs

Injections

Venipuncture

Phlebotomy

Aseptic/Sterile Techniques

EKG

ICD-9andCPTcoding

Medisoft

Electronic Appointment Scheduling

Patient Triage

Diagnostic Laboratory Procedures

Microsoft Office

HIPAA /OSHA Compliant

First Aid/ CPR certified

Work Experience:

Delta Dental

Alpharetta, Ga

Apri 2020- Present

Communication eligibility, Benefits, claims policies and procedures

Document each customer encounter and resolution in appropriate computer tracking system

Expediently Access reference materials to analyze and determine appropriate responses to telephone, electronic, and written inquires

Forward claims as necessary based upon findings.

Identify, report and document system discrepancies

Accurately complete online/hardcopy forms and routes to appropriate department

Meet and maintain production standards, counts, and inquiry response turnaround times

Utilize contract tracking functionality to follow up on calls to ensure resolution is achieved within agreed upon standards

Provide support to other departments as directed. Perform miscellaneous duties as assigned, and participate in training programs.

Delta Dental/TRC staffing

Alpharetta, Ga

Customer Service Rep

November 2017-Apri 2020

Communication eligibility, Benefits, claims policies and procedures

Document each customer encounter and resolution in appropriate computer tracking system

Expediently Access reference materials to analyze and determine appropriate responses to telephone, electronic, and written inquires

Forward claims as necessary based upon findings.

Identify, report and document system discrepancies

Accurately complete online/hardcopy forms and routes to appropriate department

Meet and maintain production standards, counts, and inquiry response turnaround times

Utilize contract tracking functionality to follow up on calls to ensure resolution is achieved within agreed upon standards

Provide support to other departments as directed. Perform miscellaneous duties as assigned, and participate in training programs.

Altegra Health

Alpharetta, GA

Onsite Chart Acquisition Specialist/ Invoicing Payer

March2014- October 2016

Always presenting provider's office staff and copy staff with the most professional and quality customer service care.

*Maintaining quality assurance scores no less than 85%and call count no less than 80 calls per day outgoing

*Contacting various providers and copy service centers to request chart copies for the Hedis and PIA reviews

*Verifying the invoice is within health plan limits

*Data Entry information in for payment processing

*Verifying all member/patient information using HIPPA Compliance

*Faxing and mailing various request to medical facilities

*Collecting payment information from providers/copy centers such as tax id, billing address, etc.

*Completing various escalations using Microsoft word excel, outlook, and odis system

Hire Dynamics-Altegra Health

Alpharetta, GA

Wellness Specialist

January2014-March2014

Referred patients to their examinations and wellness visits

Responded to all the member inquiries thoroughly and professionally

Remaining professional and HIPAA Compliant

Contact this candidate