Post Job Free

Resume

Sign in

Customer Service Services Representative

Location:
Lancaster, SC, 29720
Posted:
March 14, 2024

Contact this candidate

Resume:

Crystal Dawn Garris Parmelee

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

Lancaster, SC 29721

803-***-**** cell

ad4cc8@r.postjobfree.com

Objective

To obtain a challenging and responsible position in which my experience, training and natural ability can be utilized within a firm offering opportunity for advancement.

Education

1989 King’s College, Charlotte NC

Accounting Diploma

Coursework: Principles of Accounting, Cost Accounting, Intermediate Accounting, Payroll, Business Math, Personal Income Tax, Computerized Accounting, Professional Development, Typing, Microcomputer Applications, Electronic Spreadsheets and Business and Oral Communications

Work History

2019-2021 Lash Group, Fort Mill, SC

Patient Services Representative

Answered incoming calls from patients, providers and payers, Documented system regarding what phone call was about, faxed and mailed applications for patient assistant programs to requested parties, answered all questions from callers regarding patient assistance programs for Eliquis through Bristol Myers Squibb Patient Assistance Program, Made out going calls to parties to get missing information or to verify illegible information on applications, helped coworkers with questions and duties, and did special projects as needed

2018-2019 Lash Group, Fort Mill, SC (Seasonal through Spectraforce)

Benefits Verification Specialist

Reviews all patient insurance information needed to complete the benefit verification process, identifies missing information and requests it in a timely manner, verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options, identifies any restrictions and details on how to expedite patient access, could include documenting and initiating prior authorization process, claims appeals, etc., completes quality review of work as part of finalizing product, and performs related duties and special projects as assigned.

2011-2016 Bi-Lo Incorporated, Lancaster, SC (part time)

Cashier/Bookkeeper

Running cash register, bagging groceries, exchanging money with customers, customer service, stocking meat counters, cleaning meat department, removing old ad tags, putting up new tags for merchandise, cleaning registers, doing go backs, back up scan coordinator, bookkeeping, processing western union payments, processing money orders, controlling incoming and outgoing cash orders from Loomis, issuing lottery tickets, processing lottery payments, supervising cashier and bagger performances and breaks, processing refunds on merchandise returns or damages, processing equipment rental paperwork, exchanging propane tanks, help with training new employees, making new store signs for new ads, helping customers load groceries and equipment rentals, counting and balancing tills on a daily basis, doing register audits, and performing any other tasks that are asked of me

June 2012-October 2012 The Outsource Group, Charlotte, NC

Client Representative

Working ATB reports, calling various insurance companies for claim status, handling posting of adjustments, updating account notes, modifying patient demographic information, calling patients for information as necessary, issuing additional information to insurance companies as needed for claim payment or appeal, and any other necessary task that is asked of me

2010-2011 Prince Parker & Associates, Charlotte, NC (temp position through AppleOne)

Collector

Calling debtors either manually or on an automatic dialing system to discuss accounts that are either in collection or pre-collect status, setting up payment plans to get accounts paid off in 90 days or less posting payments to accounts, calling debtors to collect on fraudulent checks, returning calls to debtors to answer questions, and other various office duties as needed

2005-2007 Lancaster Convalescent Center, Lancaster, SC

Administrative Assistant

Answering telephones, taking messages, running company errands, controlling petty cash, updating activity board on a daily basis, update resident roster as needed, distribute mail, accounts payable, preparing check requests, kept attendance book current, ordered office supplies, filing, typing, accepting payments and issuing receipts, preparing daily bank deposits, place ads in newspapers as needed, and special projects as needed

2004-2005 Lung Center, LLC, Lancaster, SC (part time)

Medical Billing Clerk

Electronic and manual billing of all insurance claims, follow up phone calls and tracking of insurance claims, sorting mail, posting payments, answering phones, attending to patients at the check in/out windows, taking vitals on patients occasionally using electronic equipment, preparing patient statements, preparing weekly bank deposits, scheduling patient appointments, making reminder phone calls for appointments, taking payments and issuing receipts, handling all aspects of collections for delinquent accounts (calls, letters, etc…) and other various office duties as needed

1999-2006 Kmart, Lancaster, SC (part time)

Cashier/Service Desk Shift Supervisor

Operating cash register, managing service desk, scheduling cashiers breaks and lunches, distributing work to cashiers, putting away return to stock items, issuing refunds, handling exchanges of merchandise, answering phones and directing calls to the appropriate departments, assisting customers, straightening aisles, bagging purchases, accepting Western Union payments and issuing payouts, training new cashiers, cutting keys, issuing hunting and fishing licenses, and other duties as needed

2001-2004 Kanawha Benefits Solutions, Lancaster, SC (Now Humana)

Claims Examiner

Processing medical, dental, and orthodontic claims for numerous groups, preparing letters to insureds, prepare the paperwork necessary for claim adjustments, assist with customer service phone calls, doing reworks of incorrectly processed claims, note system with new information received for insured individuals, prepare answers to customer service logs, requesting information from providers concerning individual claims, and participating in various special projects on an as needed basis

1999-2001 CoreSource, Charlotte, NC

Customer Service Representative

Answer 1-800 phone lines regarding medical, dental, and vision benefits and claim status, research and process refunds then forward to adjustments, research claims for errors and forward for necessary adjustments, assist supervisors by writing letters for approval or denial of pre-determination requests, appeals of claims processing and general explanation of policy amendments, assist in training new employees as to company and departmental policies and procedures, pulling claims from file room, mailing correspondence, contacting PPO networks regarding provider participation, taking voice mail messages from ques and returning calls, and any other tasks requested to be completed(This is a call center setting)

1996-1999 United Healthcare Insurance Co., Charlotte, NC

Service Associate

Customer service phone calls, claims processing, answering supervisor customer service phone calls, conducted training classes on TDARS system, answered trainee questions on the floor, DPS drug approval overrides, prepared team daily performance reports, prepared time away from work approvals, prepared time sheets for payroll, Apria claims processing, restricted claims processing, accounting adjustments on claims, reworks, eligibility backup, assisted in pre-existing investigations, and manual keying and processing of claims (Charlotte office is now closed) (This was a call center setting)

1995-1996 Rehab Works (formerly CMS Therapies), Charlotte, NC

Electronic Biller

Electronically billed for therapy services for facilities in seven different states, download all claims, fix errors, run the exception report and download to the Medicare offices, distribute mail, help out with secondary billing and primary billing for 14 different states as needed, preparing manual adjustments, and other various special projects (Company Now Out of Business)

1993-1995 Medical Finance Corporation, Charlotte, NC

Data/Charge Entry Clerk

Key punch in patient demographics, key punch in patient anesthesia charges for 34 anesthesiologists, prepare HCFAs for insurance companies, prepare EMC billing for Medicare/Medicaid and Blue Cross/Blue Shield, prepared NEIC billing, handled various types of correspondence, answer patient phone calls, ran weekly audit reports for providers, prepare pre-estimate quotes for services, post payments, patient account adjustments, filing, and other various office tasks as needed (Not sure if company is still in business –owner is deceased)

1993 Security Finance Company, Lancaster SC (part time seasonal position)

General Clerk

Solicitation, credit application processing, calling delinquent accounts, marking account cards, running CBI reports, filing, updated mailing lists, and running company errands

1989-1992 Lancaster Motor Company, Lancaster, SC

Administrative Assistant/Customer Service

Customer relations, schedule appointments for service department, back up telephone switchboard operator, prepare work orders for service technicians, filing, key punch warranty receivables on DCS terminal, prepare credit memos, updating and maintenance of warranty schedules, accounts payable and receivable, total payroll flag sheets, head cashier, balanced cash drawer daily, prepared daily bank deposits, ran company errands, prepared weekly parts order, other various duties on an as needed basis, and special projects

References available upon request



Contact this candidate