Customer Service Representative
Resume:
TONYA
STALLINGS
ad4lyp@r.postjobfree.com
HOUSTON, TX 77042
CONTACT
SKILLS
• Healthcare Terminology
• Microsoft Word
• Active Listening
• Microsoft PowerPoint
• Team Development
• Epic
• ICD-9
• Salesforce
Insurance Carriers Commerical,
Federal, Private
•
• Speciality Pharmacy
Accomplished professional offers demonstrated expertise in verifying patient insurance eligibility, collecting accurate patient demographic information, and performing accurate account coding. Versed in verifying insurance coverage quickly and accurately and using problem- solving skills to resolve any issues. Highly organized, detail-oriented and offers excellent multi-tasking skills.
PROFESSIONAL SUMMARY
Customer Service Gatekeeper
IRS, Austin, Tx
Reimbursement Specialist
Caremetx LLC, CornerStone Staffing Agency, Dallas, Texas Customer Service Representative-Remote
Novasyte, Carlsbad, California
EXPERIENCE
January 2023 - July 2023
Managed daily workflow of customer inquiries and requests by delegating tasks appropriately among team members.
•
• Monitored team performance against established customer service standards. Ensured compliance with company policies regarding customer service
• operations.
Provided guidance and mentoring to junior staff members on professional growth opportunities.
•
March 2022 - January 2023
Provided training on proper coding techniques and best practices for submitting reimbursement claims accurately.
•
Collaborated with other healthcare professionals to ensure timely submission of
• documentation for patient claims.
Adhered to HIPAA regulations while handling confidential patient information related to reimbursement claims.
•
Developed expertise in medical coding and billing practices, including ICD-10, CPT and HCPCS coding systems.
•
Assessed eligibility requirements for third party payers prior to submitting claims
• for reimbursement.
January 2019 - December 2021
Responded to telephone inquiries and complaints following standard operating procedures.
•
Delivered personalized customer service relating to questions and promptly resolved basic problems on customer accounts.
•
• Assisted with training and mentoring new team members.
• Handled customer complaints and inquiries in a courteous and efficient manner. A.S in Business Administration
Houston Community College, Houston, Texas
Associate in Science
EDUCATION
June 2019
CERTIFICATIONS
• Healthcare Terminology
• Reimbursement Management
• Epic systems
• Salesforce Systems
• HIPPA
• Kronos
• CVS Caremark
• Availity
• Microsoft Teams
• ICD 9/10 Codes
References available upon request
REFERENCES
Contact this candidate