Karen J Smith

ad4sgx@r.postjobfree.com

904-***-****

Orange Park, FL 32073

Summary:

• Many years of diversified business/customer service experience that includes successful performance in professional billing and payment processing of all types of insurance.

• Computer literate with the ASD, Many RBMA Systems, CRM, Siebel, Windows 7, Medic, Microsoft and Horizon to name a few. Knowledgeable in CPT coding and medical terminology.

• Experienced with various insurance contracts including HMO, PPO, Managed care, Medicare and Medicaid.

• Dedicated team Player

AmeriHealthCaritas and -Presitagehealthchoice thru V-Tech 08/2020 - 12/2023 Patient Account Representative Remote

Responsibilities:

Call center environment assisting members with their insurance needs. Excelled in all requirements needed for my job performance. I was employed at Prestige Health Choice LOB 6400 and received training for FL LOB 2100. Florida Blue Cross, Jacksonville, FL Sep 2015 – Aug 2018 Patient Account Representative

Responsibilities:

I am proficient in an additional 15 computer programs during my time there. Handled small groups with setting up their insurance needs. Excelled in all requirements needed for my job performance. Aetna-USTTech Solutions, Jacksonville, FL Jan 2014 – Feb 2015 Patient Account Representative

Responsibilities:

I am proficient in over 20 computer programs.

Benefits and eligibility training

Claims follow up and appeals.

Florida Blue Cross Blue Shield, Jacksonville, FL Sep 2013 – Mar 2014 Marketing Representative

Responsibilities:

Marketing Florida Blue products for the Healthcare Reform Act. Setting up Venues.

Dollar General, Orange Park, FL Apr 2013 – Sep 2013 Retail Sales Associate

Responsibilities:

Cashier-Sales.

Stocked merchandise.

Convergys, Jacksonville, FL Mar 2012 – Feb 2013

Call Center Representative

Responsibilities:

Customer service for AT&T.

Updated customer accounts.

Processed payments.

Zales Corporation, Jacksonville, FL Nov 2011 – Jun 2012 Sales Representative

Responsibilities:

Sales position at the Orange Park Mall during the Christmas Season which was extended to the summer. Walmart, Orange Park, FL Jun 2009 – May 2010

Sales Associate

Responsibilities:

Customer Service

Stocking freight,

Processed returns of merchandise

Answered multi-line phones.

Image Storehouse Inc., Jacksonville, FL Aug 2007 – May 2009 Document Specialist

Responsibilities:

Prepared employee files and scanned them to computer disks for various companies including CSX and Jacksonville All Medical Personnel, Jacksonville, FL Oct 2004 - 2006 Patient Account Representative.

Responsibilities:

Worked in a call center environment

Answered and solved problems from patients and insurance companies for 77 Emergency Physician groups. Front office at medical offices.

Jacksonville Orthopedic Institute, Jacksonville, FL Feb 1998 – Apr 2003 Patient Account Representative

Responsibilities:

Medical claims billing and insurance follow up

Patient collections for 20 Orthopedic physicians.

Trained and supervised personnel.

Medical Anesthesia Corporation, Jacksonville, FL Nov 1990 – Jan 1998 Patient Account Representative

Responsibilities:

Medical claims billing and insurance

Patient collections for 23 Anesthesiologists.

Trained and supervised the Pain Management Department for 5 employees. Education

Middlesex County College, Edison NJ

East Brunswick High School, East Brunswick NJ

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