Customer Service Data Entry

Bonita Hodges

510-***-****

*************@*****.***

Career Summary: Administrative, Adjudicator, Customer Service roles. Looking to obtain a position that will allow me to utilize and expand my existing and achieved skills throughout my career. PROFESSIONAL SKILLS:

• Claims processing (UB

& 1500)

• Administrative Support

• Customer/Client

Account Resolution

• Accounts Receivable

• Accounts Payable

• Standard Operating

Procedures

• Wage Loss Calculations

• Call Center

• Data Entry (advanced)

• 10-Key (advanced)

• Ability to prioritize

workloads and meet

deadlines

• Intermediate

computer skills

• Ability to work

remotely

• Strong Organizational

Skills

• Strong communication

grammatical skills

EMPLOYMENT HISTORY

Aetna – Catalyst Solutions 9/3/22 – 6/4/2024

Position: Claims Processor 2

• Processed/adjudicated Medicare & Medicaid Claims

• UB and HCFA 1500

• Followed SOP’s for proper processing

• COB processing

• Carc/Rarc guidelines

• Most processed edits: 205, 8000/6000 series, 600 series and Cotiviti Claims Conifer – Ready Works Agency 1/2022 – 7/2022

Position: Patient Follow Up Rep

• Verified EOBRE’s and proper financial codes

• Denials follow up

• Finalized aged claims

• Performed patient & Medicare calls (prior to routing to billing dept.) Maximus – Ready Works Agency 9/20/20 –3/15/21

Position: Claims Examiner-Adjudicator

• Adjudicated unemployment claims on pending cases (DNA, AA, Separations)

• Daily interactions with Employers/Claimants regarding Claim Certifications.

• Daily updates to spreadsheets and system corrections in Mainframe, HOD.

• Successfully processed 40-60 Fact Finding issues weekly. System Knowledge: QNXT, Medi-Tech, Genesys

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