Customer Service Data Entry

Jennifer Denny

***.*********@*****.*** 425-***-**** Lynnwood, WA

SUMMARY

Seasoned professional with 15 years of experience, adept in claims processing and customer service within healthcare and insurance sectors. Expertise in reviewing, researching, and resolving complex claims, ensuring accuracy and member satisfaction. Seeking a Claims Specialist role to leverage extensive background in claims adjustment, eligibility, and customer support.

WORK EXPERIENCE

UMR Bothell, WA

Customer First Representative/ Claims Adjuster Oct 2017 - Jan 2024

• Delivered comprehensive customer service support by resolving inquiries and issues on the initial call or through diligent follow-up, ensuring customer satisfaction and problem resolution.

• Conducted thorough reviews and processing of healthcare claims, ensuring accurate data entry and application of relevant benefits by adhering to established procedures.

• Addressed and resolved complex claim matters, including large dollar amounts and subrogation claims, as well as managed overturned appeals, dental, and vision claims.

• Achieved performance targets in efficiency, accuracy, quality, member satisfaction, and attendance, contributing to the overall service excellence of the team.

Sono Bello Body Contour Centers Kirkland, WA

Customer Service Representative Aug 2016 - Aug 2017

• Managed a high volume of inbound and outbound communications, addressing inquiries and coordinating consultation appointments for multiple practices nationwide.

• Provided resolution for patient concerns and effectively mediated scheduling issues, ensuring client satisfaction and maintaining service quality.

Electronic Transaction Consultants Seattle, WA

Customer Service Representative (Contract – Express Employment Professionals) Jul 2015 - Jul 2016

• Efficiently handled inbound customer inquiries and performed necessary follow-up actions to ensure resolution of toll transactions and account issues.

• Processed electronic payments and maintained accurate transaction records, ensuring confidentiality and security of customer information.

• Provided cross-departmental support by performing data entry and documentation tasks, contributing to the team's overall productivity during periods of low call volume. Molina Healthcare Bothell, WA

Member Service Representative (Contract – Aerotek) Feb 2015 - Apr 2015

• Managed high-volume inbound calls, providing exceptional service and accurate information to members and healthcare providers, while ensuring compliance with regulatory standards and company policies.

• Recorded call details diligently in QNXT system, facilitating effective communication and operational efficiency across multiple departments.

• Assisted members with Health Effectiveness Data and Information Set (HEDIS) service inquiries and guided them through web portal registration, enhancing their overall experience and engagement with healthcare services. Blingerie Las Vegas, NV

Administrative Assistant 2010 - 2014

• Managed daily office operations, ensuring efficient handling of communications by accurately relaying telephone and fax messages, and maintaining a systematic filing system for correspondence.

• Administered inventory control for office supplies, preventing shortages and supporting daily workflow without interruption.

• Delivered administrative support through proficient word-processing, effective management of calendars and emails, and attentive customer service, contributing to the smooth operation of sales and order processing tasks. MVP Schenectady, NY

Enrollment and Eligibility Specialist (Contract) 2008 - 2009

• Managed the precise processing of member enrollments, status changes, and updates in the database, ensuring adherence to established accuracy and efficiency standards.

• Coordinated diligently with both internal and external stakeholders to resolve eligibility inquiries, maintaining consistent communication and clarifying member status. EDUCATION

Hudson Valley Community College

Business Administration Diploma, Business Administration Troy, NY

2001

Bates Technical College

GED Diploma, General Education Development

Tacoma, WA

1997

SKILLS

Data Entry • Hippa Certified • Medical Terminology • Pricing • Icd 9-10 • CPT and HCPCS • Explanation of Benefits

• Credentialing • Utilization Management • Microsoft Office Suite • Oracle • Sap • Negotiating and Creative Problem Solving • Critical Thinking Skills

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