Customer Service Case Manager
Resume:
*********@**********.***
Derrick Crowder
Objective: Business Administration, specifically sales and customer service, will Allow me to challenge myself and grow with the company, in utilizing My abilities through qualified training and experience. Summary of Customer Service
Qualifications: Self-Employed
Deliver Driver
Excellent communications skills, strong problem solver, and self-starter. Proficient use in Microsoft Software, Word Excel
Education: 1983-1986 Myers Park High
1986-1988 NC A&T State Univ: Engineering
1995-1996 NC A&T State Univ: Accounting
2004-2005 Central Piedmont Community Colleges: Medical Terminology 2008 Charlotte Bartending School
2009 Central Piedmont Community College: Medical Reimbursement 2010 Central Piedmont Community College: Advance Coding Work Experience: 2022 – present CareMetx / Reimbursement Case Manager Aided with identifying appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source. Verified patients’ eligibility and claims. Pharmacy benefits payer, determine prior authorizations for medication and outpatient procedures and research CPT and ICD-10 coding Discrepancies and reimbursement accuracy.
2014-2022 Amerisource Bergen / Patient Service Representative Inbound phone queue and general program inquires. Determination of support programs such as copays, patient assistance program, Medicaid. Reports any trends or delays to program management. Researches and resolves any claim denials or underpayment of claims.
2011-2014 Ranstad \ Aon Hewitt - Health Benefit Specialist Enrolling participants in their health benefits for medical, dental, vision and Making sure coverage is verified for Client specific. 2005-2011 Mutual Distributor / Delivery Driver/Customer Service Implement sales technique. Collect payments for merchandise. Stock merchandise and price items.
Provide excellent customer service while helping customers 1997-2005 Overton’s Barber Shop / Self-employed Barber/Manager Provide excellent customer service. Handle complaints, support state board regulations and cash handling procedures. Kept records when Customers paid for haircuts, Weekly deposits to bank. Opened and closed business. Provide haircuts for customers.
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