Data Entry Customer Service
Resume:
************@*****.***
Dallas, TX
C O N T A C T P R O F I L E
S K I L L S
E D U C A T I O N
Skills include, but not limited to: W O R K E X P E R I E N C E Medical Billing & Coding Procedures +
Terminology
HIPAA Compliance
Insurance & Benefits Management
CRM Software (QuickBooks,
Salesforce)
Digital Marketing Strategies
Customer Relationship Management
Data Entry & Record Management
B.A. in Education
Jarvis Christian College
2013-2018
High School Diploma
Grand Prairie High School
2009-2013
Claims Specialist
AHMC Healthcare
Managed dual-monitor call center operations, liaising between providers, customers, and the company to ensure timely claims processing and resolution.
Reviewed claim files to ensure accuracy, utilizing extensive knowledge of medical terminology, insurance policies, and claims procedures.
Processed claims using RW UB04, BW UB04, HICFA, and RW1500 forms, and worked with COB, SOB, EOB.
Proficient in QuickBooks and Salesforce for data tracking and reporting.
Start Date: July 2024
Dedicated Benefits Specialist with 4+ years of diverse experience in insurance, claims management, and customer support. Skilled in delivering exceptional client service while maintaining compliance with industry regulations. Proficient in billing, coding, CRM tools, and resolving customer inquiries. Proven track record of professionalism and maintaining high ethical standards.
L A N G U A G E S
English
D A L A N D R A M C P E T E R S
Customer Service Lead
Representative
Magnit Global - Cigna Insurance
Companies, Remote
Provided expert-level assistance to members regarding plan benefits, enhancing productivity and customer service.
Conducted inbound and outbound calls to advise on Cigna Medicare products and services.
Maintained compliance with HIPAA, tracked compliance with internal and regulatory standards, and managed detailed customer records.
Met and exceeded service-level agreements for call handling, prioritizing customer needs and satisfaction. Start Date: September 2023
************@*****.***
Dallas, TX
C O N T A C T W O R K E X P E R I E N C E
E X P E R T I S E
R E F E R E N C E S
I hold a B.A. in Education and am
certified as a Professional Coder,
Coding Specialist, and Coding
Associate. With expertise in medical
billing, coding procedures, and
HIPAA compliance, I have a strong
grasp of insurance and benefits
management. I’m skilled in CRM
software like QuickBooks and
Salesforce, and bring experience in
customer relationship management,
claims billing, and authorizations.
As a quick learner with a passion for
delivering value, I’m confident in my
ability to contribute to any team,
streamline processes, and enhance
operational efficiency.
DaMonique McPeters
*****************@*****.***
DaMesha Lynn
*********@*****.***
Licensed Insurance Agent
TZ Insurance
Provided consultation on Medicaid eligibility and various insurance products, delivering excellent service to clients. Conducted interviews to assess clients’ financial needs and assisted with policy issuance and renewals.
Maintained CRM software for tracking sales transactions and client interactions.
Educated customers on insurance products and ensured adherence to federal and state regulations.
Start Date: August 2022
Support Services Coordinator
– Billing & Coding
Conifer Health Solutions
In my role, I manage end-to-end medical billing and coding processes, ensuring accuracy and compliance in filing claims. My responsibilities include processing claims, handling denials and rejections, and reprocessing claims through various channels, including clearinghouses and HCFA forms.
I generate and manage super bills and itemized bills, ensuring all claims forms are completed correctly.
I routinely handle inbound and outbound calls with providers and members to resolve billing issues, clarify claims, and ensure smooth processing.
With a strong focus on accuracy and efficiency, I streamline operations and provide excellent customer service to both patients and healthcare providers.
Start Date: January 2019
D A L A N D R A M C P E T E R S
Contact this candidate