Customer Service Representative
Resume:
JANEEN SHAFFER
janeen.br ******@*****.***
PROFESSIONAL PROFILE
Self-motivated, customer service oriented, and performance driven professional, possessing a strong understanding of the importance of accurate claims processing. Pays close attention to detail for accurate and compliant documentation and maintains and ensures patient privacy and confidentiality.
Effective problem solver, able to assess needs and identify solutions.
Strong written, verbal, and interpersonal skills for effective communication and documentation.
Adept at managing time, coordinating details, and balancing competing demands.
Maintains accurate data to ensure details are not overlooked.
Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate.
Microsoft Office Applications (Word, Excel, PowerPoint, Outlook, and Teams); Types 35 WPM.
CORE QUALIFICATIONS
Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers
Electronic Health Records (EHR) Electronic Medical Records (EMR) Insurance Verification Insurance Claim Processing
CMS 1500 CMS 1450 (UB-04) Medical Terminology Anatomy & Physiology HIPAA Compliance
Medical Coding (ICD-10-CM HCPCS CPT) Medical Billing
Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs
EDUCATION
Ultimate Medical Academy
Diploma – Medical Billing and Coding, 2021
WORK EXPERIENCE
Advanced Call Center Technology Bank of America 11/2022-03/01/2023
Customer Advocate
Helped with debit cards
Helped order cards
Answered questions on account
Helped with card fraud
Teleperformance USAA Bank 01/2022-9/2022
Credit Card Specialist
Helped update client information
Ordered new cards
Updated credit limit
Ultimate Medical Academy – West Valley City, UT 08/2019 – 10/2021
Full Time Student
Navigated new technology, accessed online computer systems, and utilized available resources.
Developed, managed, and maintained a budget effectively.
Remained self-directed and took actions necessary to accomplish academic goals.
Apria Health Care – Salt Lake City, UT 04/2019 – 08/2019
Customer Service Representative
Answered inbound calls from Durable Medical Group.
Took orders for medical supplies and updated account information.
Documented interactions with a high attention to detail.
Maximus – Sandy, UT 09/2019 – 11/2019
Customer Service Representative
Used customer service and interpersonal skills to answer inbound calls and find solutions.
Located and research information using multiple systems, applications, and technologies.
Documented customer inquiries and associated actions; followed-up on outstanding items in a timely manner.
Teleperformance – Salt Lake City, UT 01/2018 – 08/2018
Loan Officer
Assisted with loan applications, retrieved documentations, and uploaded data into system.
Documented interactions, accepted payments, answered phones, and provided account information.
Verified records, hit production metrics, and exhibited top-notch customer service.
Connection Point – Sandy, UT 09/2018 – 12/2018
Customer Service Representative
Answered inbound calls about health insurance plans.
Verified insurance, handled enrollments, and updated information into accounts.
Assisted with website navigation and assisted clients on choosing the correct plan for them.
ADP – West Valley City, UT 02/2017 – 04/2017
HR Benefits Representative
Answered inbound phones and issued medical insurance IDs.
Helped with enrolling for medical benefits and updated account information.
Participated in a positive, team-based environment and upheld a respectful, professional company culture to support achieving department goals.
Alorica – Magma, UT 10/2016 – 12/2016
Customer Service Representative
Answered inbound calls for Best Buy’s Geek Squad.
Located customer shipments and scheduled pick up times.
Documented interactions, located lost merchandise, and escalated information.
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