Customer Service Front Desk
Resume:
Adrienne Graves
Phenix City, AL 36869
***************@*****.***
Authorized to work in the US for any employer
Work Experience
Claims Analyst
Aspirion Health Resources-Columbus, GA
July 2023 to Present
They compile and analyze claims-associated data and perform related duties including tracking trends, noting patterns, and watching to detect any irregularities. They may perform or oversee investigations to validate the legitimacy of claims or verify the accuracy of invoiced amounts. Front Desk Associate
Columbus Pediatrics-Columbus, GA
January 2022 to December 2023
Patient Demographics. Updated in system. All office duties and clerical duties. Clean waiting area for patients, while getting patients ready to see Doctor. Sales Floor Associate
Dollar Tree-Columbus, GA
February 2023 to May 2023
Get stockroom ready for shipment. Get all shipment off truck and place in correct categories in stockroom. Place stock on shelves on continuous basis. Help with all floor assignments and projects. Store Manager
o Cato Fashions-Thomaston, GA
August 2021 to November 2022
Fulfill all managerial duties including make work schedule, payroll, work assignments, receive shipment, etc. All office duties are performed.
Patient Access Associate
Piedmont Healthcare-Columbus, GA
May 2020 to September 2021
Update patient demographics and verify medical insurance. Perform all office duties, as well as, maintain professional customer service in hospital setting. Intake Specialist
Valley Health Systems-Columbus, GA
June 2018 to May 2020
The Intake Specialist verifies benefits, complete all paperwork for patients to get them prepared and ready to see the provider. All office and clerical duties. Maintain area in lobby and waiting area. Customer service duties as well as all office duties.
Customer Service Representative
Afni-Opelika, AL
March 2018 to April 2018
Customer Service for cellular phone company Verizon Wireless. Basic assistance with billing, phone troubleshooting and complete cellular phone issues. Claims Representative III
Anthem Blue Cross and Blue Shield of Georgia-Midland, GA November 2000 to September 2017
Manager: Tammie Cota, 207-822-580 may be contacted. CUSTOMER SERVICE REPRESENTATIVE
CUSTOMER SERVICE: Self organizes provider and plan call backs, work communication logs daily, assists team members with outstanding projects all done with minimal management. Develop and reviews communication logs with agency clients and service providers. Performs follow-up activities as necessary or as directed. Ensure that call quantity and quality is maintained at acceptable levels. Communicates with other company plans and providers. Regularly multi tasks adjustments, customer service, process claims for 101 and 102 plan BPM, B2, FILENT, Navigate FITFUL/ITSA systems, host and home issues. Communicates with provider representative with any issues which pertain to both members and providers alike. Handles special project requested by the supervisor. Has significant call center experience and performs all clerical duties as well as business experience. Accurately document employee actions, completes member and provider conversations, and implements timely and effective resolution of concerns.
Owner and Manager
Scott's Tire and Auto-Phenix City, AL
June 1992 to November 2000
334-***-****. May be contacted
OFFICE MANAGER/CUSTOMER SERVICE
MANAGEMENT: Uses continuous evaluation of incoming and outgoing data materials to assess and manage office and shop workforce so that the high volume of service call are managed effectively and timely. Adjusts staffing needs accordingly to determine the most effective and cost sensitive staffing level that best meets the needs of the company. Assesses staff training and capabilities to ensure that projects are well within acceptable knowledge base for shop and administrative staff members. Tracks and identifies training needs to improve performance and service delivery and makes recommendations to the owner to maximize efficiency and customer support. Serves as store manager in the absence of the owner while providing additional support services as needed. CUSTOMER SERVICE: Continuously manages real time customer service data such as First-In-First-Out (FIFO). Identifies service needs that may cause severe delay in customer services and coordinates with the customer methods of resolution. Identifies non-productive service provides and develops corrective action plans or process additional training needs.
Education
Bachelor's in General Studies
Columbus College - Columbus, GA
June 1992
High School Diploma
Central High School - Phenix City, AL
June 1985
Skills
• EXCEL (10+ years)
• MICROSOFT EXCEL (10+ years)
• MICROSOFT OFFICE (Less than 1 year)
• MICROSOFT POWERPOINT (10+ years)
• OFFICE 2010 (10+ years)
• CSR
• Call Center
• Customer Service
• Customer Care
• Data Entry
• Office Management
• Hospital Experience
• Training & Development
• Medical Records
• Epic
• HIPAA
• Medical terminology
• Medical office experience
• Medical scheduling
• Multi-line phone systems
• Typing
• Training & development
• Customer service
• Epic
• Medical terminology
• Clerical experience
• HIPAA
• Hospital experience
• Medical records
• Retail sales
• Store management
• Office management
• Microsoft Excel
• Computer skills
• Microsoft Office
• Organizational skills
• Medical receptionist
• Time management
• ICD-10
• CPT coding
Certifications and Licenses
CPR/AED
June 2019 to June 2021
Certified Professional Coder
Additional Information
SKILLS
Office 2010, Advanced PC Training, Microsoft Excel, Microsoft PowerPoint, B2, Nasco, Qcare, HART site, PMIS task sheets and other Anthem knowledge to perform daily processing and adjusting.
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