Customer Service Representative
Resume:
LaKeithea Sumbler
Medical A/R (RCM)
Houston, TX 77016
*************@*****.***
Authorized to work in the US for any employer
Work Experience
RCM A/R Specialist
HealthHelp-Houston, TX
October 2017 to Present
• Manage a high volume of incoming calls, addressing inquiries and directing them to the appropriate departments for efficient resolution.
• Collect payments from patients, ensuring accurate processing and recording of transactions.
• Verify patient coverage eligibility and insurance details to provide accurate information and services.
• Call insurance companies about claims, seeking clarification or additional information for processing.
• Collect outstanding balances from patients or insurance companies, following up to ensure timely payments.
• Research potential fraudulent insurance claims, communicating with insurance companies to investigate and resolve issues.
• Post payments to patient accounts, ensuring accurate recording and reconciliation.
• Update fee schedules to reflect current rates and align with billing guidelines and regulations.
• Create and submit claims to insurance companies, including all necessary information for prompt processing.
• Handle complaints by providing solutions and alternatives within time limits and follow up to ensure resolution.
• Keep records of interactions, process accounts, and file documents systematically for accuracy and accessibility.
• Follow up on communications to address issues and resolve customer inquiries promptly.
• Verify insurance information to ensure accuracy before processing claims or providing services.
• Process insurance claims, including Medicare and Medicaid, for all fifty states, adhering to regulations.
• Fax documents to relevant parties as needed, ensuring prompt and accurate communication.
• Schedule appointments efficiently, coordinating with patients and service providers for timely arrangements
Customer Service Representative
Car Research
July 2017 to October 2017
• Managed large volumes of incoming calls, directing or addressing inquiries efficiently.
• Identified and assessed customer needs to ensure satisfaction with tailored support.
• Built trustful relationships through open communication, fostering customer loyalty.
• Provided accurate information using the appropriate methods and tools for clear responses.
• Met quotas for customer service and call handling, consistently achieving performance targets.
• Handled complaints by offering timely solutions and following up to ensure resolution.
• Kept records of interactions, processed accounts, and filed documents accurately.
• Followed procedures and policies to ensure consistent and compliant service.
• Took the extra mile to engage customers and enhance their experience.
• Scheduled service appointments efficiently with customers Customer Service Representative
CEVA Logistics-Houston, TX
February 2015 to May 2017
• Managed high call volumes, directing or addressing inquiries for timely resolution.
• Assessed customers' needs to provide tailored support and achieve satisfaction.
• Built trustful relationships through open communication, fostering customer loyalty.
• Provided accurate information using appropriate methods and tools for clear responses.
• Met service and call handling quotas, contributing to team performance goals.
• Handled complaints by offering timely solutions and following up to ensure resolution.
• Kept detailed records of interactions, processed accounts, and filed documents systematically.
• Followed procedures and policies for consistent and compliant customer service.
• Exceeded service standards to enhance customer engagement and satisfaction.
• Scheduled delivery appointments and coordinated logistics for efficient operations.
• Dispatched orders and managed logistics to ensure smooth operational flow.
• Tracked and managed inventory, ordering supplies and maintaining accurate records Document Control Clerk
Huntsman-Kingwood, TX
December 2011 to January 2015
• Verified data for accuracy, ensuring correct and consistent information before recording.
• Entered new data into systems, maintaining up-to-date and accurately formatted records.
• Answered phone calls professionally, addressing inquiries and directing calls appropriately.
• Held meetings with clients to discuss needs, provide updates, and resolve concerns.
• Managed shipping and receiving by coordinating dispatch and receipt of goods efficiently.
• Organized the file room by sorting documents and maintaining an orderly filing system.
• Scanned documents into digital formats, ensuring quality and accuracy in digital records. Handled land, seismic, and well data, processing and recording geological and operational information Education
High School Diploma
North Star Academy
May 2005
Skills
• Customer Service
• Customer Care
• CSR
• Call Center
• Billing (1 year)
• Data Entry
• Microsoft Excel
• Microsoft Powerpoint
• Microsoft Office
• Data Management
• SharePoint
• Metadata
• Oil & Gas Experience
• Front Desk
• Medical Billing
• Dental Receptionist
• Document Management
• Medical Office Experience
• Insurance Verification
• Epic
• Customer support
• Oracle
• Typing
• Data collection
• Salesforce
• Process mapping
• Visio
• Microsoft Access
• Live chat
• Customer service
• Front desk
• Data collection
• SharePoint
• Research
• Document management
• Live chat
• Typing
• HIPAA
• Epic
• Windows
• Metadata
• Microsoft Access
• Accounting
• Oracle
• EDI
• Data analysis skills
• Analysis skills
Certifications and Licenses
Driver's License
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