Resume

Sign in

Customer Service Care

Location:
Denison, TX, 75021
Salary:
38,000
Posted:
February 27, 2020

Contact this candidate

Resume:

Alisha Chesser

*** * ***** **. *******, TX ***** Phone: 903-***-**** Email: adb066@r.postjobfree.com

Objective: To secure a position in a well-established organization with a stable environment that will lead to a lasting relationship.

Experience:

Palmetto GBA 08/06/2018 – Current

Provider Enrollment Analyst

My responsibilities include processing various applications for Providers looking to enroll into the Medicare program or make changes to their existing Medicare enrollment. I have experience working all types of applications including organizations such as IDTF’s, ASC’s, Ambulance, as well as Individual Providers and Groups. The systems I work with on a daily basis include but are not limited to PECOS, MCS, and I am currently learning Palmetto’s iFlow system. I follow all processes and procedures put in place by CMS as well as Palmetto in order to maintain the integrity of the program.

The Jacobson Group – Temporary Employee for Palmetto GBA 04/02/2018 – 08/05/2018

Provider Enrollment Analyst

I am a temporary employee seeking a permanent position with Palmetto. My responsibilities include processing various applications for Providers looking to enroll into the Medicare program or make changes to their existing Medicare enrollment. I have experience working all types of applications including organizations such as IDTF’s, ASC’s, Ambulance, as well as Individual Providers and Groups. The systems I work with on a daily basis include but are not limited to PECOS, MCS, and I am currently learning Palmetto’s iFlow system. I follow all processes and procedures put in place by CMS as well as Palmetto in order to maintain the integrity of the program.

National Government Services 08/18/2014 - 11/30/2017

Provider Enrollment Analyst I/II

My responsibilities include processing various applications for Providers looking to enroll into the Medicare program or make changes to their existing Medicare enrollment as well as applications to revalidate Providers. The systems I work with on a daily basis include but are not limited to PECOS, MCS, and Case360. I follow all processes and procedures put in place by CMS as well as NGS in order to maintain the integrity of the program.

SmartIT Staffing Temporary Employee for NGS 11/04/2013 - 08/17/2014

Provider Enrollment Analyst

I worked as a temporary employee with NGS in the Provider Enrollment Dept. and am seeking a permanent position. My responsibilities include processing various applications for Providers looking to enroll into the Medicare program or make changes to their existing Medicare enrollment as well as applications to revalidate Providers. The systems I work with on a daily basis include but are not limited to PECOS, MCS, and Case360. I follow all processes and procedures put in place by CMS as well as NGS in order to maintain the integrity of the program.

Accent/West Asset Mgt. 03/18/2013 - 11/01/2013

Investigative Specialist for Third Party Insurance

As an Investigative Specialist, I started in the Intake role calling subscribers for our health insurance clients inquiring on claims to see if they are the responsibility of a third party insurance company. If the claims turned out to be a potential third party liability, I would then convert the account into an investigative status.

I then moved on to the Investigative role where I would contact Insurance Adjusters and Attorneys to collect information and get the account ready to send to the Recovery Specialists to recover the money our clients paid on claims that were the liability of the third party insurance company.

I have also served as a Mentor for New Hires going into the Intake role scheduling daily meetings to go over their progress and educate them on any questions or concerns they may have.

Provider Customer Care Specialist II

Trailblazer Health Enterprises 06/14/2010 - 11/16/2012

As a PCCS II I assisted Providers with their more complex denied Medicare claims by educating them on current Medicare policies and regulations and how to properly file their claims. I checked status of their claim appeals and answered/researched complex questions and concerns pertaining to Medicare. During my 29 months of employment I have been named customer service champion and received numerous awards for my performance including but not limited to knowledge, customer service, and quality. I was audited on my performance at least 5 times a month and received 100% on all but 1 audit.

HR Coordinator/Restaurant Recruiter

Reed and Associates 02/23/2009- 03/03/2010

As a Recruiter, I reported directly to the President of the Company Nancy Reed. I was responsible for finding and interviewing qualified candidates for certain restaurants that the President personally handled herself. These positions included but wasn't limited to Director of Ops, Regional, General, and Assistant Managers. I recorded all related information on data sheets and attached their resumes to forward straight to the President to coordinate. As a Coordinator, I was assigned my own Restaurants. My responsibilities included contacting the restaurants to stay updated on what their hiring needs are as well as keeping them updated on all progress. I coordinated between the Employer and Candidate getting face to face interviews set up and made sure the Candidates had all the information and materials they need for the interview. I also did my own investigations on each Candidate using the internet before sending them to the Employer. I work well with Microsoft Excel, Word, spreadsheets, and Outlook Express.

Recovery Specialist for Medical Dept.

West Asset Management 07/2006 - 01/2008

Responsibilities include complying with all federal, state, and local laws and provisions while collecting an assigned budget on a monthly basis. This position required me to collect as many overdue accounts as possible; making arrangements with debtors to pay debts in full or to set up the best possible arrangements while keeping all information strictly confidential. I was required to document all activity in a concise and accurate manner.

Bank Teller / CSR

First National Bank of Trenton 08/2004 - 10/2005

Responsibilities include processing deposits and paying out funds in accordance with bank procedures. Excellent customer service skills. I was required to record all transactions accurately and balance each day's operations. I was fully trained to use a teller machine and use 10-key by touch. I attended two Teller Seminars and one Advanced Teller Seminar offered by The Colorado Banking Institute..

Customer Service / Cashier

Sonic Drive-In 10/2003 - 08/2004

Responsibilities include serving food and refreshments to patrons in cars while giving excellent customer service. I took orders and relayed orders to the kitchen to be filled. I was responsible for totaling and presenting checks to customers and accepting payment for service. I had other duties that furthered the goals of my management team and kept the kitchen running in an organized manner.

Education: GED

References available upon request



Contact this candidate