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Customer service/call center

Dallas, TX, 75227
Minimum 13 hour
March 13, 2020

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Presented by AppleOne

Affirmation and Insight: I am in search of stability within a stable company. Most of my work history is within Insurance Verification, which highlights my excellent communication skills. I have keen display of attention to detail as well as active listening skills which provides my professional motivation. Currently I am in search of a career opportunity and do have a great work ethic.

Work History:


Insurance Verifications/Workers Compensation

March 2009 – September 2019

Processed payment updates with highlights in collections, as well as billing inquiries.

Applied payment plans and also processed full pay transactions that was regulated under FTCPA guidelines in adherence to HIPPA.

Requested needed medical records and generated place of employment contact status as well as financial responsibility status quotes in detail. Knowledge of all accounts referenced and due as patient, and or facility responsibility.

Log all third party tracking by state guidelines as well as timely filing deadlines.

Workload included reference of claim numbers, policy numbers, group number and facility address updates.

Processed coding disputes for applied reconsideration /appeal claims, and the ability to message coders and billers for applied rebill statement.

Performed tracking of attorney contacts as well as emergency visit status.

Maintained all guarantor / patient claim information as well as determined claim and case numbers. In sight of open and closed account information applied facility/hospital name and address.

Obtained w-9 requests, phone verification and group identification with tax id numbers, as well as Medicaid/Medicare provider numbers.

In adherence to quality focus at 95% and above were average and acceptable work ethics.

Federal Reserve Bank-Dallas, Tx /Kelly Services

Call Center Agent

June 2007 - FEBUARY 2009

Within call center setting I interacted direct phone contact with patrons, concerning benefit payment within the Federal Government.

Interacted with banks for the said account holder, retrieving customer information for enrollment process.

Processed direct notification for acknowledgement to all parties involved as mail distribution.

Confirmed and compiled data as updated and processed order information within database.

Phone contact for patrons to all banks for verification for checking and savings to involve transfer of available funds allowed as well as notifications given for nature of change.

WellPoint Next-Rx-Plano, Tx /Kelly Services

Patient Client Advocate

JUNE 2006 - JUNE 2007

Within call center setting I processed assistance of prescription refills and or Rx’s submitted by medical doctors and or network providers within mail order pharmacy.

Displayed co-pay amounts and disputes concerning adverse shipments threw USPS and ups tracking numbers provided. Processed payments and allowed refunds where permitted.

Interacted with pharmacy per drug strength and dispense amount provided for the member and or approval from doctor’s written consent.

Phone usage for contacting pharmacies and doctor offices as well as insurance verifications within work performance.

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