Business Professional

Gwendolyn Lewis

**** ******* **** ***** ***** Apt.402 ● Fort Worth, TX 76132

682-***-**** ● *************@*****.***

Summary

Accomplished professional with strong leadership skills and attention to details. Experienced with a blend of experience in medical billing, coding, claims and benefits.

●Strong Organizational Skills

●Professional Appearance

●Strong Self-Management Skills

●Exceptional Communication Skills

●Phone Etiquette

●Multi-tasking

●Interpersonal Skills

●Confidential Information Security

●Proficiency in Microsoft Office Applications

PROFESSIONAL EXPERIENCE

Fort Worth, Texas

Caregiver October 28,2019 – Current

Billed all services for mentally challenged patients that reside in the facilities group to help them maintain a standard and quality of living.

Arlington, Texas

PharMerica Med D Biller April 2016 – October 25,2019

Works with Client Billing Service Offices, Pharmacy Directors, customers and prescription drug plans to effectively communicate and resolve customer issues. Trusted as a resource to facilitate information on outstanding claims, claim adjudication. Makes outgoing calls to physician client billing and directors to obtain approval, process claim adjudication, insurance and claims backend billing.

Optum Irving, Texas

Customer Care Advocate/Quality Analyst July 2013 – March 2016

Coordinate benefits explain benefits while maintaining HIPPA guidelines. Validate we are using the correct CPT HCPC, HICF ICD9 billing and procedure codes. Utilize Part B Rx Claims to view rejected information, gather critical date from the pharmacies and assist by directing them accordingly or entering an appropriate override.

Maintained daily and monthly metrics accurately and efficiently. Support the administrative aspects of the department, including developing working files, policy and procedure manuals, and a research library. Assist in developing quality standards throughout the company

OTHER EXPERIENCE

Newbold Advisors Fort Worth, Texas

Team Lead, Remediation and Mortgage Underwriting June 2010 – January 2012

Researched loans that were in foreclosed status to determine if the company handled the foreclosures correctly.

Reviewed loans in a quality assurance role for the U S Treasury to determine the responsibility of accuracy within the processing and underwriting department.

American Home Mortgage Irving, Texas

Residential Mortgage Underwriter-Processor January 2008 – May 2010

Underwrote all loans according to the H.A.M.P government guidelines including jumbo loans.

EDUCATION

R.L. Paschal High School

Texas State High School Diploma

Mansfield School of Business

Certified Office Specialist and Word Processor

Lamar University

60 Credit Hours

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