Customer Service Cash Handling

DYANN M. WARD

**** *. ****** ***. *** E*** Midland, TX 79707

419-***-**** *********@*****.***

Experience

Quadax Inc. Milan, Ohio Prior Authorization Representative/Billing Specialist

• Review case and insurance coverage information to customize the content of the call to the insurance company or physician’s office.

• Provide insurance company representatives with an overview of the services in which coverage is being requested in the attempt to obtain prior authorization.

• Answer questions regarding the reimbursement process and direct testing specific and treatment questions.

• Completed SMN (statement of medical necessity) form based on client or insurance requirements and fax to the ordering physician’s office for completion.

• Follow up contact as needed with the insurance company or physician’s office based on pending documentation or approval.

• Met benefit investigation process standards by completing assigned worklist tasks in a timely manner and/or reporting to management when assistance is needed to complete the task.

• Participated in team meetings by sharing the details of cases worked.

• Reviewed and submitted claims based on payer guidelines and within the filing time limits.

• Obtain updated or missing claim information from physicians and/or patients.

• Completed assigned claim and follow-up worklist tasks.

• Provided insurance companies with the test descriptions, results, medical records, tax information, and licenses when requested.

• Called insurance companies to determine the status of claims submitted.

• Complied with all Billing and Follow-up Worklist process, system, and documentation SOPs.

• Met claim filing and follow-up deadlines by completing assigned worklist tasks in a timely manner and/or reporting to management when assistance is needed to complete the tasks.

• Reported all changes to insurance company claim processing requirements to the Billing Manager. 05/09/2016-01/24/2020 Relocation

Gardner’s Cardinal Supermarket, Norwalk, Ohio Cashier/Customer Service

• Checked out customer groceries efficiently and accurately.

• Upheld government regulations concerning sale of alcoholic beverages and taxation.

• Followed proper check, ATM, and credit procedures.

• Used proper tares procedures when ringing up scalable items.

• Cleaned and stocked Front End areas, including own register – changing tapes and ribbon as necessary.

• Followed all cash handling procedures – meeting and exceeding regional cashier variance policy.

• Assisted with training of new Cashier and Courtesy Team Members.

• Monitored and assisted cashiers as needed.

• Balanced cashier drawers and vault.

• Sale of tobacco and liquor.

• Monitored and tracked lottery sales.

• Provide customer service via phone and in person.

• Cashed customer checks/verified authenticity.

• Created money orders upon request.

• Verified returns and refunds.

• Sorted incoming mail.

• Assisted in creating weekly store ads. 1/2014-05/2016 Experience Continued

GTE/FRONTIER PHONE COMPANY, Norwalk, Ohio

Dispatch Clerk, Statistical Clerk Reporter, Assignment Clerk, Recent Change Clerk, Pending Order Investigator.

• Communicated with other departments relaying various information.

• Accurately relayed and recorded information received.

• Updated and corrected trouble reports and service orders when required.

• Followed all safety practices and procedures.

• Efficiently work in a fast-paced environment and adapt quickly to change

• Relieved and assisted other team members, including supervisor as needed.

• Liaison and partner with other areas/departments.

• Answered incoming calls and incoming chat requests from outside departments and providing accurate information.

• Performed additional duties and tasks as required by the Company.

• Verified accuracy of reports pulled, entered data into appropriate systems for management reporting to track company progress.

• Received and processed customer orders.

• Programmed calling features at customers request.

• Front line customer inquiries/problem solving.

• Excellent customer service skills.

08/1981-12/2012 Retired due to position elimination. Professional and Personal References available upon request.

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