Customer Service, Medical Insurance, Healthcare
Resume:
Steven Bloom
Pittsburgh, PA
adkcaq@r.postjobfree.com
EXPERIENCE
Jewish Community Center Of Greater Pittsburgh, Pittsburgh, PA February 2018-March 2019 Customer Service Representative
Serves as initial contact for members and guests entering facility.
● Utilized attention to detail to adhere to organizational security procedures.
● Displayed aptitude for technical learning to process member applications and course registrations.
● Utilized critical reasoning skills to rapidly resolve member issues. Allegheny Health Network, Pittsburgh, PA March-October 2017 Revenue Cycle Customer Service Representative
Collected payments and assisted customers interpreting complex billing statements including errors and disputes. Gained familiarity working in highly regulated industry.
● Resolved all self-pay account balances from technical and professional billing systems while adhering to regulatory guidelines.
● Served as preliminary contact for patients who contacted the Single Billing Office with inquiries regarding AHN patient statement balances, and resolved any billing related issues while ensuring patient satisfaction.
● Discovered and initiated rebilling of insurance claims.
● Assisted patients with applying for Charity Care. Aetna (Formerly Coventry), Moon, PA 2012-2016
Associate Customer Service Representative
Increased overall Medicare broker satisfaction by providing consistent and reliable information services.
● Achieved first-call resolution on average of 90% of calls.
● Resolved client issues with Medicare commissions, certifications, and contracts requiring thorough research to correct.
● Identified possible contract issues with Medicare brokers and directed them toward process for reapplication.
● Handled Medicare agent inquiries and problems via telephone, internet or written correspondence.
● Verified Medicare plan eligibility and documented applicable inquiries via the internal applications. NCO Financial, Robinson Township, PA 2008 – 2012
Customer Service Representative
Provided payment collection services for two large companies, ensuring both customer and company satisfaction.
● Handled last minute payment arrangements for customers that were in default with payments.
● Resolved customer issues in a quick and efficient manner to ensure customer retention.
● Consistently provided clear communication to other team members and to supervisor. Cigna, Pittsburgh, PA 2002 – 2007
Health Service Specialist
Increased member satisfaction, retention, and growth by efficiently delivering competitive services to members and providers via phone communication. Served as a first line of communication for Cigna authorizations.
● Handled incoming requests for pre-authorizations.
● Researched procedure codes to verify if authorization was needed.
● Handled authorization related customer service inquiries and problems via telephone.
● Explained processes for obtaining authorizations to members. EDUCATION
West Virginia University, Morgantown, WV Bachelor of Arts in History
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