Switchboard Operator Center Representative
Resume:
Kenyell Andrews
GAP Customer Service Representative
Atlanta, GA
*********@*****.***
Highlights
•Initiation of total loss claims
•CMS & KTA Experience
• Demonstrates ability to work effectively with and interact with customers and co-workers in a professional, caring, and courteous manner
•Data entry
• High customer service standards
•Handles/adjudicates all customer calls for a particular call.
•Keeps record of the phone call and transmits claim form to Dealership or Repair Facility.
•Drives the status of the claim within the Safe-Guard system.
•Receives documentation and organizes by claim number
•If claim denied, sends denial letter to customer and copies dealership if necessary.
•Sends missing information letter to customer if document is missing and copies Dealership if necessary. •Notates the system.
•Adheres to Quality Assurance Guidelines
•Determines priorities when receiving multiple claims.
•Performs other duties as assigned.
Willing to relocate to: Atlanta, GA
Authorized to work in the US for any employer
Work Experience
Customer Service Representative
Safe-Guard Products International, LLC - Atlanta, GA September 2015 to Present
•Handles/adjudicates all customer calls for a particular call.
•Keeps record of the phone call and transmits claim forms Drives the status of the claim within the Safe-Guard system.
•Receives documentation and organizes by claim number
•If claim denied, sends denial letter to customer and copies dealership if necessary.
•Sends missing information letter to customer if document is missing and copies dealership if necessary. •Notates the system.
•Adheres to Quality Assurance Guidelines
•Performs other duties as assigned by the Claims Center Manager or Team Lead. PDR Handling
Performs other duties as assigned.
Patient Access Representative
Piedmont Healthcare - Atlanta, GA
May 2010 to September 2015
• collect payments and update patient billing records
• knowledge of all billing and collection concepts, practices, and procedures.
• demonstrates the ability to interact with all levels of hospital staff.
•multi-task oriented with excellent time management and organizational skills.
• Verify insurance benefits
Counsel patients regarding benefits and obligations (estimated patient benefit information sheet, Medicare Questionnaire, and financial assistance applications when necessary).
• Obtain billing information needed from discharge charts, then return to coder.
•Durable Medical Experience (DME)
•Collect deductibles and co-pays, make payment arrangements, process credit card payments, and send information to the Business Office.
•Prepare flash reports for financial operations reviews. Patient Account Representative/Data Entry
Fresenius Medical Care - Kennesaw, GA
June 2013 to May 2015
• Ensures timely filing requirements are met and accounts are followed-up on in a timely and appropriate manner, to eliminate timely filing denials and non-payment of claims
•EPIC experience (3+ years)
•ICD9 Coding
• Responsible for any special projects related to dialysis and renal disease
• Reviews and researches insurance correspondence and makes necessary corrections to accounts
• Follows-up on patient's accounts in a timely manner and proactively communicates with dialysis offices
•Experience with DME
• Follows-up on patients account balances on a daily basis and notates follow-up response on patient accounts
• Completes re-bill request as necessary to facilitate timely and proper claims payment *Contract Customer Service Representative
RemX/Altegra Health - Alpharetta, GA
December 2007 to June 2009
Responsibilities
Abstracting Charts for HEDIS project, verifies insurance, EMR & EHR knowledgeable,process claims, placing outbound calls to physician offices, coding e-med charts, faxing/mailing time schedule paperwork, scheduling appointments for field observers, switchboard operator, data entry
*Contract
Call Center Representative
Xerox - Sandy Springs, GA
February 2005 to December 2007
Responsibilities
Handling CVS/Caremark calls.
Processing pharmaceuticals for Medicare/Caresource customers and Aetna members Numeric data entry
*Contract
Education
High School Diploma
Griffin High School - Griffin, GA
1997 to 2001
Skills
AS/400, Microsoft Word, Excel, Power Point, Ecube Financials, EMR, EHR, ESRD, Ability to type 35 wpm, HIPAA Knowledgeable, Medical Claims, Underwriting skills, Numeric Data Entry, Customer Service
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