Customer Service Representative
Resume:
NICOLE PUMA
Lynbrook, NY
******@*****.***
Self-Motivated experienced customer service representative eager to contribute to team success through hard work attention to detail and excellent organizational skills. Enthusiastic to learn, grow and excel with your company in the remote industry!
WORK EXPERIENCE
Court Officer
01/2020 to 04/2022
NYS Courts
Queens, NY
Enforced courtroom rules of behavior to eliminate disruptions. Patrolled interior and exterior of courthouse to secure premises. Supported judge activities by calling court to order, announcing entrances and responding to requests. Followed established security and safety procedures and posted orders to include enforcement of court rules, policies, and regulations.
Documented court-related situations and submitted in-depth reports to superiors. Addressed problems quickly and reported clear information while working under minimal supervision. Recorded required data for incident reports and files quickly and accurately. Supported daily courtroom document preparation, filing of referral forms and court notices, check-in and check-out of clients and attorneys.
Answered face-to-face and telephone requests for information about warrants, citations and other court documents or procedures.
Handled evidence and exhibits during court proceedings. Prioritized and organized tasks to efficiently accomplish service goals. Demonstrated self-reliance by meeting and exceeding workflow needs. Exceeded court user satisfaction by finding creative solutions to problems. Medical Claims Specialist II
01/2019 to 01/2020
Professional Claims Bureau
Garden City, NY
Stayed current on HIPAA regulations, benefits claims processing, medical terminology, and other procedures. Accurately processed large volume of medical claims every shift. Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Modified, updated and processed existing policies and claims to reflect changes in beneficiary, amount of coverage and type of insurance.
Reviewed claims for accuracy before submitting for billing. Inputted data into the system, maintaining accuracy of provider coding information and reported services. Based payment or denials of medical claims upon well-established criteria for claims processing. Checked documentation for appropriate coding, catching errors and making revisions. Composed business correspondences for supervisors, managers and other professionals. Collaborated with fellow team members to manage large volume of claims. Retained strong medical terminology understanding in effort to better comprehend procedures. Created master spreadsheet to record procedures, denials and approvals. Assistant Manager and Insurance Processor
05/2018 to 01/2019
Claudine Cafferata DDS PLLC
Garden City, NY
Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service. Remained calm and professional in stressful circumstances and when dealing with unhappy customers, effectively diffusing situations.
Prepared new patient files and updated existing records with new personal, insurance and medical information. Verify insurance and coverage percentage and provide patient with treatment plan while waiting for completed authorization from insurance company.
Checked patients in and out, verified insurance and collected co-pays to keep business administrative and financial records current.
Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
Assisted with hospital admissions and paperwork.
Transcribed physicians’ notes and entered data into electronic chart management software. Tracked differences between plans to correctly determine eligibility and assess claims against benefits and data entry requirements.
Documented file notes clearly and concisely in Scripts. Submitted claims to insurance companies following proper billing format and diagnostic codes. Notify Patients when their insurance is out of network and the billing process. Administrative Assistant
08/2017 to 05/2018
Southern Healthcare Management
Casselberry, FL
Managed daily invoices, reports and proposals.
Collected and analyzed information to produce concise reports. Created and maintained computer- and paper-based filing and organization systems for records, reports and documents.
Participated in frequent communication with other administrative team members, human resources and finance department on special projects and events.
Oversaw special event calendars for Healthcare Facility Management group, factoring in availability and expected operational demands to keep workloads in balance.
Tackled and addressed top-level, high-priority issues with professional administrative discretion. Revised and maintained master calendar to coordinate meetings across multiple time zones. Scheduled and arranged travel and hotel reservations for meetings, conferences, and seminars. Opened, read, and replied to e-mails, letters, and correspondence on behalf of executives. Entered customer information and updates in database system to track leads, interactions, relationships and propel sales opportunities.
Designed PowerPoint presentations for monthly divisional meetings with top-level executives. Followed detailed end-of-month accounting procedures to verify proper balancing of accounts and readiness for new month.
Resolved vendor and employee inquiries about invoices and purchases quickly through research. Organized and maintained filing and document management systems by coordinating, archiving and purging files. Tracked and submitted employee timesheets to prepare for payroll processing. De-escalated problematic customer concerns, maintaining calm, friendly demeanor. Fielded customer complaints and queries, fast-tracking them for problem resolution. Escalated customer concerns, issues and requirements to supervisors for immediate rectification. SKILLS
Calendar Coordination
Organizational Skills
Time Management
Critical Thinking
Customer Service
Telephone Etiquette
HIPAA Knowledgable
Detail Oriented
Insurance Verification
CRM Software
EDUCATION
Nassau Community College
Associate
Liberal Arts
08/2010 to 06/2014
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