Service Representative Data Entry
Resume:
Crystal Willis
Angleton, TX *7515
*****************@*****.***
Objective: To obtain a position as a health care professional in progressive organization where I can make best use of my knowledge and skills as a part of your health care team
Experience:
Southerland Global Houston, Texas August 2013 –April 2017
Claims Analyst II
Analyzed the systems and processes involved in member enrollment, provider information management, benefits configuration and/or claims processing to determine root cause of error and assess interdependencies
Recommended new or modified processes and procedures to reduce claims errors, taking into consideration regulations, contracts, business requirements and system limitations.
Managed all activities related to identifying and fully resolving claims errors by working with multiple operational areas and health plans.
Time management skills with the ability to prioritize and schedule daily activities for the most efficient use of time.
Analytical and interpretation skills including departmental, utilization, financial and operations data
Experience using PC, database system, and related software (word processing, excel, facets, macess, claims workstation, and spreadsheets, etc.).
Codes and processes claims forms for payme-nt ensuring all information is supplied before eligible payments are made
Southwestern Bell (AT&T) Houston, Texas July 2007-June 2013
Customer Service Representative III
Answered inbound call
Technical Support
Process Payments
Identify trends, prioritize and recommend improvement in documentation and call handling.
Assist with other projects and duties as assigned. Also Assist with team training and attend calibration
Conduct daily quality reviews on associate calls, enrollment files and/or casework, Summarize and communicate to management audit results on a regular schedule
Receives, screens, test, analyzes and dispatches troubled reports
Call Center Environment
Woodlake Nursing Home Richwood, TX September 2003 – July 2007
Assisted nurses
Filed Medical Records
Apply ICD-9 and CPT codes on encoder forms
Payment Posting and Data Entry
Analyzes the systems and processes involved in member enrollment, provider information management, benefits configuration and or claims processing to determine root cause of error and asses interdependencies
Manages all activities related to identifying and fully resolving claims errors by working with multiple operational areas and health plans
Education: Strayer University Houston, TX.
Bachelors of Business Administration Currently Attending
Brazosport High School
G.E.D Freeport, TX
May 2001
Contact this candidate