Customer Service Intake Coordinator
Resume:
Ashley Grismore
***************@*****.***
Approximately 17 years of accumulated experience in health, claims, accounting, sales, and customer service. Equipped with the ability to be an asset due to being a detailed oriented person with outstanding organizational skills, a self-motivated, career-minded individual that enjoys challenges, willingness to assist while working equally well as a team member or independently and the desire to make a positive impact within the company of employment.
• Analyze and resolve application issues.
• Supervised/managed a team of 9 to 12 people.
• Update and/or modify demographics, if applicable.
• Exceed customer service and quality expectations.
• Assisted the managing team with onboarding, daily reports and training of new employees.
• Rejected claims that could not be processed and communicated with the provider, if needed.
• Well versed in CPT, ICD 9 & 10, the 1500 and UB04 form, and medical terminology and procedures.
• Over 5 years of claims processing experience while using the AS400 as the main system of operation.
• Knowledgeable in the area of pre-certification and member eligibility / coverage for the procedure being performed.
• Communicated directly with the TPA regarding itemized bills, medical records, accident forms, and all documentation.
Owner and Notary/Tax Agent
Kenrea’s Tax & Notary Services - Dallas, TX
August 2018 to Present
Sales Senior Team Lead
OpenRoad Lending LLC - Fort Worth, TX
July 2015 to April 2022
Fraudulent Claims Operator/Customer Service Rep.
JP Morgan Chase - Arlington, TX
March 2012 to October 2013
Intake Coordinator
United Healthcare - Richardson, TX
August 2010 to March 2011
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