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Service Representative Data Entry

Location:
Texas
Posted:
September 15, 2022

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Resume:

Henry Arthur

*************@*****.***

214-***-****

WORK EXPERIENCE

Prima Health

CUSTOMER SERVICE MANAGER

Dallas, TX

**/**** *******

• Strictly adheres and demands strict adherence to the company’s policies

• Answer inbound customer/client requests or inquiries concerning services, products, billing, equipment, claims, and report problem areas

• Responsible for improving customer retention through programs and exemplary service provided to the customer

• Make recommendations according to customer's needs on features, accessories, upgrades and options

• Respond to customer inquiries in a confident, timely and accurate manner

• Evaluate data to determine and implement the appropriate course of action to resolve or coordinate service recovery as needed

• Efficiently and successfully navigate multiple system Cigna Health

CUSTOMER SERVICE REPRESENTATIVE

Dallas,TX

07/2012 07/2017

• Type 45wpm accurately

• Adheres to and participates in Company’s mandatory HIPAA privacy program / practices and Business Ethics and Compliance programs / practices

• Research caller’s issues/problems and find solutions

• Billing of claims to the appropriate party

• Follow up with Insurance timely

• Assist in resolving balances on the patient account

• Timely follow up with patients

• Correct and refile claims with the insurance

• Take patient complaints, post discounts, set up budget plans, follow up with medical records department and also provide estimates

Liberty Mutual

CUSTOMER SERVICE REPRESENTATIVE

Dallas,TX

01/2008 05/2012

• Interact with members via telephone to respond to inquiries, complaints, appeals and/or grievances in accordance with state and federal compliance requirements and internal guidelines

• Answer a high volume of inbound calls

• Suggest and share ideas for system and process improvement

• Meet and/or exceed KPIs identified by the business Evaluation Edition of DocSight DocConverter. Visit www.ActivePDF.com/products/DocConverter

• Internal communications/requests client, teams, and departmental

• Scheduling of meetings with team and/or client

• Utilizing our applications for case research

• Ensuring all internal processes are followed as well as remaining HIPAA compliant

• Additional responsibilities within scope of position EDUCATION

Kwame Nkrumah University of Science and Technology 2001 2005

PROFESSIONAL SKILLS

• Strong analytical problem solving and decision making skills

• Strong problem solving skills and ability to think creatively to resolve issues

• Excellent telephone and PC/data entry skills

• Excellent communication and interpersonal skills

• Possesses strong work ethic and organizational skills

• Proficient typing skills; able to type with little to no errors

• Any prior experience with insurance claims billing and follow up as per DHA guidelines Evaluation Edition of DocSight DocConverter. Visit www.ActivePDF.com/products/DocConverter



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