Ciairria Allen
Ciairria Allen 817-***-****, ***9 Bluebell Drive Everman, Texas 76140, ********@*****.*** Objective: To play a significant role within a growing company, applying all knowledge and experience obtained, in which one can provide excellent customer service. Skills:
Payment processing
Credits/Reimbursements
Scheduling
Cash applications
Medical Record
Medical Billing Collections
Data Entry
General office
Invision Software
Centricity Software
Optum Software
Oracle
HCPCS/CPT Coding
Time Management
Account maint.
ICD-9-CM/ICD-10
CMS-1500/UB-04
Audits
Insurance Verifications
OSHA/HIPAA regulations
Accounts Receivable
Medical Terminology
SAP
AS400
Word/Excel
Counter Point
Sales
CRM
Kronos
Microsoft Teams
Claims
Google Applications
Education:
ITS Academy Irving, Texas 2017
Kaplan College Arlington, Texas 2013-2014 MBC Certification Tarrant County College Arlington, Texas 11/2003-2005 General course completion Everman High School Everman, Texas 2003 Graduate High School Diploma Job History:
Desoto ISD - Desoto, Texas 11/2021- current
Executive Admin. Assist.
Perform routine office duties and procedures affiliated with local elementary and secondary campuses assigned under two Curriculum and Instruction Executive Directors. Effectively operating office equipment. Record meeting details; scheduling; make arrangements; contact participants and vendors as needed; prepare programs; orchestrate travel arrangements; Assist in securing information, compiling data, planning presentations and documents; inbound/outbound calls; respond to email and voicemail correspondence; basic accounting, with the ability to handle multiple financial transactions such as but not limited to requisitions and invoices. Perform other duties as assigned. US health Group- Fort Worth, Texas 08/2019- 12/2021 Customer Analyst
Primary liaison for all services levels. Handle inbound and outbound calls from both providers and policy holders regarding benefits and eligibility via insurance verification portal; claims assistance for billing and payments in regards to facilitated EOB’s; authorization for treatment; product implementing; service coordination; product adjustments and corrections, working directly with assigned departments to fulfill the needs of the caller, with one call resolution.
CTG(temp)- Irving, Tx 10/2018- 07/2019
Provider Relations Rep.
Ciairria Allen
Ciairria Allen 817-***-****, 3769 Bluebell Drive Everman, Texas 76140, ********@*****.*** Inbound and outbound calls to and from providers in regards to current/ upcoming audits. Assisting in protocols for disputes or recoupment process, for paid out claims on behalf of Medicaid; send out recoupment documentation; insurance verification; claim status updates; faxing, email, and additional clerical duties as needed; Sending and receiving mail; account maintenance. Overall third party point of contact for Medicaid, providing excellent customer service as a provider relations representative.
Verizon Wireless(temp)- Irving, Texas 07/2018-10/2018 WFH Customer Service Rep.
Expert customer support rep assisting postpaid customers with upgrades on plans and devices, troubleshooting, analysis of account details, adding and removal of service lines, device activation,sales, billing adjustments and inquiries, all while building a relationship through educating and satisfying the customer. Molina Healthcare- Irving, Texas 12/2017-07/2018
Sr. Member Service Rep.
Provides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions and complaints. Assist both members and providers with eligibility and benefits, claims, authorization submissions and status updates, initiate appeals for denials of service, send out insurance documentation requested or suggested to fulfill the members needs, general office duties, with adherence to HIPAA regulations and requirements to meet all needs.
Tps- Grand Prairie, Texas 07/2015-07/2017
Customer Service Rep.
Assist clients as needed to process orders to fulfill pharmacy needs, account maintenance, invoicing, balance inquiry, soft collections to keep accounts current and restrain from holding status;Answer questions or research/recovery for missing merchandise, data entry, sales, upscale on new and existing products, general office duties included while providing outstanding customer service.
Cintas Doc. Management- Irving, Texas 03/2014- 08/2015 AR representative/Collections Rep.
Accurately handles aspects of the accounts receivable function in accordance to divisional policies and goals; Call customers with past due invoices; Maintain follow-up notes; Utilize collection efforts; Answer questions or research problems for clarification; all while providing great customer service. Rent A Tire-Fort Worth, Texas 11/2011-6/2013
Customer Service Representative/Collections Rep.
Conduct consumer sales/marketing, front end sales, and soft collections with administrative duties. Retrieve and input customer information to complete verification process.