Entry Clerk Service Representative

Verlena P. Mayers Customer Service Professional

Ridgeland, MS 39157 601-***-**** adtvdh@r.postjobfree.com

Skills & Abilities

Knowledge of technical healthcare process

Independently prioritizes and organizes workload to meet deadlines

Communicates effectively electronically, verbally, and in writing with clients

Advanced in ICD-10 coding and Microsoft Office

Experience

CUSTOMER SERVICE REPRESENTATIVE VETERANS RESOURCE GROUP SEPT 2022-PRESENT

Process incoming calls, research claims and policy information for patients and providers

Verify eligibility for patients

LEAD CUSTOMER SERVICE REPRESENTATIVE REV CLAIMS NOV 2018-APR 2021

Route calls to the proper destination

Make routine calls for repair of equipment

Collaborate, instruct, and train new representatives on proper use of communication features

Provide medical information via telephone to clients in response to healthcare issues and appointment availability

Troubleshoot equipment for operation, and monitoring

Provide status updates to clients, auto insurance adjusters, and attorneys

CUSTOMER SERVICE REPRESENTATIVE (GS-0962-06) DEPARTMENT OF VETERANS AFFAIRS OCT 2014 – FEB 2018

Respond to customer telephone inquiries in a courteous, tactful, and helpful manner, verify client information, provide thorough medical claims research, verify medical records and insurance, route calls as deemed necessary to the proper destination

Coordinate internal and external care between clients and primary care physicians

Identify customer issues properly and perform the appropriate tasks to successfully resolve their issue, provide claim status and pay information

Record new or updated information in computerized databases necessary for the maintaining, routing, and tracking correspondence

Examine claims for error and initiate action to correct such error in accordance with current operational policies and procedures, as well as exercising judgement in claims resolution where policies may be vague or where interpretation may be required

Thorough knowledge of medical coding (ICD9/ICD10, CPT) research, procedure codes, the claims process, and the eligibility process to review documentation, reopen claims, provide recommendations for settlements, research and redevelop claims

CUSTOMER SERVICE/UTILITY DATA ENTRY CLERK STAR SERVICE CENTER OCT 2010 – MAY 2014

Retrieve and post utility bill payments to customer accounts

Transfer data from paper format into digital files or database systems using keyboards or optical scanners

Create spreadsheets with large figure numbers without mistakes

Complete and execute electronic fund transmissions through Western Union

Education

CERTIFICATE IN MEDICAL ADMINISTRATION JULY 2020 LAKEWOOD COLLEGE

CERTIFICATE IN BILLING AND CODING AUGUST 2019 LAKEWOOD COLLEGE

References available upon request

Verlena P. Mayers Customer Service Professional

Ridgeland, MS 39157 601-***-**** adtvdh@r.postjobfree.com

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