Customer Service Account Representative
Resume:
AMBER GRAY
Saint Louis, MO ***** 618-***-**** ***********@*****.***
Organized Credentialing Specialist skilled in supporting HR recruitment, training, and new hire documentation. Enforces regulatory compliance and verifies data and credentials to support the Nursing/Physician hiring processes. Expert-level proficiency in CREDS combined with 2 years of industry success. Health Plan Specialist, 09/2021 to 10/2022
Medica LLC – Minnetonka, MN
Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
Performed needs analysis to obtain information required to make appropriate health insurance product recommendations.
Answered Number inbound calls per Timeframe from existing and future policyholders to answer inquiries and discuss insurance options.
Scanned, received and sent faxes to insurance claims, co-pay assistance information and patient documentation.
Food Services Supervisor, 03/2015 to 09/2018
Saint Louis Zoo
Assume responsibility for cash at designated shifts Handle shift schedules for food service workers and assign them tasks on a daily basis Provide an outstanding customer service experience Zoo guest Conducted and organized daily inspections of food services areas on assigned shift Reviewed and checked all assigned areas frequently for contractual compliance and efficiency of delivery of services to Zoo visitors
Ensured groundwork of food services for particular center functions. Patients Account Representative, 06/2017 to 11/2017 Precision Practice Management
Handle inbound/outbound calls from patient to establish payment arrangements, process payments and PROFESSIONAL SUMMARY
WORK HISTORY
update insurance information
Provider stellar customer service
Process phone payments for patient responsibility. Patients Account Representative, 10/2016 to 06/2017 One Advantage
Handle inbound/outbound calls from patient to establish payment arrangements, process payments and update insurance information
Provider stellar customer service
Process phone payments for patient responsibility. Credentialing Specialist/ Human Resources Assistan, 10/2019 to 03/2021 Aijlon – Creve Coeur, MO
Conducted primary source verifications such as background checks and board certifications. Received and evaluated applications to look for missing and inaccurate information. Obtained NPI numbers for providers and facilities and updated existing profiles. Enrolled providers and Medicaid, Medicare and private insurance plans. Pre-screened resumes prior to sending to corporate hiring managers for consideration. Completed human resource operational requirements by scheduling and assigning employees. Improved organizational filing systems for confidential employee records, resulting in improved accessibility and efficiency.
Improved office efficiency by effectively managing internal communications and correspondence. Partnered with Job title to ascertain hiring needs and subsequently provide candidate recommendations. Planned, monitored and appraised employee work results by training managers to coach and discipline employees.
Administered benefits programs, analyzed compensation and other competitive data and prepared budgets. High School Diploma
Normandy High School - Saint Louis, MO, AG
EDUCATION
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