Service Representative Center

NIKKIA ALSTON

*** ********** ** ******, ** ***** 803-***-**** **************@*****.***

PROFESSIONAL PROFILE

Self-directed, customer service oriented professional whose strong academic success illustrates skill, value, and level of competence. Offers solid management and leadership experience and handles multiple high-priority tasks. Able to discreetly manage large amounts of confidential and sensitive information.

High Academic Honors Recognition.

Experience in Microsoft Office programs; Typing Speed: 48 WPM.

Motivates to create a collaborative and respectful environment.

KEY QUALIFICATIONS

Medical Billing Medical Office Medical Administrative Patient Registration Medical Terminology

Medical Records Management for the Billing Specialist

Medical Practice Management Systems Introduction to CPT Coding Introduction to ICD-9 Coding

Charge Entry Payment Posting Denials Appeals Referrals Accounts Receivable

Greenway Electronic Medical Records (EMR) Electronic Health Records (EHR)

Insurance Verification Reimbursement Systems Medical Basics and Healthcare Claim Cycle

Healthcare Payers Managed Care (HMO, PPO, and POS)

Medicare / Medicaid Government Payers Third Party Payers

HIPAA Compliance Medical Charts Basic Anatomy & Physiology Healthcare Settings

Computer Systems and Software Applications for the Medical Office

EDUCATION

Ultimate Medical Academy

Health Science Associate in Science Degree – Medical Office and Billing, 2015

Diploma – Medical Office and Billing Specialist, 2015

Comprehensive training included:

Prepare and submit claims to various insurance companies electronically and by paper.

Maintain medical charts and electronic medical records (EMR/EHR) systems.

Perform collections; correct and resubmit claims.

Schedule and confirm appointments in assisted living facilities, doctor’s offices, health care clinics, hospitals, and organizations that offer medical services.

SC Works Trident, North Charleston, SC – General Education Diploma, 03/2013

WORK EXPERIENCE

Faneuil, Remote 09/2022 – 03/2023

Customer Solution Center Representative

Became knowledgeable of different medical plans and products available, including Medi-Cal, PASC, LA Care Covered/Cal Medi-Connect.

Supported call que and management with projects as needed, such as: provided feedback on desktop procedures, followed up on member inquiries and representative shadowing.

Assisted as back up support to call center leads and managed both inbound and outbound calls for member eligibility verifications, provider inquiries and general questions.

Process payments for La Care members and maintained records on EMR/HER system.

Iqor, North Charleston, SC 07/2019 – 10/2021

Customer Service Representative

Managed inbound and outbound customer calls.

Built rapport with customers and clients through excellent customer service and meeting call center metrics.

Resolved customer concerns and inquiries; directed customers to the appropriate personnel when needed.

America’s Best Contacts and Eyeglasses, North Charleston, SC 09/2015 – 06/2018

Receptionist/Contact Lens Technician

Answered inbound calls and provided excellent customer service.

Maintained and updated patient records.

Controlled patient flow and scheduled appointments.

Verified insurance benefits and eligibility.

Checked patients in and out.

Assisted patients with insertion, removal and care of contact lenses.

Ashley Stewart, North Charleston, SC 06/2006 – 10/2010

Co-Manager

Created schedules, calculated payroll, and wrote performance reviews.

Had significant input into the hiring and firing decisions of the company.

Stayed attentive to employees by motivating them to succeed and improve.

Homemaker, North Charleston, SC 12/2001 – 06/2006

Stay-At-Home-Mother

Exhibited strong leadership skills and managed budget.

Remained deadline-oriented and reliable while adjusting priorities and managing time wisely.

Successfully foresaw and planned for possible contingencies.

Lowe’s Home Improvement, Mount Pleasant, SC 03/2001 – 12/2001

Cashier / Customer Service Representative

Provided individual sales and customer service.

Operated cash register and stayed aware of price of goods.

Maintained a clean and organized work area.

Contact this candidate