Customer Service
Resume:
JENNIFER D. JORDAN
**** ****** ****** ************, ** 19139 · 267-***-****
Email · advblp@r.postjobfree.com
I am interested in obtaining a challenging position, which would allow me to enhance my prior skills, along with obtaining new ones. To collaborate with a company that has room to grow.
EXPERIENCE
SEPTEMBER 2013 – FEBURARY 2022
AMERIHEALTH CARITAS
SENIOR PROVIDER CLAIMS SERVICES
Responsibilities:
Take incoming calls from providers regarding claims, payment, and billing issues.
Complies with all internal processes and procedures to ensure activities are managed in accordance with departmental and company policies and procedures.
Review, research, analyze, and process complex healthcare claims by navigating multiple computer systems and platforms and accurately capturing the data/information for processing (e.g., verify pricing, prior authorizations, applicable benefits).
Create and support a professional environment which fosters teamwork, cooperation, respect, and diversity.
Meet department quality and production requirements
Primarily processed claims for Medicare dual policies, along with
multiple Lines of Business as requested by management.
DECEMBER 2012 TO AUGUST 2013
TOTAL WELLNESS
CONTRACT MOBILE PHLEBOTOMIST
Responsibilities:
Travel to various locations, providing wellness service to employees.
Phlebotomy services, such as drawing blood, BMI, and Glucose testing.
Obtained clients information for insurance purposes.
Processed and aliquoting laboratory specimens using centrifuges.
DECEMBER 2007 TO JUNE 2010
INDEPENDENCE BLUE CROSS
PROVIDER CUSTOMER SERVICE REPRESENTATIVE
Responsibilities:
Manage incoming calls from providers regarding benefits, eligibility, claims, billing, and reimbursements.
Research claims, billing, and appeals information and submit claims for review when needed.
Verify referrals and pre certifications.
Research provider relations issues and make outbound calls when necessary. Manage out of area claims and request claims status and reimbursement information. I also document all inquiries.
JANUARY 2006 TO AUGUST 2007
MEDRISK
MEDICAL BILLER
Responsibilities:
Processed and keyed claims in the system for billing.
Check and research duplicate claims.
JANUARY 2004 TO FEBRUARY 2005
ING GROUP
COMMISSIONS COORDINATOR
Responsibilities:
Provide prompt and courteous service to the field force and home office via the commissions ACD line with accurate answers and information to internal and external customers.
Investigate agent requests/complaints regarding commissions.
Prepare information to present to agent, answer questions, and perform any related duties.
Perform a variety of tasks related to commission advances and accounting which include preparing advances, ordering manual checks, making corrections and manual commission adjustments on systems.
JANUARY 2003 TO AUGUST 2004
PEP BOYS
BENEFITS COORDINATOR
Responsibilities:
Provide prompt and courteous service to the field force and home office via the commissions ACD line with accurate answers and information to internal and external customers.
EDUCATION
OCTOBER 13, 2022
NORTHWEST PHLEBOTOMY SCHOOL
National Phlebotomy Certification
AUGUST 11, 2022
AMERICAN RED CROSS
Adult, Child, Pediatric First Aid, CPR and AED Certification
SEPTEMBER 2018 TO JULY 2020
BUSINESS - PHOENIX UNIVERSITY
Bachelor’s degree - incomplete
OCTOBER 2012 TO DECEMBER 2012
PHLEBOTOMY - STAR CAREER ACADEMY
National certification in Phlebotomy.
2006
MEDICAL BILLING – PHYSICIANS BILLING SOLUTIONS INC
Certificate in Medical Billing
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