Service Representative Enrollment Specialist
Resume:
Shakira Crawford
Elgin, SC *****
*********@*****.***
To gain a position within an organization with growth and stability, allowing me to utilize my experience and education towards the advancement of my future.
Authorized to work in the US for any employer
Willing to relocate anywhere
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Work Experience
Customer Service Associate
GM Financial - Huntersville, NC
June 2022 to Present
Make outbound and take inbound calls in a professional manner while keeping and improving customer relations
Execute day-to-day strategies and actively contribute to center performance objectives
Pro-actively support goals and objectives that positively impact GM Financial's strategic alignment to create a customer for life
Ensure actions are in compliance with company policies and laws
Initiate contact with customers, authorized third parties and vendors to resolve accounts
Maximize productive time by utilizing effective time management skills
Accurately and efficiently document collections and servicing activity in the appropriate system of record
Utilize collection tools appropriately
Perform other duties as assigned
Conform with all company policies and procedures
Customer Service Representative
Spectrum - Charlotte, NC
September 2018 to June 2022
Provide over-the-phone account and payment support services, including maintenance, activations, and packaging, plus how and when to schedule field visits and escalate calls to the support team. Meet regular sales goals by educating customers about service options and upselling to increase the value of their investment. A thorough understanding of Spectrum products and services will help you navigate your way to successful resolutions
Provider Enrollment Specialist
Novitas Solutions - Jacksonville, FL
August 2016 to July 2018
Works closely with external Provider Enrollment vendor on notification of a providers start, welcome packets, provider documentation and ensuring the provider is in all systems.
Manage the completion and submission of provider enrollment applications.
Perform tracking and follow-up to ensure provider numbers are established and linked to the appropriate group entity in a timely manner.
Work closely with providers management coordinator to expedite completion of forms and requirements including obtaining signatures, locating required documentation, etc.
Provider Service Associate
FIRST COAST SERVICE OPTIONS, INC. - Jacksonville, FL
July 2015 to August 2016
Disclosure or use of protected health information on behalf of, providers
Communicate any new or updated policy and/or procedure to provider
Initiate responses to provider requests/needs
Resolve provider inquiries or requests in timely manner
Customer Service Representative
Novitas Solutions - Jacksonville, FL
November 2013 to July 2015
Explain medicare benefits, policies, and procedures to part B providers.
Communicate verbally and written to providers effectively.
Researching and answering questions for part B providers and other individuals, I.e. Claims status, eligibility,
and appeal status.
Teaches and coaches mentoree's about specific issues and work on particular skills.
Facilitates the mentoree's growth by sharing resources, skills and networks.
Loan,Loss and Mitigation Account Manager
Ally Financial - Jacksonville, FL
April 2008 to January 2013
Responded to customer inquiries, inbound/outbound as well as email.
Successfully skip tracing customers using minimal information.
Understanding of legal procedures to collect on accounts, i.e. Disclosures, FDCP Act.
Quality Assurance- Monitoring incoming and outbound calls.
Customer Service Representative
CareMax Medical Resources - Jacksonville, FL
2007 to 2008
Screen, validate and process sensitive information given by providers
Interact daily verbally or in writing with physicians, insurance and referral coordinators
Verify information and credentials supplied by the patient
Answering phones
Scheduling patient appointments
Insurance verification
Medical coding
Educating patients on equipment and medication
Customer Service Representative
Lincare - Jacksonville, FL
2006 to 2007
Screen, validate and process sensitive information given by providers
Interact daily verbally or in writing with physicians, insurance and referral coordinators
Verify information and credentials supplied by the patient
Answering phones
Scheduling patient appointments
Insurance verification
Medical coding
Educating patients on equipment and medication
Education
Diploma in Medical
St Vincent Academy
September 1990 to June 1993
Diploma in Medical insurance coding and billing
Concorde Career Institute-Jacksonville
Skills
Data Entry
-
5 years
Typing 50 wpm
-
10+ years
CPT coding
-
5 years
Microsoft word windows 98
-
10+ years
MS Excel Anatomy and Physiology Office
-
2 years
MS Outlook
-
10+ years
First Aid OSHA
-
2 years
Windows Hospital Coding Power Point
-
1 year
Medical Manager
-
2 years
CPR Certified Medical Terminally
-
1 year
ICD-9 CM Coding Insurance Knowledge Medicaid
-
4 years
Tricare Medicare HIPPA
-
4 years
Insurance Verification
-
5 years
Collections
-
6 years
Quality Assurance
-
1 year
Monitoring Calls
-
1 year
Skip Tracing
-
5 years
Collaboration Calls
-
1 year
Referral Coordinator
-
3 years
Mentoring
-
3 years
Session, CDS Attachment Extra
-
4 years
FISS, HIMR, MCSDT, CWF and CATTS
-
4 years
NPI, PECOS, EFT, EDI and ERA
-
4 years
Customer Service
-
10+ years
Medicaid
-
7 years
Medicare
-
7 years
Medical Billing
-
7 years
CSR
-
10+ years
Call Center
-
10+ years
Customer Care
-
10+ years
Customer Support
-
10+ years
ICD-10
-
3 years
Microsoft Excel
-
10+ years
Medical terminology
-
5 years
Medical Records
Medical Coding
-
5 years
Medical Office Experience
-
3 years
ICD Coding
-
5 years
Phone Etiquette
-
10+ years
Microsoft Office
-
8 years
Continuous improvement
-
10+ years
Filing
-
1 year
Microsoft Outlook
-
10+ years
Sent from my iPhone
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