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Service Representative Enrollment Specialist

Location:
Lancaster, SC, 29720
Posted:
March 13, 2023

Contact this candidate

Resume:

Shakira Crawford

Elgin, SC *****

advvzp@r.postjobfree.com

+1-201-***-****

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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