Claims Representative 15 Year Customer Service over 10 years

Sherika Laushaul

Houston, Texas, United States

*********@*****.*** 832-***-****

linkedin.com/in/sherika-laushaul-6434b8147

Summary

Objective:

Seeking a position as a Clerical/Data Entry/Inventory Clerk with in a growing company to maximize efficiency/ reimbursements.

Qualifications:

•Type 40 WPM

•10 key knowledge

•Computer literate

•Knowledge and use of fax/scanner

•Knowledge and use of Medical Billing & Coding

•Knowledge and use of MS, MS Office, Outlook, Access, Excel, Firefox, Chrome, Word, WordPerfect, Spreadsheet software, etc.

•Familiar with EMR keeping, EOB, COB

•Knowledge of E-MED and Sandata system use

•Preauthorization/precertification knowledge and experience.

•Scheduling of employee/patient Hours/Days

•Coding and Billing ethics

•HIPPA Laws knowledge

•Processing of Insurance claim forms

•Basic Vital Signs

•Medical Terminology

•Knowledge and use of RF Scanners and PDA devices

•Knowledge and use of Portable Printers

•Encoding

•Knowledge of Vehicles year of production and engine by Vehicle’s Identification Number (VIN) of vehicle

•Operate Manual and Automatic Vehicles

•TWIC card

Experience

Customer Service Representative

QVC

Sep 2021 - Jul 2022 (11 months)

Manage customer accounts

•Greet customer in timely, courteous manner

•Respond to inquiries and issues

•Place and document orders, complaints, concerns, feedback

•Activities (communications) to different depts. Depending on the situations

•Collect/Change payments and pay methods

•Adjust pricing/Reimbursements

•Make sure customer is satisfied

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•Report system issues, account issues

•Submit Manual Pull, Supervisor Call-Back, and Customer Complaint forms

•Outbound calls to customers to complete/inform resolutions

•Use of Avaya

•Use of VMware

•Use of Igel

Customer Service Representative

Alorica

Oct 2019 - Aug 2020 (11 months)

Manage customer accounts

•Greeted Customer’s

•Resolved customer’s issues

•Inbound calls/ call center

•Collected and documented orders

•Responded to inquires/provided additional info.

Security Officer

Securitas Nederland

Nov 2018 - Jun 2019 (8 months)

Inventory and secure vehicles on front and back lot Retail Services-WIS Intl.; Take inventory of all commodities inside of all;, as well as Sam’s Clubs, Claire’s, Ross, NH Wal-marts, etc. using RF scanner. Attendant

IAA

Aug 2017 - Nov 2017 (4 months)

Log Vehicles into and out of multiple auction grounds using RF/PDA Scanner

•Scrape, clean, flood tape, and wrap Flood/Collision vehicles

•Image all vehicles as part of check-in process with PDA

•Unlock locked vehicles to be checked in

•Assist with maintenance of Auction grounds

•Affix vehicle information Labels on vehicles

•Locate/Update location of vehicles parking location

•Test all vehicles to see if it starts, run, and/or drive

•Assure all vehicles set for auction are imaged and entered in system in timely a manner

•Assist Customers with obtaining vehicle, personal property, and/or information on vehicles Operator

Louisiana's 1st Choice Auto Auction

Mar 2015 - Jun 2017 (2 years 4 months)

Log Vehicles into and out of auction grounds using RF scanner

•Mark vehicles with correct run number and audio information along with affixing Labels with vehicles information

•Re-register vehicles on inside yard lot, remove and replace Labels Sherika Laushaul - page 2

•Scrape vehicles old information and enter new vehicle run information for next auction

•Locate vehicles that are not where they are supposed to be, locate and find out reason vehicles did not get Re-registered or cross auction block.

•Mark sold vehicles

•Park cars in assigned lanes

•Provide customer service transporting customers to vehicles to be retrieved and use radio to inform if vehicle needs a jump, gas, etc.

•Log in and out Repo’s, Donated, and Salvaged Vehicles

•Check and/or Correct mistakes made on vehicles mileage, Dealer codes, or Lane assignment

•Reprint Labels for vehicles missing information stickers

•Reprint Labels for vehicles reassigned from original lane to another

•Write vehicles in during auction and put keys collected on assigned letter Key Board

•Assist in driving cars through auction toll lanes during auction

•Trained to perform multiple positions other than vehicle log in

•Maintain proper care of my electrical equipment…Scanner, Printer, and Radio

•Move vehicles and retrieve keys for customers that vehicle is blocked in by other vehicles and/or can’t drive standard preventing damage to other’s property Billing Specialist

Dynamic Home Health Care Inc

Oct 2014 - Jan 2015 (4 months)

Bill HMO’S

•Submit and Correct Claims/ CMS-1500/ UB-04

•Maintain a good relationship with Case Manager’s for effective reimbursements

•Submit Appeals for denied claims if necessary

•Receive/Fax important documents.

•Report any patient demo changes.

Billing Specialist

Agape Home Services

Jan 2014 - Aug 2014 (8 months)

Bill HMO’S

•Check and maintain updates on patient eligibility

•Maintain EOB’S for HMO’S

•Submit and Correct Claims/ CMS-1500

•Manage Customer Complaints/Logs

•Make sure Authorizations current/ Request updated Authorizations from HMO’S Case Manager’s and State Case Worker’s

•Maintain a good relationship with Case Manager’s for effective reimbursements

•Complete 2101-Autherizations for Services

•Complete 3052- Practitioner’s Statements

•Complete 2067- Case Information

•Attach Clinical Notes to patient's folder

•Run OIG reports on Employee’s and Physician’s

•Run Background Check on potential Employee’s as well as EMR

•Maintain Yearly Cost Reports

•Maintain Company Census Log

•Prepare and Complete Patient and Employee folder’s Sherika Laushaul - page 3

•Submit Appeals for denied claims if necessary

•Upload Employee’s and Patients schedule into Sandata System

•Filing

•Investigate and Resolve complaints from patient’s and/or employee’s

•Conduct and maintain Patient Survey Log

•Complete Job Verifications from various agencies concerning employee’s

•Receive/Fax important documents.

•Maintain Patient Satisfaction Survey Log.

•Provide excellent customer service to callers/walk-ins. Custodian

Flex Orthopedic Services

Mar 2013 - May 2019 (6 years 3 months)

•Data Entry

•preauthorization/precertification of benefits

•Maintenance and delivery/pick-up of Knee Compression Machines

•Process and bill for legal record requests

•Maintain and update all patients Records/Demo in system Education

Professional Careers Institute

Medical Administrative/Executive Assistant and Medical Secretary 2013 - 2014

graduated for Administrative Medical Assisting specializing in Medical Billing & Coding Victor Valley College

Business Management

G.E.D Las

Skills

administration • audio • avaya • benefits administration • call center • cms • commodities • customer service • data entry • delivery

Honors & Awards

Grad with honors - Professional Careers Institute

May 2014

Graduated with Honors, 3.9 Grade status

Sherika Laushaul - page 4

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