Service Representative Data Entry

SHALISHA LETT

*** ****** ****** *******, ** ***** 404-***-**** ***********@***.***

PROFESSIONAL PROFILE

Customer service oriented professional with strong communication skills and healthcare industry experience. Provide an understanding of administrative duties and clerical workflows and the importance of accurate claims processing. Maintain patient privacy and confidentiality. Effective problem solver, able to assess needs and identify solutions.

High Academic Honors Recognition.

Maintain accurate data to ensure details are not overlooked.

Adept at managing time, coordinating details, and balancing competing demands.

Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.

Video Communication Platforms – Zoom, Skype, Google Meet, and MS Teams.

Microsoft Office Applications – Word, Excel, PowerPoint, and Outlook; Type 35 WPM.

KEY QUALIFICATIONS

Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs

Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers

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

Managed Care (HMO, PPO, POS) Workers Compensation

Insurance Verification Insurance Claim Processing CMS 1500 CMS 1450 (UB-04)

Front Office Operations Medical Office Procedures Scheduling

Medical Terminology Anatomy & Physiology HIPAA Compliance Medical Coding (ICD-10-CM, HCPCS, CPT)

EDUCATION

Ultimate Medical Academy Associate of Science Degree – Medical Billing and Coding, 2022

PROFESSIONAL EXPERIENCE

Anthem / Blue Cross Blue Shield – Atlanta, GA 12/2021 – 3/2023

Customer Service Representative / Remote Call Center

Review claims and information, explain it to members, and complete data entry.

Answer inbound phones, field inquiries, and place outbound calls.

Utilize Word, Excel, PowerPoint, and Outlook, handle employer based insurance, and update demographics

Independent Sitter – Atlanta, GA 10/2020 – 12/2021

Babysitter

Maintained a safe environment, monitored indoor and outdoor activities, and prepared snacks and meals.

Helped with baths and made certain children were in bed on time.

Created a positive atmosphere by preparing various activities, playing games, and nurturing self-esteem.

Lavender Kist – Atlanta, GA 01/2017 – 10/2020

Bookkeeping / Accounting Clerk (Remote)

Managed 50+ customer calls per day and used QuickBooks accounting system to reflect accurate financial records.

Filed financial documents, coded accounting entries for data processing, and posted daily receipts and payments.

Entered financial information and payments to guarantee accurate and on-time payments for employees and vendors.

Completed extensive data entry of call information within company computer system, helping to ensure organization and increased effectiveness.

NorCal Healthcare – Arcata, CA 10/2016 – 11/2018

Medical Receptionist / Assistant Manager

Trained new hires, exhibited leadership, led by example, and opened and closed the practice as a keyholder.

Managed and processed 30+ patients daily, communicated proactively, and maintained HIPAA compliance.

Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.

Scheduled, rescheduled, and handled cancelled appointments for patients.

Answered inbound phone calls, filed paperwork, updated demographic information.

Contact this candidate