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Entry Specialist Service Representative

Location:
Greensboro, NC
Posted:
April 11, 2023

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Resume:

INGRID L. WALKER

**** *** ****** **.

Greensboro, NC 27405

336-***-****

adwhwb@r.postjobfree.com

OBJECTIVE:

To attain this rewarding position that will allow me to fully utilize my customer service knowledge and experience to benefit this growing innovative company.

QUALIFICATIONS/SKILLS:

Sharp, quick learner; proven ability to adapt to challenges ... Outstanding communication/listening skills, achieving employer/member confidentiality ..Strong Data Entry skills … Successful in meeting and exceeding assigned tasks in high pressure environment ... Detail-oriented, goal oriented, dependable…Problem-solving and critical thinking skills.

EDUCATION:

GTCC, Jamestown, NC

Attended 2009-2010,

Office Administration

Middle Township High School,

Cape May Court House, NJ

High School Diploma

PROFESSIONAL EXPERIENCE:

UNITED HEALTHCARE

Provider Services Advocate

May 2019 – Dec 2022

Duties: Received inbound calls from providers regarding patient’s medical plan and coverage…Created prior authorizations if needed…Navigated between screens and systems while staying engaged with caller…Abreast of frequent updates and changes to many accounts…Team atmosphere, required to meet and exceed individual goals and metrics

LABCORP OF AMERICA

Healthcare Billing Specialist

Dec 2017 – Feb 2018

Duties: Posted patient information at set production level…Worked billing exceptions in an electronic format by utilizing system tools to resolve issues and update specimens/claims needed for billing…Investigated routine front end billing issues…Researched, translated, and updated demographic data to ensure proper payment from clients and customers.

AIG/ GLOBAL EMPLOYMENT SOLUTIONS

Data Entry Specialist

June 2015 – Dec 2016

Duties: Purged and retained aged accounts from microfiche film via data entry/ production based assignment.

Conduit Global/ KGB

Customer Service Representative

Nov. 2013 – Feb. 2014

Duties: Assisted customers with choosing the most suitable cell phone plan under Verizon Wireless…Received inbound calls to resolve customer concerns and issues with operation of cell phone and 4G devices.

Solstas Lab Partners

A/R Denials Specialist

Aug. 2010 – Jan. 2013

Duties: Received medical claim denials via computer system from insurance companies… Worked and

completed denials by researching and investigating reasons for denial and unpaid medical claims…Resubmitted claims with corrections…Direct communication with insurance companies.

United Health Group/Evercare

Clinical Care Management Intake Coordinator

Jan. 2007 – June 2008

Duties: Loaded notifications for chronic illness members- inpatient and outpatient services via inbound calls, faxes and portal system...Assisted RN Care Managers with various issues and concerns with member plan benefits...Directed member calls to

desired department to ensure proper assistance...Handled escalated issues, retro authorizations and ordering of brochures for outreach members.

Accordant Health Services

Clinical Operations Coordinator

June 2006 – Jan. 2007

Duties: Disease Management Company... Assisted Care Managers with requested informational brochures sent to members...Prepared formed letters using Microsoft to providers and caregivers in reference to member/patient care for chronic illnesses.

United Healthcare Group

Customer Service Representative

July 2001 – June 2006

Duties: Received inbound calls from providers and members ... Provided accurate information in regards to policy benefits and the processing of claims ...Was abreast of all changes and updates while team goals and requirements were met.

REFERENCES Available upon request.



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