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Customer Service Representative

Location:
Cambridge, NY
Salary:
$20/hour
Posted:
June 05, 2023

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Resume:

Billie Pisaniello 336-***-****

Cambridge, NY ***16 adxi4l@r.postjobfree.com

I have spent over 10 years in healthcare administration and insurance. I am quite familiar with medical settings and a fast-paced work environment, where everyone’s goal is to be helpful, collaborative, efficient and as pleasant as possible for their clients as well as coworkers.

I value updating and maintaining accurate patient information. I enjoy helping clients learn and understand the steps involved in patients’ care. I prefer keeping a clean and organized workspace. I thrive with constant learning and sincere teamwork. I am confident that my current medical administration skills, clerical expertise, compassion and drive to learn can become invaluable in any setting.

Background

Sterilization Technician Mason Dental Manchester, VT 10/22 - current

●Maintain constant flow of equipment through sterilization machines

●Ensure sterilized equipment is ready for the next procedure

●Assist with breaking down and cleaning operatories as necessary

We are a large dental office with three dentists and four hygienists. Equipment requires a steady flow of immediate turnover between patients. Strict attention to proper sterilization protocol is paramount.

Specimen Accessioner Labcorp Winston-Salem, NC 08/20 - 09/22

●Receive, sort and label biological specimens from medical providers

●Ensure proper test codes are input for each specimen

●Maintain electronic and paper documentation of all test orders

We handled thousands of specimens of all types on a daily basis and required strict attention to detail, as any mistakes could have immediate and potentially dire consequences.

Customer Service Representative Medcost Winston-Salem, NC 02/19 - 07/20

●Received incoming front-line customer service calls in Benefit Services

●Interacted by phone with members, employer companies and medical providers

●Adhered to HIPAA law

Answered questions regarding specific benefits in a member’s plan, eligibility, deductible and out-of-pocket accumulations, as well as answered questions, explained coverage or addressed concerns about processed claims.

Proofreader and Copy Editor Moon Prep Remote 05/17 - 04/19

●Proofread and edited articles written by the owner

●Proofread and edited student admissions essays

●Ghost wrote articles

Freelanced various assignments for the founder/owner of a college application assistance company. Edited student application essays, ghost wrote articles on a variety of related topics, proofread articles and interviews.

Utilization Management Specialist BCBSNC Winston Salem, NC 11/14 – 05/18

●Initiated medication exception requests for plan members

●Requested and collected medical documentation from providers

●Adhered to Medicare and HIPAA law

Created and maintained a “real person” connection with aging plan members, explained and initiated the necessary steps to exception coverage for their medications.

Customer Service Representative Sedgwick CMS Remote 01/12 – 05/14

●Received calls from client companies and initiated claims for auto or general liability, worker’s compensation or short-term disability as appropriate

Provided a calm, knowledgeable point of contact to clients who often had just experienced a loss event and did not know how to begin reporting.

Patient Financial Specialist I Mount Carmel Health Westerville, OH 08/08 – 10/11

●Collected demographic and insurance information from emergency department patients

●Adhered to HIPAA law

●Followed established criteria to positively verify patient identity

●Maintained composure and problem-solved in emergent medical situations

Created or updated the patient’s visit record and helped maintain accurate identity, contact and billing information, while being sympathetic and responsive to the patient’s medical needs and their state of mind.

Education

Bachelor of Science, Communications Castleton State College, Castleton, VT 05/2004



Contact this candidate