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Service Representative Customer

Location:
St. Louis County, MO
Posted:
June 08, 2023

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Resume:

Pamela D Tillman

St. Louis, Missouri *****

314-***-****

adxljh@r.postjobfree.com

Key Skill Areas

*Excellent Customer Service *Extraordinary Team Player *Human Resources

Support *Employee Hiring & Training *Proficient Computer Skills

*Dedicated and Dependable

Work Experience

Customer Care Associate II

Kemper Life Insurance St. Louis, MO 11-2021 to present

Maintained accurate and complete documentation of all inquiries to continuously improve the customer service process and reduce potential legal concerns.

Explaining pertinent legal provisions, regulations, and related administrative practices and their application to specific claims and life insurance policies.

Explains the types of documents necessary to facilitate timely processing of claims and appeals and assists with obtaining and completing such documents and forms in accordance with the type of claim or request submitted.

Appropriately attempts to deescalate the interaction by immediately addressing the inquirer's needs prior to referral to upper management.

Assisting with client payments, claims, billing and/or procedures within the department.

Security Professional

Allied Universal Security - St. Louis, MO February 2021 to October 2021

Maintained a safe and secure environment within a 1.6mil sq ft facility to safeguard the clients property and personnel. Know all site-specific policies and procedures, and implement emergency response activities as appropriate, while providing superior customer service.

Field Supervisor (CFS)(Durham NC Office) July 2020 to October 2020

Recruiting Assistant (RA) (Durham Office) December 2019 to July 2020

Field Supervisor (CFS)(Raleigh Office) July 2019 to October 2019

US Census Bureau - Greensboro, NC

Supervised 20-30 Enumerators and conducted daily/weekly/monthly reviews of their work for quality assurance purposes.

Facilitated group training sessions using Census Bureau training guides and materials.

Conducted personal observations of Enumerators as they worked in the field and conducted on-the-job training. Monitor the progress and performance of assigned staff and ensure assignments are completed on schedule and within quality standards.

Shift Lead

M&M Professional Cleaning Services - Greensboro, NC November 2018 to December 2019

Pre and post construction site cleaning. Overseeing crew members and cleaning.

Logistics Coordinator/Dispatcher II

Associated Couriers, Inc. - Maryland Heights, MO January 2018 to April 2018

Performed daily tracking of driver routes in multiple states.

Keep Trucking Reports and Tracking, HOS Violations and Tracking Reports, Daily Dispatching Logs, Cell phone updates, POD reports, total tracking and communication with Drivers, Airlines, Customers and Supervisors.

Provider Administrative Assistant

Magellan Health - Maryland Heights, MO March 2017 to September 2017

Completed forms for obtaining government security clearance for potential counselors and/or psychologists. Handled special requests from Customers requiring special projects. Managed authorization exception reports, and interfaced with network and claims on authorization issues. Handled emails and faxes for designated Customers. Worked with client specialists to assure that information in work flows were accurate and current, and that process flows met the customer needs. Educated Providers on system or process changes to support efficiency initiatives. Assisted with User Acceptance Testing (UAT) for designated Customer changes. Backed up inbound/outbound queues when needed. Provided coverage for others as needed. Proactively sought and participated in ongoing training.

A/R Insurance Specialist

Health Scouts Inc/Conifer Health - St. Ann, MO November 2016 to February 2017

Conducted appropriate account activity on final billed claims by contacting government agencies, third party payers, and patients/guarantors via phone, email or online.

Collection activity until accounts were resolved, sent to legal or disputed.

Reviewed charges, patient information, and insurance information prior to billing to minimize underpayment, denials, and re-bill attempts. Submitted claims to the correct entity for appropriate Explanation of Benefits (EOB) attachments. Complete subsequent billing to third party payers to include rebills, secondary billing and/or special billing.

Corporate Patient Billing Rep/Corporate Customer Service

SSM HEALTH - St. Louis, MO June 2014 to October 2016

Responsible for handling and resolving customer inquiries and/or complaints by providing patients with a consistent and seamless experience.

Responsible for enforcing collection policies and procedures, interviewing and counseling patients and promoting the financial assistance program in accordance with the Mission and philosophy of SSM Health.

Supported the entire SSM system and reported to the Corporate Manager Patient A/R & Self Pay. Insurance follow up, research and denied claims for physician and hospital billing are part of the daily process. Advanced knowledge with Medicare, Medicaid, Tricare and Commercial insurance procedures and policies.

Past Experiences:

*Office Manager, *Supervisor, *Staffing and Recruiting, *Account

Receivable/Collections, *Customer Service Representative and Manager,

*Customer Service Trainer, *Call Center Inbound and Outbound,

*Account Management, *Dispatcher II, *Logistics Coordinator II, *HR Representative, *Administrative Support, Payroll Assistant

Education

Associates in Business Barclay College



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