Customer Service Associate

Jennifer K George

** ******** **

Norwalk, Ohio 44857

Cell 813•523•1055

*******************@*****.***

AREAS OF EXPERTISE

ICD-9-CM • HCPCS • CPT • Introduction to ICD-10-CM • Medical Terminology • Anatomy & Physiology HIPAA • Government Payers • Medicare • Medicaid • Third- Party Payers • UB-04

Electronic Medical Records (EMR/EHR) • MS Office • Worker's Compensation

Managed Care (HMO, PPO, and POS) • MEDISOFT Proprietary Software • Office Management

Insurance Claim Processing • Insurance Billing Procedures • Payment Posting

Medical Office Procedures including Scheduling Appointments, Insurance Verification, Collecting

Co-Payments and Deductibles • CPR

EDUCATION

Ultimate Medical Academy, Tampa, FL - Medical Billing & Coding - 2011

Gpa 4.0

Alpha Beta Kappa; National Honor Society

Received Academic and Perfect Attendance Awards

National Professional Customer Service Certification

EXTERNSHIP

Madock Chiropractic Clinic, Temple Terrace, FL 2010-2011

Medical Biller & Coder

· Reviewed all patient account details, verifying insurance is active and billable.

· Followed-up on balances due from insurance companies.

· Observed the process to enter data electronically to process charges, payments, denials and adjustments.

· Utilized ICD-9-CM & CPT codes, ensuring to meet all policy, procedures and diagnosis.

· Coded, categorized, and verified patient records, calculating premiums, payments or awards.

· Answered all inbound calls, adjusting patient registrations and appointments.

· Verified all patient data was accurately recorded, eliminating potential exposure to risk.

PROFESSIONAL EXPERIENCE

Aetna Health, Tampa, Fl

2013

Leaves & Disability Specialist

Answered calls from politicy holders.

Provided information on existing claims

Initiated new claims

Updated files

Provided world class customer service

Vangent Inc. Riverview, Fl

2012

Customer Service Rep I

Provided compassionate customer care

Answered calls from beneficiaries, related to their Medicare benefits

Assisted in researching various health and prescription plans

Assisted in enrolling in available health and prescription plans

Provided information regarding claims and potential fraud and abuse .

Checkers, Plant City, FL 2005-2007

Cashier/Customer Service Associate

· Provided legendary service, by greeting each customer with a smile and creating a friendly environment.

· Defused customer escalations, by addressing immediate needs and providing alternative solutions to resolve problems.

· Managed the appearance of store, ensuring to meet company and state health regulations.

Wal-Mart, Plant City, FL 2005

Overnight Stocker/Cashier

· Greeted all customers with a smile, providing a higher level of customer service.

· Addressed inquiries and navigated customers to product locations, while processing transactions efficiently.

· Managed product inventory, verifying all product was available, organized and displayed correctly.

Target, Brandon, FL 2000

Cashier/Customer Service Associate

· Provided alternative solutions and resolved concerns, while adhering to company policies.

· Maintained a positive demeanor, even under times of high pressure.

· Effectively communicated return policies with each customer, ensuring to set expectations.

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