Customer Service Data Entry
Resume:
Shakima Wiggins
Relocating to the state of GeorgiaHighly dedicated and reliable Insurance Verification Specialist with excellent insurance document organization and interpretation skills. Wide experience with all public and private health insurance practices and policies. Adept at coordinating with insurance company staff at all levels as well as working independently. Miami, FL 33127
adyn67@r.postjobfree.com
Relocating to the state of Georgia
Organized, dedicated and detailed oriented employee. Excellent communication skills with providers, medical representatives, customers and management. Expert in web navigation and training for customer usage. Highly fluent in medical terminology and performs well under pressure in a multifaceted environment.
Willing to relocate to: Atlanta, GA - -
Authorized to work in the US for any employer
Work Experience
Travel Agent
Travel’s By Shakima - Miami, FL
August 2021 to Present
• Sells and coordinates transportation.
• Accommodations, vacation protection plans, tours and activities.
• Advises clients regarding destinations, cultures, customs, weather and activities.
• Collects payments, books travel arrangements and pays applicable fees.
• Handles travel issues, conflicts, complaints, cancelation and refunds. Insurance Verification Specialist/Referral Coordinator(REMOTE) Care Resource Community Health Centers, Inc. - Miami, FL March 2020 to Present
Gathering and maintaining coordination of benefits and data.
• Determining insurance coverage.
• Ensuring data is accurate and update in patients chart for efficient medical claim processing.
• Requesting and following up on obtaining authorizations and referrals.
• Determining vaccine coverage by CPT codes
Billing and Claims Processor(Temp to hire)
Audiology Management Group (AMG) - Miami, FL
August 2019 to February 2020
• Processed claims for patients hearing aids
• Modified existing insurances and obtained information from policyholders to verify the accuracy of their accounts.
• Preparing documents and other paper work relating to claims.
• Take responsibility of payment of all claims in compliance with rules. Insurance Verification Specialist/ Referral Coordinator University of Miami Hospital - Miami, FL
August 2014 to July 2019
Gathering and maintaining coordination of benefits and data.
Determines insurance coverage.
Ensuring data is accurate and update in patients chart for efficient medical claim processing.
Requesting and following up on obtaining authorizations and referrals. Medical processing specialist
USA Med Health - Doral, FL
April 2012 to March 2014
• Maintained client confidentiality at all times.
• Ensured any release of information requests were HIPAA compliant.
• Maintained all medical records information both in paper files in the file room as well as on the electronic filing system.
Medical Claim Processor
Compass Health Services - Miami, FL
June 2010 to January 2012
Verified and entered demographics and insurance information into patient's accounts as requested directly or indirectly by receipt of scheduled appointments.
• Make appropriate rotations in Misys in regards to actions taken and insurance verification and authorizations.
• Submitting and following up on claims to insurance companies in order to receive payments for services rendered by a healthcare provider
• Advise patients and clinical staff regarding patient's financial responsibilities. Processed claim forms, adjudicates for provision of deductibles, co-pays, co-insurance maximums and provider settlements. Seasonal Sales Associate
Herff Jones, LLC - Miami, FL
August 2005 to December 2008
Customer Service Representative seasonal
A couple month out the year
• Greeted customers in person and by phone with professional courtesy.
• Tracked and input purchase orders daily with optional accuracy
• Provides class rings, jewelry, yearbooks, graduation announcements and other graduate accessories for both high school graduates and college.
After School Tutor
Thena Crowder Elementary - Miami, FL
September 2005 to May 2007
After School Tutor (temporary)
Coordinated and Organized daily activities
Supplying one on one time with learners who desired extra help
Foster a comfortable learning environment that enables the growth of confidence and the love of learning.
Education
Diploma in Medical Insurance Billing & Coding in Medical Insurance Everest Institute
2009
High School Diploma
Miami Jackson Senior High
2001 to 2005
Skills
• Medicaid
• Customer service
• Icd
• Telephone
• Telephone skills
• Data entry
• 40 wpm
• Cpt
• Icd-9
• Medical terminology
• Training
• Medical Billing
• Medical Coding
• Insurance Verification
• ICD-10
• Medical Office Experience
• Physiology Knowledge
• Medical Records
• Medical Scheduling
Additional Information
SKILLS
Well organized and efficient, strong training skills, Strong Knowledge of computer proficiency in Misys, Emdeon, Availity, Nextgen, Medicaid, Medicare and data entry. Customer Service Skills, Microsoft, Office Management, Medical Billing etc.
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