Customer Service Rep
Resume:
PROFILE
I am looking to obtain a position within
a reputable company where I can be
of most benefit. Assist customers to the
best of my ability. Continue to learn
and expand my knowledge with an
employer, while being able to use that
gained knowledge within my position
CONTACT
ADDRESS:
14965 L St
Omaha NE 68137
PHONE:
EMAIL:
adyx7h@r.postjobfree.com
AMY L PRIEBE
PROFILE
I am looking to obtain a position within
a reputable company where I can be
of most benefit. Assist customers to the
best of my ability. Continue to learn
and expand my knowledge with an
employer, while being able to use that
gained knowledge within my position
CONTACT
ADDRESS:
14965 L St
Omaha NE 68137
PHONE:
EMAIL:
adyx7h@r.postjobfree.com
EDUCATION
Clarkson Nursing
Medical Terminology
Dental Terminology
CPT & ICD-9 Coding
Medical Records Review
Pre-Determination Reviews for Medical & Dental
WORK EXPERIENCE
CHI – CommonSpirit - Revenue Cycle Specialist - Remote 11-01-2021 – Present
Review the accuracy of claims paid by carriers for providers under CHI Make appropriate calls to obtain details of claims not processed/paid Email communication for claim review and missing money claims Extensive Customer Service
Meet &/or exceeds set goals for position
Blue Cross Blue Shield of Nebraska – Customer Service Rep II - Remote 08/20 – 10/21
Inbound Claims Customer Service
Assisted provider with claim processing details
Reviewed claims for accuracy
Worked with Claims for claim adjustments as needed Email communication with providers on claim details or denials Extensive customer service
Met &/or exceeded set goals for position
Aetna-Payflex - Sr Benefit Analyst - Remote
10/10–07/19
Retiree Benefit Claims Processing
FSA/HRA/HAS Benefit determination and processing of claims Medical Claims Processing
Dental Claims Processing
Vision Claims Processing
Premium Claims Processing
Orthodontic Claims Processing
Consistently met &/or exceeded set processing goals Consistently met &/or exceeded set claims accuracy goals Consistently received pay bonuses for meeting/exceeding standards Customer Service assistance in various forms
Proficient letter writing
Have handled Department of Insurance Complaints
Training of new employees
Quality Review Analyst
Contact this candidate