Customer Service Representative
Resume:
Kassandra Kesler
Pinellas Park, Fl. 33782
Phone: 727-***-****
Email: *********@*****.***
Career Objective:
To obtain a medical billing position in a reputable company to ensure proper billing and records, and to handle insurance claims and billing functions.
Summary of Skills:
-Experience and knowledge of medical insurance claims, procedures and documents
-Comprehensive knowledge of medical billing procedures
-Communication skills both verbally and written
-Interaction with insurance companies
-Initiate the review/appeal process for disputed claims
-knowlesge of insurance requirements and procedures
-ability to acquire and review claims for accuracy prior to submission
-Skill in understand denial trends
-understanding of claims adjudication
-analysis skills
-attention to detail
-Familiar with commercial, HMO's, Medicaid and Medicare
-Self-motivated and ability to work both independently as well as collaboratively
-effectively identifying and resolving disputed claims and billing issues
Skills:
Medical Terminology
Insurance requirement
Computer Medical Billing
EOB
ICD-10
HCPCS Codes
MS Office
Work Experience:
HIT promotional production
QA/returns coordinator
August 2018 – Present
Review and asses products
Email Customer service in regards to product question, concerns and issues
Enter inventory inspections
Communicate with factories in regards to product issues and concerns
Process samples
Communicate with CSR's in regards to inspections and results
Process reships, donations, disposes based on customer and results
Upkeep of orders database
Temporary interim manager
Follow up on pending orders
***
Lincare
Upfront review, patient account coordinator/Billing specialist
February 2017 – August 2018
Responsible for the maintenance of the patient's documents
Maintaining patients’ information
Process reports
Update patient records
Developing and submitting required forms/documents with claims
Processing patient's billing, review statements, held sales, adjust billing accordingly
Review medical document, work with the centers to maintain/start billing
Answered customers queries, complaints and problems
Contract payers for claim status, follow-up denials, or partial payments
***
TMS/ Acces2care
Customer service representative, Mileage reimbursement specialist
April 2011 - November 2014
Schedule, maintain customer appointments/rides
review/verify forms/receipts, create invoice, generate, review, and mail reimbursements
Train new employee’s
Responsible for the maintenance of the patients records, billing instructions, etc.
Review processed/completed forms
Maintained special bill lists
Answered customers queries, complaints and problems
correct overpayment and incorporate charges shown on customer account
Distribute accurate bus passes to eligible individuals
***
Vital Network services
Customer service representative
June 2010-Janurary 2011
Assign and Schedule technician
Assist technician
Arrive tech on site and complete job upon technician validation
Work with other departments for Coordinating supplies/equipment onto job site
Assist coworker’s in job completion
Education:
High school Diploma
Braulio Alonso High school, Tampa, FL.
2009
Reference:
On request.
Contact this candidate