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Customer Service Representative

Location:
Nashville, TN
Posted:
September 12, 2023

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Resume:

JENNIFER YVETTE ROBERTSON

*** ***** ****** *********, ** 37207

Email adznh5@r.postjobfree.com

Phone-615-***-****

Professional Summary

Highly experienced service professional with sound capability working in a fast-paced environment with minimal supervision. Diverse industry experience which encompasses sound problem-solving and decision-making skills with a focus on client-centered solutions. A detail-oriented leader and team player able to effectively contribute to every organization

Employment

Clinical Application Specialist 5/17-11/21

Premise Health

Provide support for Epic end users for Health Information Management and users which includes contacting users and walking them through workflow.

Coordinate with IAM team to assist or verify the correct Active Directory items are in place/removed

Assist with EPM App Config requests

Performed clinical application training for all new and existing employees and provided Tier 3 support for Clinical and RCM applications.

Software Consultant 10/14- 5/17

Vizient Inc.

Troubleshoot data integration and reconciliation issues from various source systems to

Model development in the areas of Contracting, Costing, and Budgeting

Provides education to customers on Med Assets software applications

Serves as a resource to collaborates with the field consulting group

Directly responsible for the organization’s success as it relates to customer feedback

Develops intermediate knowledge of two or more product functional areas

Provided Tier II support to end users

Collection Specialist 6/13-10/14

CSI Inc.

Assisted Patients in making payments for self-pay account

Provide customer service to callers

Worked A/R to completion

Application Analyst 01/2012-06/2013

Apex Systems- Willis Group

Providing Tier 4 support for a web based transactional application.

Developing support methods and SLAs.

Maintaining and monitoring support queues for escalating issues.

Establishing data reporting methodologies.

Support Analyst 3/2010-6/2011

Claim Trust Insight Inc.

Assist end users having issues with Medical Necessity, Denials Management

Prepared queries requested and needed by clients

Worked with Development department to resolve issues

QA new releases before being deployed.

Patient Account Specialist 11/2008- 03/2010

Accounting Principles Inc.

Requested retraction of Medicare payment in DDE system

Inquired on payment of claims thru various electronic systems

Assisted with Medicare credit balance report

Assisted various companies with accounts that were in backlog

Assisted patients in understanding explanation of benefits

Contacted insurance companies on denials

Assisted with setting-up self-payment plans with patients on remaining balances

Application Support Analyst II, 03/2006-06/2008

Healthcare Management Systems, Nashville, TN

Provided professional phone support to clients for Clinical applications

Assisted with Clinical applications (i.e., nursing notes and orders.

Performed tests on software to ensure proper operation

Sent, received, and compiled programs as necessary to clients

Assisted with quality assurance testing for program changes, new releases,

Assisted clients in developing a working knowledge of each PA application Assisted in query writing for various facilities (SQL)

Refunds Analyst, 02/2004-2/2006

HCA-Patient Account Services, Donelson, TN

Resolve Medicare and Medicaid overpayments

Contact government payers of overpayment.

Ensured that all state reporting was completed on a quarterly basis

Customer Service Representative, 07/00-01/2004

Healthspring, Nashville, TN

Resolve complex provider and member issues

Interact with various departments to complete tasks and projects

Assisted members with determining member responsibility on specific procedures

Assisted members in choosing Primary Care Provider, and Specialists in network

Ensured all member ID cards had correct PCP identified

Assisted with changes made to member handbooks

Education

Trevecca Nazarene University

BS Healthcare Administration

Skills

Computer literate in Microsoft Office Products (Outlook, OneDrive, Word, Excel ) Proficient in SQL query writing. Familiar with CPT and ICD-10, HL7 Interface,



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