Customer Service Data Entry

Latisha Butler

Pittsburgh PA *****

724-***-**** OR ************@*****.***

MEDICALASSISTANT/Customer service Rep with experience in medical practice and additional healthcare experience.Known for dedication to providing premium patient care. Skills include:

·Multi Phone Line

Answering

· ICD-9 coding

· CPT-4 Coding

· Data Entry

(65wpm)

· Patient Billing

· Insurance Billing

· Patient Scheduling

· OSHA/ HIPPA

Training

· Phlebotomy

· Taking Patient

Vitals

· Blood Draws

· Injections

· Ancillary Testing

· Patient

Education

· Bookkeeping

& Filing

· Sterilization

Techniques

· 12 Lead

ECG

· Urinalysis

Work Experience:

Lumeris/Customer Service Specialist

11/2021-Current

● Provides clear, concise, and professional responses to member and provider emails and voicemails related to Claims, Benefits, Eligibility, Utilization Management, Membership, Pharmacy, Billing, ID Cards, Websites and other service inquiries.

● Responds to questions and complaints and resolves issues via email and over the phone from both internal and external customers for all communities and plans by following operational processes and procedures.

● Investigates and responds to general correspondence which includes ownership and accountability for client-specific and direct contracting Customer Service email inbox and client-specific and direct contracting Customer Service voicemail inbox.

● Handles inbound Direct Contracting calls from beneficiaries and providers on a rotating basis.

● Issues letters and forms to members and providers as assigned.

● Handles complex and/or escalated situations. Acts urgently when necessary and appropriately prioritize to ensure timely response and follow-up.

● Handles a variety of reports in support of delivering a fantastic service experience for members and providers.

● Works in partnership with the other team members to ensure appropriate coverage and to prioritize responsibilities, meet production standards, and achieve goals and deadlines.

● During times of peak call volume, acts as a back-up for answering member and provider inbound calls.

Spherion

Assembler

1/2021. 9/2021 to

● Assembling and packaging various Respironics medical devices in an ISO and FDA regulated environment.

● Operating all relevant machinery, tools and equipment; undertake standard and complex production tasks safely and in accordance with instructions.

● Monitoring the quality of output to identify, discard or re-manufacture faulty products.

● Completing departmental procedures and administrative activities including accurate completion of Device History Records, inventory control processes (Kanban, Materials Movement forms, time tickets, pick lists, etc.), lot tracking scrap reporting, sequence cards and other administrative duties.

Amerisource Benefits Verification Specialist 9/2018 to 3/2020

● Review all patient insurance information needed to complete benefit verification

● Triages cases with missing information to appropriate program associate

● Verified patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options

● Identifies any restrictions and details on how to expedite patient access

● Could include documenting and initiating prior authorization process, claims appeals,etc.

● Completes quality review of work as part of finalizing product

● Reports any reimbursement trends/delays to management

● Performs related duties and special projects as assigned Spectrum Environmental Laborer 6/2017 to 9/2018

● Asbestos Abatement

● Building Containments

● Mold Removal, Demolition

● ICRA

● Disease Awareness

ICD Telemarketing 3/2013 to 5/2017

● Assisting customers to retrieve information on health insurance and life insurance policies

● Incoming/Outgoing Calls

● Transferring calls to licensed Insurance Agents to better Assist the Customer With what benefit Package best fits their needs.

Latisha Butler Resume (Continued Pg.2)

EDUCATION:

Penn Hills High School High School Diploma 2008

Career Training Academy Certificate of Completion(Communication) 2010 to 2011

Decision Making/Problem Solving

Attitude

Preparing for the workplace

Responsibility

Energy Innovation Center Institute Certificate of Completion 6/2017

Introduction To Construction And Trades

Safety and Emergency Preparedness

Construction Math and Vocabulary

Exploration and preparedness courses in 17 Different Trades

OSHA 10 Safety Certification

Personal and Professional Development

REFERENCES:

TanizhaVearnon Professional/CMA-CAT 412-***-**** 4314 Old William Penn Highway Tonya Rigney Personal/HHA 412-***-**** 516 Guylyn Dr Pgh Pa 15235 Julian Williams Personal/Shift Supervisor 412-***-**** 301 Penn Ave Pgh Pa

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