Customer Service Representative
Resume:
CUSTOMER SERVICE REPRESENTATIVE
ANTONIA RICH
Reliable & Trustworthy
Data Management
Technical Troubleshooting
Windows XP/Vista
Hardware Diagnostics
Call Center Operations
Hardware Upgrades
Hardware and Software Repair
Teamwork and Collaboration
Microsoft Windows and Office
Troubleshooting Network Issues
Tracking and Documentation
Help Desk Support
Report Generation
Creative Problem Solving
Multitasking and Prioritization
Upselling Products and Services
Customer Retention Strategies
De-escalation Techniques
B2B and B2C Sales
Sales Closing
Conflict Mediation
Data Evaluation
Creative Problem Solving
Issue and Complaint Resolution
Customer Service
De-escalation Techniques
Customer Retention Strategies
Responding to Difficult Customers
Inbound and Outbound Calling
Sales Expertise
Technologically Savvy
Store Maintenance
Quality Control
Clerical Support
Route Management
High-Energy Attitude
Upbeat and Positive Personality
Calm and Professional Under Pressure
Building Customer Trust and Loyalty
Understanding Customer Needs
S K I L L S
Baltimore MD, 21215
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Knowledgeable Customer Service and Credentialing Specialist brings many skills such as performing successful application checks and verifying informational resources. More than 10 years of experience overseeing data access and security based on up-to-date trends and standards. Quickly adept at verifying primary sources and access-level tiers. Proven communicator and relationship builder expertly tracks complex update, certification and credential requests.
P R O F I L E
E X P E R I E N C E
Helping Hands Health Services Remote
First Choice Medical Counsulting
2020-Present
2013-2020
CREDENTIALING SPECIALIST
Assisting with check posting and balancing for third party insurance carriers. Resolve failed claims and denials.
Handle insurance appeals and daily electronic report generation of claims sent to the clearing house .
Update patient demographics and insurances. Resolve calls with insurance companies and patients
.Input data of medical billing, posting credit card and copayments. Managed all payments processing, invoicing and collections tasks. Collected, posted and managed patient account payments. Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
Performed insurance verification, pre-certification and pre-authorization. CREDENTIALING COORDINATOR
Resolve technical issues related Addressed credentialing requests, overseeing compliance with governmental and organizational guidelines regarding tiered data access. Performed database queries, compiling information according to requests and logging logistics changes.
Completed enrollments into Medicaid, Medicare and private insurance plans. Maintained informational resources, tracking and documenting requests for updates, certification and credentialing.
Checked applications for missing information and organized all paperwork. Processed documents and status-change requests, conducting followup assessment regarding enrollment inquiries.
Performed primary source verifications such as criminal histories, licenses and board certifications. QMB Medical Staffing Agency 2008-2013
MEDICIAD BILLING SPECIALIST
Kept close tabs on documentation expiration dates, communicating with correct personnel to submit files prior to expiration.
Offered high level of assistance during managed care auditing process and conducted internal file audits.
Checked applications for missing information and organized all paperwork. Confirmed facility and user credentials to initiate and maintain registration and enrollment processes.
Addressed credentialing requests, overseeing compliance with governmental and organizational guidelines regarding tiered data access.
Verified documentation against compliance standards and communicated deficiencies to resolve issues.Collected and reviewed data to identify potential compliance issues requiring further review.
Evaluated applications and associated documentation to determine eligibility. E D U C A T I O N
Walbrook High School
1993
DIPLOMA
C E R T I F I C A T I O N
Customer Service Certified
Microsoft Office
Keyboarding & Typing 101
Penn Foster College
CURRENTLY ENROLLED
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