Data Entry Customer Service
Resume:
Daphne Bonner
PROFESSIONAL SUMMARY:
• Professional via phone with extensive experience in administrative duties
• Generated hearing letters, performed data entry, EDI and ensured all information reflected accurately
• Responsible for sorting through legal documents, filing, court orders, mail and other correspondence for legal purposes filing, Oracle, phones, customer service.
• Generated reports in Excel spreadsheet.
• Performed data entry and ensured all information reflected accurately.
• Responsible for maintaining the operation front desk.
• Responsible for filing, generating weekly reports, excel spreadsheets, phones, and filing.
• Generated mailings to Landlords and property owners with multiple violations on the property.
• Available to interview with 24hr notice
PROFESSIONAL EXPERIENCE:
Gainwell Technologies
May, 2022 – present
Sr. Customer Service Support representative
• Processing Medicaid application’s for Dr’s, physician assistants, dentists, Advanced practice nurses, requesting to become providers with the state of NJ Medicaid program.
• Follow up with provider’s
• Credentialing providers
• Updating providers licenses, and creating ID numbers for providers accepted to participate in Medicaid program
• Data entry, filing.
• Outreach
• Creating letters of confirmation, and missing information
• Telephones
Employment gap due to caregiving for elderly parent Hamilton Physical Therapy Services
March, 2019 -October, 2019
Medical Secretary
• Front desk, customer service, taking multiple incoming calls, collecting copays
• Filing
• Faxing, copying documents, pulling patient charts
• Verifying insurance benefits
• Tallying day end cash receipts
Capital Health Primary Care
October 2017 to February 2018
Receptionist (through J & J Staffing Services)
• Checked patients in and out of clinic using Athena system.
• Performed customer service skills and ensured all patients were handled.
• Generating referrals in NaviNet.
• Was responsible for setting appointments and answering phones. The State of New Jersey
March 2017 to June 2017
Division of Medical Assistance and Health Services. Fair Hearing Unit Customer Service Representative
• Worked as a liaison for attorneys.
• Generated hearing letters, performed data entry, EDI and ensured all information reflected accurately
• Responsible for sorting through legal documents, filing, court orders, mail and other correspondence for legal purposes filing, Oracle, phones, customer service. Aetna Better Health of New Jersey
January 2016 to March 2017
Customer Service Representative (Provider Relations)
• Generated reports in Excel spreadsheet.
• Updated and researched provider site and placed.
• Updated demographic changes in QNXT database.
• Worked closely with provider liaison.
• Handled inbound phone calls and data entry.
• Researched provider contracts using Oracle/EDI.
The State Department of Community Affairs
January 2015 to June 2015
Codes and Standards Department
Administrative clerk
• Responsible for maintaining the operation front desk.
• Responsible for filing, generating weekly reports, excel spreadsheets, phones, and filing.
• Generated mailings to Landlords and property owners with multiple violations on the property.
• Performed customer service and used Outlook.
Horizon NJ Health /BCBS of NJ
September 2000 to August 2014
Utilization Management Department, Quality Dept. / Outreach Dept. CSR/Sr. Managed care Coordinator
• Facilitated and coordinated the timely implementation of new membership and conversions.
• Assisted in procurement of information from provider's offices to complete documentation.
• Initiated callbacks and correspondence to members and providers, to coordinate and clarity benefits and associated inquiries.
• Analyzed interdepartmental problems and make recommendations of resolutions.
• Performed data entry and ensured all information reflected accurately.
• Took inbound and outbound calls, pre-certified hospital procedures, as assigned by Physician.
• Scheduled transportation for qualified HMO members and pre-certified DME (durable medical equipment) for members, via faxed prescription from physician's office.
• Experience with medical terminology, ICD 9 / CPT coding, and claims. EDUCATION:
Trenton Central High School
Diploma
Career Institute Training
Medical Clerk Certificate Received
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