Call Center Data Entry

Donna M. Glaze

** ****** ***** ***** *********, PA 19508· 610-***-****

*****.*****@*****.***

PROFESSIONAL SUMMARY

I am self-motivated with strong problem solving skills. Demonstrate strong, organizational, technical and interpersonal skills. Exhibit good ethics, trustworthiness and committed to maintain client/member confidentiality. Analytical and detail oriented. Complete assigned projects in a timely manner. Multi-task effectively.

SKILLS

15+ years’ experience includes Customer Service, General Accounting, Data Entry. Software programs include Microsoft, AS400, Loomis Intranet, RedCard, MWP. Illumfin Loomis Live. Languages: English and Spanish

PROFESSIONAL EXPERIENCE

The Loomis Company, Wyomissing, PA 7/2017- Present

Call Center Representative- Provide healthcare benefits, eligibility and answering claims related questions to our English and Spanish speaking HIPAA verified members; providers and other member PHI approved representatives. Make follow up calls on pended correspondence needing additional information or response on claim related questions. Other responsibilities include receiving and making outbound calls for the Enrollment Call Center. Complete assigned correspondence in allowed turnaround time.

Iron Mountain, Royersford PA 1/2017-7/2017

Customer Care Associate-Customer Requests Case Processing, inbound and outbound calls from Iron Mountain clients. Resolve client billing and service discrepancies. Process includes review of invoices, purchase orders for accurate billing of services and supply orders. Level 1 approval to revise, credit or debit invoices. Place or amend service and supply orders upon client request.

Conifer Health Solutions, Reading, PA 6/2015-5/2016

(Penn State Health St Joseph’s Regional Hospital)

Emergency Department Registrar-Received and Register patients for emergency room services. Assisted in scheduling staff to cover regular hours of all shifts including PTO and Holidays including Receiving/Registrar Rotation. Submitted monthly EMTALA Report to Director. Collected and entered patients co-pays. Assist other department with patient insurance and demographic data corrections. Provide training for all new employees.

Conifer Health Solutions, Reading, PA 12/2013-6/2015

(Penn State Health St Joseph’s Regional Hospital)

Central Scheduling Call Center- Scheduled prescribed outpatient services via phone calls, emails or faxes from patients, healthcare providers and other healthcare facilities. Scheduling included entering the assigned CPT/ICD-9 codes and procedure description. Other responsibilities included the verification and entering of patient’s demographic and insurance information.

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Education and Certification

Reading Area Community College, Reading, PA 4/2013-9/2013

Certification (GPA 4.0) in Medical Billing Insurance Specialist and Medical Coding

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