Customer Service Representative
Resume:
Najee Mitchell
*** ****** ** ********, ***** ****5 979-***-**** *********@*****.***
OBJECTIVE: Self motivated with a positive attitude driven to succeed and provide outstanding customer service.
Education
Columbus High School Columbus, Texas High School Diploma Graduate 2011 WORK EXPERIENCE:
Cigna Healthcare January 2022-November 2023
Customer Service Representative
● Worked in a high call center environment answering inbound calls receiving 50-100 calls daily .
● Maintaining the front lines with the customer, responding to job inquiries and answering many questions regarding ; Autorizations, claims,and insurance coverage questions in reference to the members insurance policy.
● Spoke with the callers while navigating 10 -15 screens while typing and documenting customer interactions .
● Sent claims for adjustments when needed
● Helped the member apply for financial assistance when needed .
● Send correspondence letters when needed.
● Sent proof of insurance verification to other insurance companies
● Worked Hmo and Oap Health Insurance accounts .
Star Home Health May 2018-May 2021
Customer Service Representative / Therapy Coordinator /Wound care officer
● Welcomed, registered, and admitted patients onto: Home Health Services.
● Gather information about patients while creating patient records.
● Checked patient eligibility- insurance information,Before admitting the patient onto Home Health Services.
● Made appointments ;While scheduling procedures in Kinnser database.
● Scheduled nurse’s according to the patient's area for daily admissions and regular Lvn skilled nursing visits.
● Maintained patients' schedules according to their set frequency.
● Sent referrals to therapy companies to get patients staffed for therapy services in home care.
● Ordered wound care supplies for patients through outsourcing supply companies . Iqor
Customer Service Representative
January, 2017-May 2019
● Handled outstanding outbound calls while documenting the customers accounts
● Updated customers accounts with updated information
● Dispatched Technicians to provide service on the customer home units Plenum MD & Consulting
Billing Associate July 2017- November 2017
● Handled Billing for Serum, Toxicology Labs for Behavioral Health Facilities
● Worked with Insurance companies to get claims paid
● Reviewing unpaid and denied claims
ProMedic Home Health
Intake Coordinator October 2016 – June 2017
● Scheduled Nurses for their appointments with patients
● Set up patient referrals and admissions
● WellCare authorizations
● Checked inventory, invoices and also checked on outstanding Village Home Health Intake Coordinator Temp Position May 2016 – July 2016
● Answering and routing phone calls
● Entered patient demographics onto system
● Multi-tasked between patients and doctors orders SKILLS:
● Microsoft Word
● Accuracy
● Excel
● Insurance Billing & Coding: CMS-1500, CPT
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