Customer Service A Team

Deneila Keese

Houston, TX

Phone Number: 832-***-****

Email: *******@******.***

To Whom It May Concern,

Hello, my name is Deneila Keese, and I am writing in response to the available position you have listed. My prior work experience, interests, and educational background are parallel with the qualifications necessary to fill the above-mentioned position. I am a highly motivated, diligent, and dedicated worker. I am a team player, and I have a strong work ethic. I am also accustomed to working in a high-volume demanding environment.

I have attached a copy of my résumé with sincere hopes that you will consider me as a candidate for this position. I would greatly appreciate the opportunity to work for your company and gradually grow within the company. Thank you in advance for your time and consideration. I can be reached via email *******@******.*** or by cell phone 832-***-****. I look forward to interviewing with you soon. Sincerely,

Deneila Kesee

Deneila Kesee

CELL: 832-***-****

EMAIL: *******@******.***

PROFESSIONAL SUMMARY:

Seeking a full-time position with the potential to grow within the company. To actively interact with a company that will enable me to use my professional skills and my ability to be a permanent asset. Utilize my strong background in customer service, administration, and communication skills to excel in a collaborative environment. I am very knowledgeable in understanding all forms of research, customer service, teamwork, project management, medical research and organization. My goal is to obtain a challenging position in which my professional experience and abilities can contribute to the overall growth of the company. PROFESSIONAL SKILLS:

● Microsoft Word, Excel, Office, Outlook, Suite and Power point.

● 10 key by touch-45 WPM- 13,000 KSP.

● Osha and Hipaa certified/training.

● Employee Relations.

● Accounts Payable/Receivable.

● ICD9-10 Codes

● THMP System

● Discharging/Admitting patients

● Data entry, switchboard operator, and scheduling

● Certified in cardiopulmonary resuscitation and First Aid

● Electronic medical records and medical terminology

● Analytics, accounting, and auditing

● Proficient in Quickbooks and Netsuite

● Insurance authorization and verification

PROFESSIONAL EXPERIENCE:

Patient Customer Service Advisor July 2024 -Present Parallon-HCA Houston, TX

• Communicate with customers by phone to obtain information needed to resolve inquiries in accordance with department policies and procedures.

• Review patient account information in multiple systems; perform research as necessary and take appropriate actions to resolve patient inquiries and account balances.

• Update or add insurance information and/or patient demographic information and request rebill.

• Escalate patient complaints to the appropriate individuals/department based on the nature of the issue.

• Meet and maintain established departmental performance metrics for production and quality.

• Consider contacting each customer as an opportunity to sell or promote additional value-added products or services offered by the company (i.e. IVR, Web, etc.).

• Interacts with other departments to resolve customer inquiries and achieve customer satisfaction. These departments include Transmission and Distribution, Field Activities, Field Services, Revenue Accounting and others when necessary.

Credentialing Claims Specialist March 2023- July 2024 NTT Data (Contract)- Houston, TX

• Resolved problems by clarifying issues, researching, and exploring answers and alternative solutions.

• Fulfilled requests by clarifying desired information, completing transactions, and forwarding requests.

• Identified customers' needs, clarify information, research every issue, and provide solutions and/or alternatives.

• Handled incoming insurance claims.

• Updated patient records/demographics.

• Documented medical claims actions and outcomes in logs. reports and records.

• Examined claims, records and forms to determine whether the patient has medical insurance and what coverage they have.

• Reviewed medical documentation and verified its accuracy and validity. Claims Specialist September 2018 -January 2023

Benelynk (Remote)- Houston, TX

• Assisted in recognizing discrepancies and reconciling the insurance log on to the patient’s accounts.

• Confirmed adherence to protocol while checking if appropriate referrals were accurately obtained.

• Educated patients and families on insurance issues and communicated patient's fiscal responsibility.

• Insurance verification and authorization.

• Electronic medical-record systems and software for working with spreadsheets, databases and word processing documents.

• Responsible for answering member/non-member inquiries regarding Medicaid/Medicare benefits.

• Managed membership renewals, met daily, weekly and monthly performance goals related to schedule adherence, telephone availability, working rate and completion of follow-up assignments.

• Maintained current knowledge of state and federal regulatory requirements to adhere to strict compliance of all suspects of company outreach programs.

• Maintained patient/client files and electronic medical records.

• Verified documentation and eligibility of benefits. Customer relations support October 2014 -May 2018

Sigma Tube & Bar Houston, TX

• Prepared shipping documents such as Packing List, Bill of Ladings, and Invoices.

• Ensured that customers received accurate orders in a timely manner.

• Scheduled pick-up with assigned freight line per PO.

• Tracked inventory and reported any shortages to the sales team.

• Communicated with the Sales department via email/phone.

• Printed daily sales orders and cross-check computer software to ensure accuracy.

• Responsible for cycle counting.

Customer Service Rep September 2010 -October 2014

The Global Group- Houston, TX

• Ensure that customers receive accurate orders in a timely manner.

• Created shipping documents, such as invoices, purchase orders, bill of ladings, and customs paperwork.

• Performed inventory control and tracked shipment’s delivery status Verified and kept records of all incoming and outgoing shipments Responsible for unpacking and examining and routing incoming shipments.

• Arranging pickups by the carrier specified on the PO. Administrative Assistant February 2008 -August 2010 HISD- Houston, TX

• Answer telephones and give information to callers, take messages, or transfer calls to appropriate individuals.

• Operated office equipment such as fax machines, copiers, and phone systems, and use computers for spreadsheet, word processing, database management, and other applications.

• Provided services to customers, such as order placement or account information.

• Set up and maintain paper and electronic filing systems for records, correspondence, and other material.

• Learned to operate new office technologies as they are developed and implemented.

• Completed forms in accordance with company procedures. Ordered and dispense supplies.

• Conducted searches to find needed information, using such sources as the Internet.

• Collected and disbursed funds from cash accounts and keep records of collections and disbursements.

• Arranged conference, meeting, or travel reservations for office personnel.

• Scheduled and confirmed appointments for clients, customers, or supervisors. EDUCATION:

High School Diploma/Jesse Jackson Academy- Houston, TX

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