Customer service
Resume:
La Freddie Hannible
***********@*****.***
Career Objective
I am a sincere, loyal and dedicated individual who has a great deal of ambition. Although I have extensive experience in the Customer Service industry, I love to learn, and always up for a challenge. I get along well with others, while also working efficiently on my own. I am seeking a position where I can develop and excel, while giving my best to an employer
Skills Overview
•Keyboarding
•Telephone Techniques
•Records Management
•Data Entry
•Medical Terminology
Microsoft Office Suite
HIPAA.
•Customer Service
Work Experience
Employment Gap after 2017-2019 due and ran own retail business and went back to school
Rental Property- Milwaukee, WI. October 2022-December 2023
Off and on periodically for a year.
Advertised Home through social media and community boards
Provided websites and assistance to prospective guest to complete reservation
Provided tours throughout inside and outside of home
Contact Airbnb customer support through email and phone to assist with customer resolution, and maintain reservations
Adjusted and accepted online payments through third party website.
Maintain sale weekly and monthly by promoting discounts towards reservation
Uploaded and updated home standards and rules according to the expectations of business
Mommy and Me Loving Childcare- Milwaukee, WI Mar 2020- October 2022
Operated and facilitated Home day care service
Provided Applications, tours, interviews for enrollment and new hire
Planned biweekly nutritional meals for calendar rotation
Recorded all accidents and routine monthly fire and tornado drills
Followed all DCF 250 family child care guidelines
Maintain a file for each child and provider to review according to state guidelines
Documented attendance and hours during arrival and departure for child and provider
Maintain and documented physical and all health information in a secure database
Community Care – Waukesha, WI Dec 2019 – May 2022
Medical Claim Analyst
Reviewed medical claims submitted by healthcare providers to determine if they meet the necessary requirements for payment.
Examined the documentation, such as medical records, bills, and coding, to ensure they comply with the appropriate coding standards, medical necessity guidelines, and contractual agreements.
Stayed current on HIPAA regulations, benefits claim processing, medical terminology, and other procedures.
Performed a wide variety of administrative and staff support duties of a highly responsible and confidential nature to assist the department operations.
Responded to or routes routine inquiries from external or internal sources with standard correspondence or other messaging.
Inputted data into the system, maintaining accuracy of provider coding information and reported services.
Reviewed administrative guidelines whenever questions arose during processing of claims.
Used contract notes and processing manual to correctly apply group-specific classifications to claims.
Organized information by using spreadsheets, databases, or word processing applications.
Accurately processed large volume of medical claims every shift.
Took time off for the completion of Associate degree in Business Management
Adecco – Ltd (Northwest Mutual) (Temp) – Milwaukee WI June 2017 – Aug 2017
Insurance Representative
Answered inbound calls, directing them to appropriate departments.
Reviewed insurance applications, conversions, and policy changes with clients.
Entered data into computer system. Updating client information.
Guided the client through the application and underwriting process, ensuring all required information is provided accurately.
Step by step going over member account details and payment information.
United Health Care – Milwaukee WI Sep 2015 – Mar 2017
Medical Claim Analysis
Accurately processed large volume of medical claims every shift.
Stayed current on HIPAA regulations, benefits claim processing, medical terminology, and other procedures.
Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Used insurance rate standards to calculate premiums, refunds, commissions, and adjustments.
Retained strong medical terminology understanding in effort to better comprehend procedures.
Modified and updated existing policies and claims to reflect change in beneficiary, amount of coverage or type of insurance.
Education:
El Pueta High School, Milwaukee, WI
2007 High School Diploma
Enrichment Opportunities Institute of Training, Inc.10/08 –
12/08, Medical Administrative Assistant Training Program:
awarded Certificate
Gateway Technical College, Racine, WI, Associate Business Management, 12/2021
Teacher Certification
Administration early childhood program (3) credit
Fundamentals of Family Child Care
Introduction to the Child Care Profession
CPR
Child Abuse and Neglect
Introduction to the Child Care Profession
Sudden Infant Death Syndrome (SIDS)
Skills and Strategies for the Child Care Teacher
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