Data Entry Customer Service

Ruth Brown

**** *** **** ** **** ***, Arlington, TX 76011 314-***-**** ***********@*****.***

Skills

RX Claims CPT/ICD-10 CODING Type 45 wpm Data Entry MS Word MS Excel MS PowerPoint Access Salesforce

Work Experience

Caremetx, worked from home 12/24 - 02/25 (Contracted) Insurance Verification Agent

Coordinating insurance with healthcare providers and explaining coverage. Maintaining compliance, resolving insurance discrepancies and preventing issues related to payment or coverage.

Christus Healthcare, Irving, TX 10/24 - 12/24 (Contracted) Insurance Verification Agent

Confirm details of the patient’s insurance coverage, including policy numbers, eligibility and coverage limits.

Contacting insurance providers to clarify benefits and obtaining PAs when necessary. Enter data entry and documentation of insurance details. Optum/Quest Diagnostics, worked from home 01/23 - 12/23 Lead Medical Billing Specialist/Customer Service

Assisted with solutions Addressed supervisor calls. Advised on current third party billing and collection regulatory guidelines and requirements. Breg Inc, Southlake, TX 04/22 - 10/22 (Contracted) Medical Billing Specialist

Using coded data to produce claims to insurance companies. Appealing and reviewing denied and unpaid claims. Verifying patient’s insurance coverage. Answer patient’s billing questions and handle collections on unpaid accounts.

AMN Healthcare, Dallas, TX 08/21 - 12/21 (Covid Related) Credentialing Analyst 1

Processed credentialing applications and supporting documentation. Track license and certification expirations to confirm renewals. Maintain accurate information for providers and update their credentials as necessary.

Brinks Armored Security, Coppell, TX 2019 - 2020

Customer Service Representative

Provided support to customers, clients and vendors via telephone. Call types included updates on scheduled/dispatched services, delivery/deposits of cash and online assistance. Provided technical support to access locks, revised service requests and answered inquiries for ATMs and safes. Documented information regarding supplies and repairs for safes and ATMs. Optum, Schaumburg, IL 2009 - 2019 Manual Claims Processor Adjudicated claims appropriately per contract or standard processing guidelines. Met and maintained 95% quality expectations. Assist with the escalated claims by identifying, clarifying and correcting issues regarding claims. Trained and audited other processors while maintaining quality and production metrics.

Healthlink, Inc., St. Louis, MO 1999 - 2008 Customer Care Associate III/Researcher Received 90+ inbound calls; quoted and clarified benefits regarding processed claims. Researched and adjusted claims with eligibility, and benefits issues. Audited an outsourced vendor's routed requests for adjustments.

Managed Prescription Services, St. Louis, MO 1994 - 1999 Lead/Client Customer Service Representative

Supervised CSR staff of five, monitored attendance, handled performance issues. Regulated workflow and trained new employees.

Education

Business Administration Courses, University of Missouri-St. Louis, St. Louis, MO Certified Medical Assistant, Bryant Institute, Bridgeton, MO