Customer Service Rep
Resume:
Tracy Thomas
Carrollton, Texas 75007
469-***-**** cell
**********@*****.***
Objective To obtain a challenging office support position that utilizes my experience in leadership, staff training/development, and customer service information skills.
Education Attending Kaplan University (Health Science Management degree) Mountain View Community College- Dallas, TX –General Studies Practice Management Institute – Advanced Coding Workshop Certified Medical Coder
American Training Center – Certificate Data Entry /Word Processing (valedictorian)
Work experience TTEC Staffing September 2023-June 2024
Customer Service Rep Remotely
Responsible for verifying the location for customers’ medication approval, assisting with different locations for receiving medical assistance, and updated customers’ medical records.
Jacobson Staffing June 2021-October 2021
Provider’s Service Rep Remotely
Responsible for claim status, reviewing why claims were not clean for the provider, verifying members' eligibility, and making sure claims were processed correctly
Molina Healthcare December 2011- June 2019
Provider’s Rep Irving, Texas
Responsible for claim status, reviewing why claims were not clean for the provider, verifying members' eligibility, and making sure claims were processed correctly. Adjust claims for payment, and review appeals on claims. Provide information on checks that have been lost. Reissue lost checks and information on cleared ones.
HCA Patient Account Services May 2003- April 2008
Insurance Verification Team Lead Irving., Texas
Responsible for timely and accurate pre-registration and insurance verification for inpatient and outpatient accounts. Interprets managed care contracts. Assists staff-level employees with compliance with the department policies and procedures. Assists manager with staffing, reports, QA, training of new employees, daily work distributions to staff members, and other duties.
HCA Patient Account Services July 2002- May 2003
Insurance Verifier Irving, Texas
Responsible for verifying all coverage and eligibility for third-party insurance for inpatient and outpatient accounts for several HCA facilities. Verified coverage for day surgeries, clinical, and workman’s compensation, and obtained precertification as needed. Extensive knowledge of Medicare, Medicaid, media fax, Host, Meditech system, CP T, and ICD-9 codes.
Urgent Surgery Associates June 1997 – June 2002
Billing/Collection Manager Dallas, Texas
Responsible for the collection of commercial and government insurance payments for inpatient accounts. This includes follow-up on each account, verifying the status of a claim, rebilling the insurance company as necessary, verifying contractual adjustments, and assisting patients with questions about in- and out-of-network insurance plan pay. Supervised and trained staff.
Software
OS: Win 95, 98 & XP, Win 3.1, Graphics: WordPerfect 4.2/5.0, IBM Filing
Assistant, MultiMate 4.0, PowerPoint, Microsoft Excel, Microsoft Office, Microsoft Billing Software, Calendar Creator Plus, Meditech, Medifax, Medifax Assistance, MSC, Kronos Web, Onbase DEI, QNXT 3.4 & 4.8, Portal, Encoder Pro, TMHP, Claim viewer, Data Management, EOB admin source, check Tracer, claims, CVS Caremark, Intranet, ERP portal, ADP, Nice Performance Manager, HIPAA, and Typing speed 80wpm
Hardware IBM Selectric II/III, Star NX-100 and Panasonic Printers, HP Printers, CRT IBM computer, Dell Computers, Cash Register, HP Scanners, Keypunch, Mail Machine, Fax Machine, Cisco, and Copier.
Reference Available Upon Request
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