Customer Service Analyst Ii
Resume:
Cherisse Edwards
Copiague, NY *****
********.*.*******@*****.***
Work Experience
Insurance Analyst II
TEKsystems-AbbVie-Chicago, IL
April 2024 to Present
Primary point of contact for Health Care Providers (HCP’s). Address’s issues or concerns for HCP and patients with accurate explanations. Determines patients financial responsibility,quantity,and prior authorization requirements. Physician Account Representative
Northwell Health-New Hyde Park, NY
December 2021 to April 2024
• Assists in several tasks related to patient accounts for hospital and clinical facilities.
• Daily duties include processing claims, addressing patient billing inquiries, collecting payments.
• Assisting in helping resolve payer enrollment related denials and other problems.
• Attending to inquiries regarding an account.
Dispute Resolution Specialist/ Fraud Specialist
Cardworks Services-Woodbury, NY
October 2017 to August 2019
• Issue partial and full refunds to cardholders
• Assists and advises cardholders regarding their disputes either verbally or in writing
• Answers telephone and interacts with customers, merchants or other departments in a professional manner • Completes necessary steps to initiate account transactions and investigations
• Advises cardholders of billing dispute procedures including transferring call or initiating a dispute • Responsible for complete understanding and accurate application of Regulation Z Truth in Lending and Regulation E Electronic Fund
Transfers including special Credit and Provisions, Billing Error Resolution and special Rule for Credit Card Purchases
Customer service and Debt collector
RUI Credit Services
RUI Credit Services-Melville, NY
March 2016 to December 2016
Melville NY
3/16-12/24/16
• Payment processor and Debt collector. Rep
• Provide excellent customer service.
• Multi-tasker from collections to debt collector.
• High score in rankings week after week 100% for quality assurance purposes, proper phone etiquette, and following policy's and procedures.
Education
St.John the Baptist- West Islip
Copiague high school - Copiague, NY
September 2005 to 2007
Skills
• Phone Etiquette
• Cold Calling
• Microsoft Word
• Medical Billing
• ICD-10
• CPT Coding
• Medical Terminology
• Insurance Verification
• Medical Records
• ICD-10
• Customer service
• Medical terminology
• Typing
• Medical records
• HIPAA
• EMR systems
• Clerical experience
• Microsoft Outlook
• Phone Etiquette
• Surgery
• Ambulatory surgery center
• Medical Billing
• Accounts receivable
• Accounts payable
• Account reconciliation
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