Data Entry Customer Service
Resume:
JORDAN
THOMAS
CONTACT
Converse, TX *****
************@*****.***
SKILLS
• Problem-solving
• Customer Service
• Interpersonal Communication
• Time Management
• Attention to Detail
• Adaptability
• EMR
• Verifications
• Heavy Data Entry
• Eligibility review
• Research and analysis
• Claims processing
• Critical thinking skills
• Patient scheduling
• Multitasking Abilities
• Customer service
• Organizational skills
• Community outreach programs
Community resource
navigation
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PROFESSIONAL SUMMARY
Skilled in problem-solving, customer service, and data entry, with a strong background in claims processing and patient scheduling. Proven track record in managing client intake processes and enhancing community resource navigation. Eager to leverage expertise in a new role. Contributing to team's success and client satisfaction.
EXPERIENCE
Intake Specialist/ Data Entry, 12/2020 - Present
Amazon Mturk
Claims Representative (Contractor), 02/2022 - 12/2024 Amazon Mturk
Daily Clerical Duties: Typing, Filing, Faxing, and Copying documents.
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• Data Entry
Follow data entry protocols to meet confidentiality and security standards.
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Responsible for entering important company data entry and keeping records accurate and up to date.
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Reviewed, Verified and updated contracts related to high cost, high touch medication therapy for patients with complex disease states.
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Troubleshot and resolve billing rejections and subsequently rebill claims to appropriate carrier for all commercial, federal, and state insurance plans.
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Managed client intake process, ensuring accurate and timely collection of information.
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Assessed client needs and provided appropriate resources and referrals.
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Collaborated with team members to streamline intake procedures and improve Efficiency.
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Supported clients in navigating services and programs offered by the organization.
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Analyzed incoming requests for service, determining eligibility based on predetermined criteria.
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Added to case information with dates of service, diagnosis or procedure codes and facility and doctor information.
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Scheduled appointments for consultations, tests and procedures by determining doctor availability.
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Microsoft office
Utilities Customer Service Representative (Temp),
10/2022 - 02/2023
AppleOne
Credentialing Coordinator, 02/2015 - 04/2022
Peake Communication and Services
Utilized effective problem-solving techniques to resolve complex customer issues.
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Processed and analyzed customer claims with accuracy and attention to detail.
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Maintained accurate records of all communications with customers.
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Prepared insurance claim forms and related documents and reviewed them for completeness.
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Enforced contractual obligations between parties involved in the claim process.
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Proficient in resolving billing inquiries and handling account maintenance.
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Demonstrated ability to answer customer questions and resolve issues in a Timely manner.
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Skilled in operating computer systems to process payments and update account information.
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• Strong understanding of utility services and regulations. Maintained provider files and ensured compliance with accreditation standards.
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Coordinated communication between providers and insurance companies for credentialing purposes.
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• Performed primary source verification of provider credentials. Managed provider credentialing process for large healthcare system.
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Conducted comprehensive research to verify license, certification, education, training and other credentials for healthcare professionals.
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Maintained accurate documentation of all provider information, including licensure status, privileges granted, reappointment and renewal dates, and disciplinary action taken.
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Researched discrepancies in application materials submitted by potential providers as needed.
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Drafted letters and forms to communicate changes or updates regarding the credentialing process to providers.
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Evaluated applications, records, and documents to gather information about eligibility and liability issues.
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EDUCATION
High School Diploma: 06/2019
East Central High School - San Antonio
Processed and adjudicated medical claims according to health plan polices. Using ICD codes to indicate patient's diagnosis. Provided advice and assistance to customers regarding their claims. While using CPT codes to convey procedures & services. Managed a high volume of incoming calls from customers, providing excellent customer service.
Processed applications for provider enrollment with insurance panels.
REFERENCES
References available upon request
DAILY CLERICAL DUTIES
TypingFilingFaxingCopying documentsData Entry
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