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Service Representative Customer, Billing Specialist, Assistant Manage

Location:
Ambridge, PA
Salary:
55,000
Posted:
May 21, 2025

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Resume:

jennifer montellanico

***********@*****.*** 412-***-**** Ambridge, PA

OVERVIEW

Dedicated professional with extensive experience in enrollment, billing, and office management seeking to leverage skills in a Customer Service Representative position. Proven ability to handle client interactions, manage data, and ensure customer satisfaction. WORK EXPERIENCE

Enrollment and Billing Specialist highmark

January 2002 - March 2025

Government Business, Highmark I was responsible for handling enrollment and correspondence of Medicare supplemental policy and the On- Exchange enrollment for the Affordable Care Act. I was an integral part of the migration of the Delaware, West Virginia and North Eastern Pennsylvania Medicare Supplemental plans onto the Highmark Platform. Medicare Complaint Specialist, Senior Markets, Highmark Responsible for handling complaints coming into 1-800-Medicar(e), Legislative and Congressional inquiries and reconciliation of Late Enrollment Penalties (LEP). Interacted on a daily basis with Medicare and Highmark Compliance departments. Member Service Representative, Senior Markets, Highmark Serviced all products available to current potential members of Medicare Advantage Medicare Part D plans with previous training on the Medicare Supplemental plans. Selected to be a dedicated representative for BlueRx

(Part D plan), SecurityBlueCare and Private Fee for Service plans. Responsibilities included servicing members and providers of direct pay and employer group Private Fee for Service plans, reconciliation of Late Enrollment Penalties (LEP), Critical Correction Representative for Internal Quality. Proficient in the use of Insinq, Marx, ICIS, Medco, Excel, Navinet, CATS, Lotus Notes, Medical Policy, Medicare Advantage Enrollment System, Oscar LEP Database. Interacted with both Appeals Grievance department and Operations on a daily basis. Medical Office Assistant Manager

1999 - 2002

University Family Practice, UPMC Responsible for all aspects of running a medical office with multiple locations, including patient registration, patient correspondence, entering referrals, scheduling, and heavy usage of multi- line phone system. Interaction with internal external medical staff to ensure optimum office efficiency patient satisfaction.

Senior Area Representative Valu-America

1997 - 1998

Responsible for recruiting vendors in twenty-three states for title searches, appraisals and for closings. Dealt with several large banking institutions while tracking and scheduling vendors for closings. Worked as a part of a team that successfully returned a large client to the company. Also typed client reports and correspondence as well as heavy telephone contact with clients. Office Manager Albert's Heating and Air Conditioning Co 1995 - 1997

Total responsibility for accounts payable and receivable, payroll, billing, estimates, and customer correspondence. Operated a multi-line phone system and utilized WP 5.1, UNIX system and Windows 95.

EDUCATION

Community College of Beaver County

1994 - 1995

Community College of Allegheny County

1993 - 1994

California University of Pa.

1989 - 1990

NOTABLE SKILLS

Customer Service Handling Complaints Contact With Clients Data Management Problem Solving Title Searches Scheduling Management Navinet Potential Client Interaction Affordable Care Act Dedicated Patient Satisfaction UNIX Excel Medicare Advantage Reconciliation Patient Registration Communication



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