Data Entry Customer Service
Resume:
TAIWAJA N JACKSON
E X P E R I E N C E
Billing Analyst
SELECTRX November 2018 - Current
Quality Assurance Specialist
CONVERGENT March 2019 - October 2022
Escalations Representative
CONVERGENT February 2016 - March 2019
Customer Service Representative
CONVERGENT September 2009 - February 2016
Data Entry Pharmacy Technician
TELEPERFORMANCE July 2008 - September 2009
Responsible for submitting claims to insurance companies to get paid claims for patients prescriptions
Reprocessing denied claims to get paid claims through the patient's insurance Updating patient's insurance so that all available prescriptions on the patient's account could be processed and mailed in a timely manner Contacting patients for insurance if the system does not pull any active insurance Updating patient records to ensure that all available prescriptions will process accurately to get a paid claim.
Monitoring recorded calls for all agents to ensure that all policies and procedures are being adhered to under the guidelines of the company. Responsible for taking all escalated calls, assisting all agents that may have any questions or concerns about an account that they are currently assisting a customer with
Resolving any issues or concerns that the customers have regarding their accounts, while properly documenting the accounts.
Resolved billing or service complaints and refers grievances to designated departments for investigation; Conferred with customer by phone or in person to receive orders for installation, turn-on, discontinuance, or change in service Completed contract forms, prepares change of address records, and issues discontinuance orders, using computer; Determined charges for service requested and collects deposits
Solicited sale of new or additional utility services; Referred unresolved customer grievances to designated departments for further investigation Determined charges for services requested, collect deposits or payments, and/or arrange for billing; Completed contract forms, prepare change of address records, and issue service discontinuance orders, using computers Obtained and examined all relevant information in order to assess validity of complaints and to determine possible causes, such as extreme weather conditions that could increase utility bills.
Communicated with patients to collect information about prescriptions and S K I L L S
Technical Documentation
Customer Service
File Management
Medical Terminology
Healthcare Claim Coding
QA Reporting
Project Management
Report Analysis
E D U C A T I O N A N D
T R A I N I N G
Certificate Of completion Medical
Billing and Coding
Piedmont Technical College
August 1996
Diploma
Strom Thurmond High School
May 1994
C O N T A C T
**************@*****.***
Aiken, SC 29801
medical conditions with pharmacist
Consulted with insurance company representatives to complete claims, resolve concerns and reconcile payments
Entered and processes more than 600 patients' prescriptions into internal system per shift
Performed accurate and timely data tracking, entry, verification, and QC checks of clinical data into the clinical database as governed by the data entry instruction manuals.
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