Customer Service Administrative Assistant
Resume:
Selena Jones
McDonough, GA *****
******.********@*****.***
Professional Summary
Customer service oriented professional able to coordinate workflows and communicate effectively with co-workers, patients and staff.
Follows policies, procedures and guidelines to ensure consistent quality. Maintains and safeguards patient privacy and confidentiality.
File grievances, experience with inbound calls, and make out bounds calls o Academic Honors Recognition / Honor Roll
o Manage time and priorities in multi-task environments o Effective problem solver, able to assess situation and identify solutions o Work as part of a team and maintain a professional and positive environment o Microsoft Office Applications / MS Excel MS Word MS PowerPoint Typing Speed: 40 WPM o Communication Platforms: Skype Zoom
Work Experience
CSR - Customer Service Representative
Mirra Health Care-McDonough, GA
September 2024 to Present
• Provide claims information to provider's
• Ensures first call resolution to resolve customers needs and concerns effectively
• Understands and provide accurate information regarding Medicare Advantage products professionally
• Operates telephone ACD system
Customer Care Representative
Continuum Global Solutions-Henderson, NC
October 2021 to September 2024
o Actively listens and assists customers.
o Files medication refills diligently and in a timely manner. o Runs test claims for clients.
o Assists medical providers and pharmacies with medication coverage and Prior Authorization information.
Intern Medical Assistant
Dr. Daisy De’Guzeman-Newark, NJ
March 2005 to July 2005
Checked vital signs, performed phlebotomy and EKGs, pulled charts, verified insurance, and collected copayments
Scheduled appointments, answered inbound phone calls, and prepared specimens Education
Associate of Science Degree in Health Sciences – Medical Administrative Assistant
Ultimate Medical Academy-Tampa, FL
January 2019 to July 2021
Diploma in Medical Assistant / Patient Care Technician P C Age-Jersey City-Jersey City, NJ
January 2004 to August 2005
Ultimate Medical Academy
Skills
• Communication skills
• Patient Registration Medical Records Management Check In Check Out Data Entry Release of Information
• HIPAA Compliance Medical Laws & Ethics CMS 1500 Claim Form Billing Cycle Claims Appeal Process
• Customer service
• Data entry
• Basic Coding Skills for ICD-10
• Medical Administrative Assistant Medical Terminology Patient Processing
• Phone etiquette
• Medical Billing Knowledge Third Party Billing Medicare Medicaid HMO PPO
• Microsoft Word
• Microsoft Office
• Microsoft Excel
• Organizational skills
• CPT Insurance Verification Anatomy
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