Customer Service Accounts Payable
Resume:
Mary E. Guy
Zachary, LA ***91
********@***.***
PROFILE: Self motivated and thoroughly experienced in Claims, Customer Service,
Provider Inquiries, adjustments, Pharmacy program
Team player and leader.
Accounts payable and receivable aspects.
Customer Service and Provider Relations experience over 35 years
Corporate Training Experience
PROFESSIONAL EXPERIENCE:
Blue Cross Blue Shield of Louisiana
Claims processing and adjudication
Administrative Assistant
Adjustment Clerk
Customer Service Representative
Provider Relations Representative
Medco Coordinator
Provider Relations Representative (6/1990- present) serving as liaison between company and provider community.
Planned, and scheduled bi-annual meetings with High Profile providers in my assigned areas. Coordinates Management level meetings with providers where complex issues are identified.
Trained and educated provider community on LA Blue ( formerly BCBSLA) systems, on determining patient’s benefits, posting payments and resolving claims issues.
Trained provider community on Louisiana Blue portals via Microsoft teams and in person.
Trained Providers on obtaining Prior Authorizations through EPIC platform..
Education
Southern University -3 years –Physical Therapy major -3.5 cum. Avg.
University of Phoenix – Business Management – Associate 3.3 cum. Avg.
Slidell Baptist Seminary – Associate degree of Theology –2005 graduated with 3.8 GPA
Bachelor degree of Theology – 2007 graduated with 3.8 GPA
Andersonville Theological Seminary - Master of Ministry -2010 graduated 4.0 GPA
Skills
Types 40-42 wpm
Data Entry
Accounts payable /Receivable
Problem solving abilities
Microsoft Office ( Word, Excel, Powerpoint)
Presentation skills (Certificate of Completion of Presentation Advantage
Facilitator’s Skills (Certificate of Completion of Facilitator Advantage
Good written and oral communication skills (Certificate of Completion of Franklin Covey writing Advantage
Trouble shooting and problem resolution skills
Serves as SME (Subject matter expert) for coordination of statewide provider workshops and oversees content for presentations and prepares staff of Provider Relations dept for these events.
Also serve Out of state providers in the following specialties (Specialty pharmacy, DME, Laboratories.
Serves as Liaison between Customer Service and Provider Relations department
Excellent Customer Service
Certifications
Workforce Development Certificate Program
Affiliations:
Ministerial Alliance- Ordained Minister in the A.M.E. Church (October 2009)
Ordained Elder in the A.M.E. Church (October 2010)
President of Women In Ministry Eighth Episcopal District
References;
Available upon request
Contact this candidate