Customer Service Data Entry

SUK H. LEUNG (prefer name Mary Leung)

301-***-**** ********@*****.*** Davenport, Florida 33896

Summary To obtain an administrative support position utilizing my extensive computer knowledge, organizational skills and customer service skills

Skills Windows 11, WordPerfect, MS Word, Excel, PowerPoint MS Teams

Outlook

Accounts Payable

Customer Service

Data Entry

Fluent in English

Speak Cantonese

Strong organizational skills

Problem Solving

Quality contra!

Shipping/Receiving/Retail

Switchboard ooerato r

Typing 60 wprn

Availity

ICD 10 coding

Experience 01/2020 – 02/2025

Insurance Verification SpeciaList, Centene Corp., OrLando, FL

• Obtain and verify insurance eligibility for services provided and document complete information in systern

• Perform prior authorizations as required by payor source, including procurement of needed documentation by coLlaborating with physician offices and Insurance companIes

© Collect any clinical information such as tab vaLues, diagnosis codes

' Determine patient’s financial responsibilities as stated by insurance

• Configure coordination of benefits information on every referral

• Ensure assignment of benefits are obtained and on file for Medicare claims

• Bill insurance companies for therapies provided

• Document all pertinent communication with patients, physicians, and insurance companies as it may reLate to coLlection procedures

• Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs

• Handle inbound calls from patients, physician offices, and/or insurance companies

• ResoLve cLaim rejections for eligibility, coverage, and other issues

• Performs other duties as assigned

• Comply with all policies and standards

09/2019 – 01/2020

Insurance Verification Coordinator, Healthcare Support Staffing, Inc., Maitland, FL

• Examined claims, records and procedures to grant approval of coverage

• Instructed cLients on amounts covered under insurance benefit plan in easy-to- understand terminology

• CaII insurance companies to ascertain pertinent information regarding policies and payment benefits for patients

08/2017 – 06/2019

Medical Device Billing Specialist/Insurance Verification Coordinator, Cardinal Health, Twinsburg, OH

• Process authorizations for diabetic supplies

• Use strongorganizationalskills and prioritization on gettingthe correct authorization required to obtain approval

+

•

Meet service level goals

eontactingthe primary and secondary insurance to obtain all pertinent information per standard department procedure

Using programs like Avaitity, Emedian to verify member insurance coverages Call insurance companies to obtain authorization for diabetic equipment and supplies 04/2015 - 05/201 7

Insurance Bitter, Radnet/Borg & Ide, Rochester, NY

• Input insurance for patient cLaims

• Process rejection cLaims for issue involving incorrect insurance, diagnosis, and/or coverage

• Resolving unpaid claims with insurance companies by contacting the company to resoLve why the claim has been denied,

• Manage denied claims and file appeals

10/2012 – 01/2014

Data Entry/Customer Service, InterDesign, Inc., Solon, OH

• Inputting new customer orders, answering customer service inquiries about products, also addressing concerns of customers that their purchase of the products from retail stores and may have issues with quality of the product customer purchased

• Also issue authorization to replace products that customers are unhappy about and send customer courtesy replacement to make customers satisfied with products of the company

01/1998 – 05/2012

Receptionist/Secretary, Comm Steel, Inc., Cleveland, OH

• Receiving incoming calls with 20-Line phone system, typing shipping tickets and purchase orders, input invoices for accounts payabLe

• Handling incoming and outgoing mail, also updating the postage meter by Loading money into the postage machine, updating employees’ phone list and distributing the new list

• Typing Labels using MS Word for new job foLders, creating Excel spreadsheets for weekly staff meetings

Education

and Training

•

Office Specialist Curriculum, General Communication, Inc., Rockville, MD (09/1 993) General Studies, Oxon Hill Senior High School, Oxon Hill, MD (8/1982 – 5/1985) Graduated with Diploma

Languages

' Fluent in English and Chinese (Cantonese)

References

• Upon Request

Contact this candidate