Customer Service Representative

EBONY BOYCE

************@*****.*** 312-***-**** Hammond, IN 46324

Hands-on, task-focused professional with strong communication skills, leveraging vast healthcare industry experience. Pays close attention to detail for accurate and compliant documentation. Follows policies, procedures, and guidelines to ensure consistent quality. Maintains and safeguards patient privacy and confidentiality. Flexible: adapts to new challenges and ideas, and

able to develop rapport with diverse populations

Team-oriented: motivates to create a collaborative and respectful environment

Customer service: Regarded as a natural people

person with strong interpersonal communication skills Well-Organized: Manages time and priorities in

multi-task environments

Microsoft Office Applications / MS Excel MS Word MS PowerPoint

Typing Speed: 45 WPM

Customer Service Representative Everise - Plantation, FL 12/2024 - 05/2025 Entered patient data into computer system to maintain accurate records. Adhered to all HIPAA regulations regarding patient privacy and confidentiality. Provided technical support for web-based applications and services to customers. Transferred calls to other departments as needed.

Customer Service Representative Continuum Global Solutions - Dallas, Texas 11/2021 - 12/2024 Answered incoming calls and directed them to the appropriate department or individual. Developed relationships with customers through effective communication techniques. Investigated suspicious claims activity, recommending further action when needed. Assisted customers in filing claims and providing necessary documentation upon request. Analyzed claim records, policy provisions, and other relevant documents to determine validity of claims. Reviewed denied claims for errors or omissions before finalizing decision notices. Collaborated with team members to identify trends in customer issues and develop solutions accordingly. Checked documentation for appropriate coding, catching errors and making revisions. Verified patient demographic information in order to ensure accuracy of data entry. Provided customer service by answering inquiries, resolving complaints, and providing general information to clients regarding healthcare services.

Certified Nursing Assistant/Floater Care Advocate Inc. - Chicago, IL 05/2020 - 10/2021 Documented, otherwise reported observations of patient behavior, complaints, or physical symptoms to nurses. Communicated and interacted effectively and tactfully with patients, visitors, families, peers, and supervisory staff. Maintained the comfort, privacy, and dignity of the patients by completing duties in a manner that displayed warmth and promoted a caring environment.

Completed various tasks assigned by supervisory staff, including checking vital signs, weighing residents, applying creams and ointments, and collecting specimens.

Assisted in facilities that needed assistance with vitals or a particular group in assisted living facilities. Summary

Skills

Experience

Certified Nursing Assistant Prairie Oasis Tourist Complex - South Holland, IL 03/2018 - 05/2020 Turned or repositioned bedridden residents, and maintained comfort for hospice residents. Changed the bed linens and operated the Hoyer lift to transfer patients. Attended to the individual needs of dementia patients, including assistance with grooming, oral hygiene, feeding, incontinent care, colostomy care, prosthetic appliances, transferring, ambulation, and range of motion. Ultimate Medical Academy Clearwater, FL 12/2021 Associate of Science: Medical Billing And Coding

April 2020 - Dean's List

4.0 GPA

South Suburban College of Cook County South Holland, IL 12/2021 Certified Nursing Assistant

*Medical Billing * Accounts Receivable * Collections * Co-pay * Deductibles * Co-Insurance *EOBs

* Revenue Cycle Management * Posting Payments * Government (Medicare & Medicaid)

* Third Party Payers * Electronic Health Records (EHR) * Electronic Medical Records (EMR)

* Managed Care (HMO, PPO, and POS) * Workers compensation * Insurance Verification

*Insurance Claim Processing * CMS 1500 * CMS 1450 (UB-04) * Front Office Operations *Scheduling *Medical Office Procedures * Medical Terminology * Anatomy & Physiology

* HIPAA Compliance *Medical Colding (ICD-10-CM, HCPCS, CPT) References available upon request.

Education and Training

Key Qualifications

References

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