Customer Service Data Entry
Resume:
CECILE B. SCOTT
Phone: 725-***-****
*******@*****.***
SKILLS AND QUALIFICATIONS
●Proficient in financial management, providing exceptional leadership and positive clinical outcomes
●Experienced in Healthcare billing, patient evaluation and intervention
●Core strengths: Strong organizational skills, active listening, sharp problem solver, customer service expert, adaptive team player, courteous demeanor, intermediate Microsoft Word/Excel skills, and data entry
EXPERIENCE
ADVOCATE4ME at United Health Group 11/2022 to 05/2025
●Search and schedule primary care physician for members as soon as needed.
●Explain prior authorization and file an appeal to escalate needed services to members.
●Resolve customer inquiries
●Assist members with claim information and insurance provider with claim processing inquiries
●Assist members with warm conference call to proper designated agent to enroll for benefits
CUSTOMER SERVICE MEDICARE ADVOCATE at Livanta, LLC. 04/2018 to 11/2022
●Worked with a volume of phone calls to help patients navigate healthcare discharges, appeals, in-patient services, and home healthcare.
●Make outgoing calls to insurance companies and physicians to inform of patient appeal and stop discharges.
●Collect patient’s demographic to process the appeal successfully.
CASH POSTING SPECIALIST at Las Vegas Skin & Cancer 05/2016 to 3/2018
●Post patient payments, insurance payments, balance and audit charges and billing on a timely basis.
●Review incoming accounts receivables for audit daily.
●Download all incoming checks and electronic remittance advises received daily from commercial insurance payments for posting.
PATIENT ACCOUNT REPRESENTATIVE at Valley Health System 11/2004 to 04/2016
●Developed and achieved financial goals.
●Managed multi-lined phones and receive inbound calls to resolve patient issues.
●Maintained and improved the company’s reputation by providing a positive image to the public.
●Collaborated with department managers to correct problems and improve services.
●Drafted the complete annual audit report including footnote disclosures.
EDUCATION
Certified Medical Assistant
Nursing – University of the Philippines, Philippines
High School Diploma – St. Theresa’s College, Philippines
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