Customer Service Administrative Assistant
Resume:
Jennifer Gregory
***** ** ******** *** ************ VA 24112
*************@*****.***
EDUCATION
Laurel Park High School
Martinsville Va 24112
OBJECTIVE
As a Data Entry Specialist, or administrative assistant, my primary objective is to provide exceptional customer service to the company and its clients.
REFERENCES
Available upon request
FUNCTIONAL SKILLS
Medical Terminology
Document and Records Management
Medical Authorizations submission
Assist with Medical Claims
Strong problem-solving skills
Multitasking and Organization,
Administrative and office support
Adherence, policies, and procedures
EXPERIENCE
04/2024-Present
Optum (Remote) PNP Specialist
Incoming and outgoing calls to the providers office to retrieve demographic information for the successful retrieval of Medical Records.
Confirm provider and patient information and still comply with HIPAA regulations.
09/2022-04/2024-Evolent (Remote) CCAI-Customer Care Associate I
Answer incoming calls and provide great customer service to all callers who require medical authorization assistance.
Adhere to all metrics set forth by the company.
09/2017-09/2022
Results CX(Remote) Member/Provider Services Specialist
Answer incoming calls and assist with routine questions and service complaints. Note all accounts of the call and what was the issues were on the call.
Assist members and providers with eligibility requirements, provider and facility status with the patients Health plan.
07/2015-09/2017- Food lion Cashier/Deli associate
Assisted with daily duties in the deli and also operated a cash register.
06/2010-06/2015 Results CSX Remote Claims/Appeals/Grievances Representative
Examined reports, accounts and evidence to determine the integrity and accuracy of the claims.
Researched, made outbound calls to resolve the issues of the claims.
Contacted patients to advise of the outcomes of the research for the claims.
Maintain strong knowledge of basic medical Terminology to better understand services/procedures.
Made contact with insurance carriers to discuss the policies of the health plan and patient benefits.
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