Certified Nurse Assistant Resume
Resume:
CYNTHIA R. HARRISON
Greenville, SC ***** 864-***-**** ************@*******.***
Summary
Communicative customer service professionals are motivated to maintain customer satisfaction and
contribute to company success. History managing large amounts of inbound calls and sustaining satisfactory
relationships with customers. Offers skill with CRM systems paired with outstanding active listening and
multitasking abilities.
Skills
● CRMsoftware
● TaxSupport
● Customer Service
● Inbound and Outbound Calling
● Call Center Operations
● Insurance Claims Management
● High-Energy Attitude
● CDLClass B
● Microsoft Word
● Quality Assurance Controls
● Adaptive Team Player
● Data Entry
● Troubleshooting
● Customer Relationship Management
● Critical Thinker
● Schedule Coordination
● JavaScript
● Microsoft Excel
Experience
BPOSenior Rep
NttData/AmeriHealth
Processed medical claims and updated benefits procedures.
● Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
06/2023-03/2024
● Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other
procedures.
● Accurately processed large volumes of medical claims every shift.
● Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
● Reviewed claims for accuracy before submitting for billing.
● Inputted data into the system, maintaining accuracy of provider coding information and reported
services.
● Tracked differences between plans to correctly determine eligibility and assess claims against benefits
and data entry requirements.
● Based payment or denials of medical claims upon well-established criteria for claims processing.
Claims Adjuster
Concentrix
● Processed medical claims and updated benefits procedures.
● Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
02/2019 to 06/2022
● Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other
procedures.
● Accurately processed large volumes of medical claims every shift.
● Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
● Reviewed claims for accuracy before submitting for billing.
● Inputted data into the system, maintaining accuracy of provider coding information and reported
services.
● Tracked differences between plans to correctly determine eligibility and assess claims against benefits
and data entry requirements.
● Based payment or denials of medical claims upon well-established criteria for claims processing
Contact this candidate