Experienced Data Entry Specialist with 25+ Years of Detail-Oriented

TONI JAMES

**** * ***** **., ********* MO 816-***-**** ***************@*****.***

Objective

I am excited to start a new journey with a established company where I can use my experience and skills along with my motivation so I can enter the path to success within the company and be one of your top performers.

Skills

Proficient in Microsoft Word, Excel, Outlook, Facets Application. Data entry, use multiple computer applications and screens to complete and resolve claims. Strong communication skills, with ability to work and learn with minimal supervision, and complete tasks and duties in a timely manner. Pay close to details and excellent customer service skills.

Experience

Integrated Resources Inc

Customer Service Representative

2025 to 02/2026 – temporary position

Received phone calls from members, providers, POA’s and others, about their medications, prescriptions and coverage of insurance for CVS Health call center

Government Employees Healthcare Association

Provider Data Management Representative 2

9/2010 to 12/31/2024

Utilizes NPPES NPI Registry to verify provider NPI number. Updates of providers contact information into Facets. Contact providers to obtain required information to complete updates and setup new locations. Process medical and dental claims. Process special reports as assigned. Assist with completing providers adds, changes and terms of office locations and hospitals. Trainer for new co-workers. Answer questions about claims or entries. Salesforce experience. Sent letters to physicians for missing information or unclear instructions on a claim, if I can’t reach by phone. Follow protocols for HIPAA and PHI Information, and follow the rules of OPM.

DST Systems

Data Entry Processor and clerk

05/1996 to 05/2010

Ran proof machine to encode bottom of checks, open mail, distribute mail, pay close attention to detail, reject checks that are not in good order. Make phone call to verify missing check information or to clarify instructions. Send out brochures and letters if unable to reach by phone.

Education

Mc Cluer High School

Florissant MO

1985 to 1989

Diploma received.

Florissant Valley Community College

1989 to 1990

No degree

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