Demonstrated over ** years of data entry experience.
Over 20 years’ experience in Customer Services. Excellent attendance. 3 years of experience in Medicare Part C and D Systems, CCMS, QNXT, PARC, SharePoint, Precise Grievance process and Quality Assurance, Medicare Enrollment Specialist, HIPAA compliant/Medicare proficient. Proficiency typing, ten key, computer skills, accuracy and speed, all MS Office software, Marx, Facets, RX Claims, PeopleSafe, Ability to adapt to change to meet timely filing deadlines. Effectively communicate orally and written. Quality Assurance
proficient in Microsoft Office
Strategic Planning
Claims processing
Negotiation Skills
strong analytical
CustomerService
Communication
10 Key expert
H M A LLC / Tempe AZ
Customer Service Representative L1
Answer incoming Provider & Customer calls regarding insurance benefits and member coverage. Arete Technologies Inc / Maricopa Public Health Clinic Phoenix Data Entry Rep
Handling escalated calls.
Inbound and out bound hight volume calls.
Assist team members with calls and training.
Claim reading and EOB's.
Data entry and 10 Key.
AZ Data Entry Clerk (Contract successfully completed) Compiled Medical registration packets,
Labeled packet sheets using eClinicalWorks to verify patient information. Date stamped packet sheets
Scanned into data base for the Tuberculosis Clinic’s medical records departments. 12/2022 - 12/2024
02/2022 – 04/2022
P R O F I L E
+623-***-**** · ********@*****.*** ·
1628 E. Southern Ave Tempe, AZ 85282
RULZEL SPENCER
PROFESSIONAL EXPERIENCE
STRENGTHS AND EXPERTISE
MED Impact/ Tempe AZ
Customer Service Representative L1
Answer incoming Provider & Customer calls regarding insurance benefits and member coverage. Handling escalated calls.
Inbound and out bound hight volume calls.
Assist team members with calls and training.
Claim reading and EOB's.
Data entry and 10 Key.
01/2024 - 01/2025
Blue Cross Blue Shield of AZ
Sales and Client Relationship Manager
09/2019 – 05/2020
University of Phoenix
Rio Salado College
Credits towards Bachelor's Degree in Business Administration. FEP Program Credits towards Bachelor’s Degree in Business Administration. References are available on request.
EDUCATION
Federal Employee Program Customer Service Representative• My daily responsibilities were to handle a large volume of repetitive tasks such as answering a high volume of incoming patient inquiry calls regarding their Federal Employee Program coverage, statements, billing, reading and interpreting their Explanation of Benefits, knowledge of medical claim forms types (1500, UBs and ADAs), data entry of medical claims. Explained and set up payment plans and applied patient check, credit or debit card payments All About People Inc / Blue Cross Blue Shield of AZ Federal Employee Program Customer Service Representative 07/2019 – 09/2019
My daily responsibilities were to handle a large volume of repetitive tasks such as answering a high volume of incoming patient inquiry calls regarding their Federal Employee Program coverage, statements, billing, reading and interpreting their Explanation of Benefits, knowledge of medical claim forms types (1500, UBs and ADAs), data entry of medical claims. Explained and set up payment plans and applied patient check, credit or debit card payments Terra Staffing Solutions / ISolved
Production Associate
03/2021 - 08/2021
Responsible for Shipping and Receiving, Printing, Sorting, Filing, Sealing and Mailing Payroll.