Customer Service

BeneScript Services, Inc. Norcross, GA (Accounts Mgr./CSR Lead - 12/03 -11/07)

•Adjudication of prescription claims through a nationwide pharmacy network and mail service program

• Explanation of reimbursements to pharmacies, insurance companies, third party administrators, (TPA’s), self-insured and insured clients,

•Request prescription cards, efficacious resolution to billing inquiries, relate and expound on diverse benefit plans

•Explanation of commonly used prescription medications for workman’s compensation and group claims, report instances where CSR training warranted

•Investigate and resolve issues escalated from the help desk, email unit or queries received directly from clients, adjusters or pharmacies. Identify new or complex problems and refer to managers as needed

•Promote teamwork; maintain logs—PBM & Work-Comp queries/solutions in a spreadsheet format, prepare incentive reports quarterly

The Network, Inc., Norcross, GA (Interview Specialist -- 9/03 -12/03)

•Handled a broad base of clientele in the Net Claims Department processing first incident reports of workers compensation, short-term disability and general liability claims via the Internet for the contiguous USA

•Completed reports expeditiously with a Q/A 97% error-free rating, also inbound call ratio rate 97 to 100 percentile, typing of reports in a specialized format and entering data in a PC/Windows format

TopForm Software Inc., Norcross, GA,( Administrative Assistant -- 08/99 - 1/03)

•Administrative support for the programming, technical, implementation, sales and marketing departments along with clerical/front desk duties

•Assisted in planning and implementing the Annual User’s Conference specializing in business management software for the printing industry annually

SKILLS:

ICD-9 & CPT Coding Microsoft Excel Microsoft Outlook

Microsoft PowerPoint Microsoft Word MediSoft Software

EDUCATION:

Javelin Technical Institute, Medical Billing & Coding, Certified Insurance and Coding Specialist, (CICS), Smyrna, GA

Asher, Administrative Support Specialist, Administrative Assistant, Norcross, GA

Clark-Atlanta University, Masters of Art, Education/Guidance and Counseling, Atlanta, GA

Bethune Cookman College, Bachelor of Science, Psychology, Daytona Beach, FL

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