ALICE V DETTREY
***** * *** * *** Moor Dr
Monument, Colorado 80132 H 719-***-****
Email: **********@***.*** C 719-***-****
SUMMARY
Experienced people-oriented team player, who possesses excellent communication skills, written, verbal, and organizational, with an extensive background in Office Administration and Customer Service.
Customer Service
Trainer
Team Player
Problemsolver/Troubleshooter
CPT/ ICD 9 Coding Self starter
Negotiator
Administrative analyst
Initiative
Patient Registration/Scheduling
Skilled supervisor
MS Word, Excel, Publisher
Professional
People-oriented
Medical Billing/Collections
CAREER HISTORY
Customer Service Representative II 02/2006 to 01/2007
Tri-West Healthcare Alliance
• Respond to phone and web-mail inquiries regarding all aspects of the TRICARE program, to include information and assistance with enrollment, eligibility, benefits, and the location and use of network and certified providers. All tasks and responsibilities are to be performed in accordance with TRICARE policies and contract requirements. Work well in a fast paced environment.
• Produced 20 percent increase in income through freedom to negotiate fees.
• Demonstrated customer service skills in a high volume call center environment.
• Certified in the TPR/TRS portion of Benefits to Beneficiaries
Member Service Associate 2/2005 - 9/2005
USAA, Colorado Springs/CO
• Especially adept at guiding clients through coverage adjustments, adding/deleting vehicles/drivers process.
• Directed the member to the correct area of need: Claims, Homeowners, etc
• Significantly expanded repeat business.
• Assist members with USAA website, to help set up services/unlock account
• Especially skilled at referrals for other services offered within USAA
• Maintained referrals for other services offered within USAA
• Expert policy services representative for automobile customer inquiries.
• Respond to phone and web-mail inquiries
Referral Coordinator 10/2002 - 12/2004
Spectrum Healthcare
USAFA/CO
• Responsible for tracking ancillary & commander’s reports
• Spearheaded quarterly records audit.
• Coordinated with site nurse on administrative issues regarding patient referral
• Communicated with Clinics regarding Referrals in there Clinical Que
• Assisted and directed patients to obtaining Medicare Providers
• Completed Registration for all incoming Active Duty and family members
• Maintained current Medicare Directory for Medicare Providers
• Especially strong in: Medical Terminology, Referrals to EFAX to Tri-West
• Identify incoming calls and transfer to appropriate staff member
Healthcare Cost Recovery/Billing/TPC 3/2002 - 9/2002
Tree Frog Data Solutions
USAFA/CO
• Responsible for maintaining Administrative Records
• Collaborated with Medical Records, Medical Transcription and Coding staff to improve quality of Documentation in support of Third Party Collections
• Responsible for Verification and Input of all Updated Insurance Information for beneficiaries with billable coverage
• Gathered appropriate information for insurance companies so no delay in payments would occur
• Corresponded with Patient on Discrepancies in Coverage
• Maintained copies of information that has to be relayed to the insurance company for recertification
• Coding both CPT and ICD 9
• Maintained both UB-92/HCFA 1500/1450
Senior Customer Care Representative 7/1996 - 12/2001
Adelphia Communications
Colorado Springs/CO
• Demonstrated Courtesy and Patience in all Customer Relations
• Performed the selling of New Services to both New and Existing Customers
• Made Valid Attempts to prevent Disco or Downgrade of Service, Troubleshot any and all issues with reconnecting of devices and or service related problems.
• Provided appropriate Billing, Service, Programming and Maintenance Information
• Educated Customer on all Marketing Programs and Promotions
• Responded to Routine Issues requiring understanding of system products, services and internal process/ procedure
• Maintained Quality Assurance Stats (monthly)
• Performed Advanced Hands on Training
Office Manager 09/1993-7/1996
Dales Paint Supply Co.
Colorado Springs/CO
• Maintained all MSDS and Safety Files
• Performed Monthly Billing Statements
• Performed Monthly Collection Calls
• Processed Charge Account Applications
• Maintained all Incoming/Outgoing Orders
• Developed and Enhanced Product Relations with all Vendors
• Monitored Daily Charge/Cash Sales
• Communicated Account Status with Management/Owner
• Processed Monthly Account Payables
Education:
Widefield High School 5/1977
Diploma
Additional Skills:
10 Key: 14,481 ksph 90% accuracy
Typing: 35 wpm 95% accuracy