Customer Service Medical

Location:

Posted:

June 14, 2012

LaTarsha Flores

Objective To secure a position in the medical field that will allow me to utilize my skills and knowledge within a growing environment.

Experience

Medical Assistant/Healthcare Specialist

November 2009- present

Provide assist with immediate care of patients’ medications

Assist patient with doctor visits and medical needs

Provide nutritional meals and assist with making of meals

Assist with mobility of errands

Provider Service Representative

May 2008-January 2009 WellPoint Inc, Denver, Colorado

Provide customer service

Analyze and resolve escalated medical claim issues with providers

Provider eligibility of healthcare coverage and explain benefits

Provider Service Representative

December 2007-May 2008 WellPoint Inc, per Kelly Services, Denver, Colorado

Provide customer service

Analyze and resolve medical claim and benefits issue with providers

Provide eligibility and explanation of healthcare coverage information

Claims Examiner

June 2006-December Globe Life Insurance , Oklahoma City, Oklahoma

Analyze and process healthcare claims for commercial and personal accounts

Provide claim adjustments according to policy specifications

Assessed claim according to CPT and ICD-9 information

Benefit Specialist

September 2002-July 2004 ADP Inc., West Des Moines, Iowa

Enroll and up date policy information for member

Client service Subject expert for temporary employees

Handled benefit and eligibility concerns

Education