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Customer Service Insurance

Location:
Round Rock, TX, 78681
Salary:
40000
Posted:
March 07, 2012

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Resume:

Nicole Lindsay

*** ******* **** ***** ****, TX **681 512-***-**** **************@*****.***

Summary of Qualifications

Skilled professional seeking an administrative role which utilizes writing, research, analytical and problem solving skills

Basic knowledge of accounting principles

Excellent organizational and communication skills

Proven ability to prioritize and handle multiple tasks in a challenging environment

Able to achieve positive relationship with clients and colleagues

Windows Vista, Windows XP, Access, PowerPoint, Word, and Excel

Type 40 WPM

Education and Training

American InterContinental University, Schaumburg, IL

Master of Business Administration: Healthcare Management, 2011

Bachelor of Business Administration: Healthcare Management, 2009

Employment Experience

e-MDs, Austin, TX, 2011 – Present

Medical Software Support Technician

Backup database and run updates and scripts on the clients’ server

Troubleshoot and research software issues related to e-MDs proprietary software

Provide clients with first level training on clinical software

Create knowledge base articles which alert the customer to best practices or provide instruction of software functionality

Document steps taken in call tracking system

Schedule and coordinate meetings and appointments for the research analysts

Seton Healthcare Network, Austin, TX, 2007 – 2011

Patient Business Services Representative/Customer Service Representative

¬Registered patients for ER and Outpatient procedures, uploaded patient demographics

Verified patients' insurance, collected co-pay, documented patients' account and upgraded patients' account

Reviewed provider files for appropriate documentation required for the credentialing process

Performed credential verification and requested information from appropriate data banks

Collected and maintained files in relation to credentialing of network providers, including application, contracts, current physician licenses, DEA licenses, and malpractice insurance board

Worked on verification report, other reports and projects as assigned

Screened and counseled patients for financial assistance

Provided patients with accurate information on how to fill out insurance applications for low income families

Obtained referral and authorization numbers; along with other procedures

Performed office and clerical duties including directing calls to appropriate locations and maintaining physician call schedules for hospital departments

Monitored and initiated communications with hospital personnel

Instructed new employees on office procedures and computer program systems

Progressive Insurance, Austin, TX, 2003 - 2007

Insurance Underwriter

¬Informed, quoted and sold auto insurance to prospective customers

Communicated detailed explanation of insurance coverage, bill plans and state legislative policies and procedures

Collected payments and issued policies

Processed endorsements, reinstatements and cancellations

Prepared and filed claims

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Integrated Mental Health Services, Austin, TX, 2001 - 2003

Intake Specialist

¬Registered patients, scheduled initial and follow-up appointments

Received pre-authorization verification from various insurance companies

Executed insurance verification, collected payments and created Superbills

Maintained all credentials files and analyzed potential red flags



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