Customer Service Representative
Resume:
Brianne N. Davis
**** **** ****** ******** ****, TX 77459
**********@*****.***
Summary:
Highly motivated and dedicated professional seeking a position that will utilize my skills as a customer service representative or my clerical skills. Looking for a job to demonstrate my strengths including, commitment to quality and a strong willingness to achieve the company skills.
Summary of Qualifications:
Summation Data Capture 9,420 ksm UNET CMM Advantix
Citrix Microsoft Word ’00 Access TOPS LINX Collaborate MD
InfoPro Excel Oracle ISET FACETS Zirmed
VCode E*Connect WPM 50 IDT
Education:
University of Phoenix Winter 2010
Studying Accounting/Medical
Attended Texas Southern University Fall 2000
Undecided
Attended Blinn College Fall 1997
Undecided
Professional Work Experience:
Doc 2 E-file November 2010 to December 2011
Document Preppers/QC Houston, Texas
Prepped documents to be scanned into system
Scanned documents
Reviewed documents after scanned to make sure all material was scanned correctly
Indexed information into system per client work order
Verified information that was indexed
Handles document inventory
Meets individual performance standards
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United Behavioral Health November 2008 to September 2010
Claims Customer Service Houston, Texas
Respond to complex customer calls
Benefits and Eligibility Information
Customer material request
EoBs
HIPPA/PHI
Constantly meet established productivity, schedule adherence and quality standards
Help on different projects when needed
Gave payment/denial information to members/providers
Helped other teammates out when Team Lead/Supervisor where unavailable
ICD-9/CPT/HCPCS
Experience with paper/electronic HFCA 1500/UB92/UB04
Medicare claims and benefits (CMS)
CoB
Secondary Billing
Ultimate Staffing May 2008 to September 2008
Allied Waste Commercial Accounts Houston, Texas
Customer Service
Took inbound calls
Input data into computer and forms
Emailed various departments when need be
Dispatched calls to haulers in all 50 states
Temporary work completed.
Dish Network November 2007 to April 2008
Dispatcher Alvin, Texas
Took inbound calls
Routed techs for the daily schedules
Dispatched techs over Nextel radios
Used Key maps
Communicated with FSM
Data Entry
Win & Associates January 2006 to April 2008
Medical Billing/Collector Houston, Texas
Research unpaid and denied claims
Submit appeal letters on denied insurance claims
Complete adjustment request
Monitored claims for missing information
HIPPA/PHI
CPT/ICD-9/HCPCS
Experience with paper/electronic UB-92/UB-04/HCFA 1500
Collected on Medicare/Medicaid claims
EoBs
Collected on self pay accounts
CoB
Secondary Billing
Collected on delinquent accounts 60-120 days
Meet daily quotas
Called to verify insurance with all types of insurance companies
Contacted insurance companies to see when payment would be released
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