MARGRETTA SHELTON
Upper Darby, PA 19082
Cell Phone: 609-***-****
Email: **********@*****.***, **********@*******.***
JOB OBJECTIVE: Customer Service Rep/ Administrative/Clerical
SUMMARY: Excellent communication skills, possess a key stroke of 6600 per hour ability to calculate figures and amount, Strong Peachtree, Quickbooks and excel experience, basic internet experience, good grammar, voice and diction, proven attendance and punctuality record, excellent work references, respectful helpful attitude, professional and courteous speech pattern, possess the ability to use good judgment within schedules provided, very firm in dealing with persistent customer, maintain composure in stressful situations, and maintain harmonious relationship within the office.
EDUCATION:
MERCER COUNTY COMMUNITY COLLEGE, TRENTON, NEW JERSEY
ACCOUNTING PRESENT
LUTHER RICE SEMINARY, LITHONIA, GEORGIA
1ST Year Graduate M.A. in Counseling
ZION BIBLE INSTITUTE, BARRINGTON, RHODE ISLAND
B.A. in Theology August 1998-May 2002
Awarded Standard Teaching Diploma
MERCER COUNTY COMMUNITY COLLEGE, TRENTON, NEW JERSEY
Certificate in Medical Terminology
EXPERIENCES:
MOLINA MEDICAID SOLUTION TRENTON, NEW JERSEY
Medicaid Claims Resolution/Medical Review August 2007 - Present
Process Medicaid pending claims
Process state initiated financial transaction/Accounts payable
Ordering diagnoses information and Remittance Advice from Providers
Process retroactive eligibility claims
Verifying Insurance claims coverage
Accounts Receivable/Billing
Process Long Term Care Claims
Providing general administrative and clerical support
Handling of incoming and outgoing correspondences
Handling of courier, incoming mail sorting and circulation.ms
Inbound/Outbound Call
WACHOVIA BANK, PRINCETON, NEW JERSEY
Teller Jan 2006-May 2007
Processing Customer Transaction
Assisted as ATM and Vault Custodian
Sold Bank Product
Develop relationship with public
NEW JERSEY FAMILY CARE, HAMILTON, NEW JERSEY
Customer Service Representative/Data Entry June 2004-Oct 2005
Enrolling Customer in New Jersey Family Care health program/inbound call
Demonstrated proficiency in entering customers data into call tracking system, Siebel
Assisting Customer with question on eligibility
Insuring highest Customer Service Care
Adhering to HIPAA guidelines
EDUCATION TESTING SERVICES, EWING, NEW JERSEY
Customer Service Representative June 2004-May2005
Registering candidates for the School Admission Test (SAT)
Demonstrated proficiency in entering customer data into call tracking system, Siebel.
Assisting candidate with online registration and web problems
Worked with multiple programs
Enroll candidates in College Level Exam Program (CLEP)
BLUE CROSS BLUE SHILED OF RHODE ISLAND
Claim examiner/Customer Service Oct 1998-May 2002
Met cooperate standards on quality and production
Reviewed medical, pharmacy, and hospital bills
Entered Corresponding data into the bill review system
Called Doctors to verify Federal Tax ID for payment
Updated patient major medical information on database
Worked with UB92 and 1500 claim form
Quality Assurance
Assisted in call center
NEW JERSEY DEPARTMENT OF TRANSPORTATION
Data Entry Summer Job
Entering Police report and accident record
Maintaining accuracy and speed
Entering minimum 200 claims per day
K-MART HAMILTON, NEW JERSEY
Customer service Summer Job
Cashiering
References: Upon Request