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Customer Service Representative

Location:
Philadelphia, PA, 19082
Salary:
17.00
Posted:
June 21, 2011

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Resume:

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



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