Customer Service Health Insurance

Robin Woulard, (HICE)

*** ******** ******, **********, **. 19805

302. 655-9246 cell: 302-***-****

Email: ***********@*****.***

Profile

Enthusiastic and flexible Health Insurance Claims Specialist seeking new opportunities to contribute to the success of a winning team.

Qualifications

1. Graduate of a 720-hour nationally accredited Health Insurance Claims Specialist training program with knowledge in the fundamental areas of medical and dental health claims examining, medical terminology with basic anatomy and physiology, billing and coding.

2. Knowledge of and experience in ICD-9, CPT-4, HCPCS, CMS 1500 and UB 04

3. Thorough understanding of insurance products, contracts, policies, and procedures

1. Experience in understanding of insurances principles, benefits plans and contract interpretation, and working knowledge of electronic billing software and reconciling EOBs and insurance payments

1. Update database of payment transactions and maintain physical files of bills and receipts

2. Skilled in office administrating, creating patient records and file management, and interoffice correspondence and general business operations, including answering multi-line telephones.

3. Computer experience with Microsoft Office.

4. OSHA and HIPAA compliance training

5. Patient Relations and Customer Service

Certification

1. Spring Charts electronic billing and coding

2. Electronic Health Records certificate completed / November 10, 2011

3. Bookkeeping and Clerical Training certificate / June, 1982

4. Business Administration / record keeping office procedures: fax, file, sort, payments/receiving apex 51-mail,credit cards, in and out-bound calls

EDUCATION

1. Dawn Career Institute, Wilmington, DE, 19805 May 31, 2011/ January 9, 2012

2. Delaware Technical Community College, 333 Shipley St Wilmington, DE 19803

3. Godley Beacon College, Rt7 Pike creek, Newark

4. James Groves Adult High School Wilmington, DE Graduated: GED

Employment

1. RandstadTemporary Service Wilmington,DE, PH# 303-***-**** U.S.A. Bank 2/26/01 to 1/31/02, Duties: data entry, payments, office procedures, records profile

1. Integrity Staffing Service New Castle, DE PH# 302-***-**** Amazon.com 11/02 to 1/06,

Duties: Shipping and handling customers ordered merchandise to be transported are mailed throughout the country. Seasonal: 4years

1. Zenith Acquisition Inc. 400 Lukens Drive, New Castle, DE Supply Shop, 2005 to 2006

2. Target Corporation, Mailstop ncn-0280, PO Box 9401, Minneapolis, MN 55440-9401