26yrs. experience of Healthcare/Clerical Administration and Cust Serv
Resume:
Andrea Sabrina Smith________________404-***-****
Conyers, GA 30012
March 6, 2012
To Whom It May Concern,
I would like to apply for the position at your company that described my background in Healthcare Administration, Administrative Clerical and Customer Service. The requirements of the job appear to match my qualifications. I have enclosed a copy of my resume. I believe that I can make a contribution toward your company’s growth.
After you have had some time to review my resume, please phone me to discuss the possibility of an interview. I look forward to meeting you in person.
Although salary is important, my primary concern is the challenge that this position offers. My salary requirements will undoubtedly fit into the fair range I am sure you have in mind.
Very truly yours,
Andrea S. Smith
Encl. Resume
Andrea Sabrina Smith
_________________________________________________________________________________________
988 Hardin Street
Conyers, GA 30012
Email: *******.*********@*****.***
Experience: 10/2009-11/2011 Bobby Dodd Institute Atlanta, Ga.
(Contracted with VA Medical Center)
Medical Claim Specialists/Customer Service
Utilizes PC software to compose correspondence concerning authorization, payment, denial and request for additional information if needed, while researching information through an assortment of computer files that include VISTA, CPRS, FBCS and Doc Manager.
Follows adjudication policies and procedures when processing claim forms, while interpreting ICD-9cm coding, dates of service, medical terminology and vendor information, to ensure proper payment of claims.
Knowledge of VA regulations and entitlement to medical benefits in inpatient and outpatient care, fee-basis program, mill bill, travel regulations, unauthorized claims, contracts and contracted services.
Responsible for the completion and review of statistical data and occasionally prepare reports that include Production Management, Claims Verification, Distribution and Processing and Telephone utilization.
Functions independently and has direct responsibility regarding work process and workflow to achieve timeliness of frequently changing priorities like Verifying and Distributing the claims, while providing prompt Customer Service to Veterans and other departments with consistent information in a courteous, tactful and respectful manner.
As well as process letters by folding, inserting and sealing to be prepared for outgoing mail, on a daily basis.
10/2007-8/2008 Staffing Resources Suwanee, Ga.
Data Entry Clerk I/Customer Service
Case registering and talking to applicants over the telephone, while
manually registering applications into the system from fax viewer into
the ESP system.
Ordered criminal records, maintain quality and production benchmarks, while performing other office duties as required.
10/2001-6/2007 Bobby Dodd Institute Atlanta, Ga.
(Contracted with Georgia Bureau Investigations)
Data Entry Analyst
Analyze, verify, input and process Court Documents, Criminal Records and variety of Law Enforcement Records data information into the system.
10/2005-2/2006 Procare Rx Duluth, Ga.
Pharmacy Support Specialist/Customer Service
Inbound call center answering calls from pharmacies, members and doctor offices regarding eligibility and copay for their medications.
A computer service company offering switch board, pharmacy claims processing, formulary with rebates and national pharmacy network, while protecting Hippa policy.
12/2003-10/2005 SunTrust Bank Operation Center Conyers, Ga.
Proof Operator/Data Entry Specialist
Encoding Operator applying the necessary MICR information on to negotiable items for proper account postings.
Operating a NCR 7766 encoding machine at production based with financial incentives.
6/1996-10/2001 Data Systems & Games Smyrna, Ga.
(Contracted with Georgia Bureau Investigations)
Data Entry Analyst
Analyze, verify, input and process Court Documents, Criminal Records and variety of Law Enforcement Records data information into the system.
Education: Lithonia High School DeKalb College DeKalb Tech
Lithonia, Ga. Clarkston, Ga. Clarkston, Ga.
General 6/1987 Business Accounting
Skills: Typing (55 wpm), Data Entry (11,100 alpha/num and 14,500 numeric),
Encoder, MS Word, MS Office, MS Outlook and MS Excel, various Computer
Software files
References: VA-Miami, Fl. Bobby Dodd Institute Bobby Dodd Institute
Monique Heath Frankie Pendergrass Stephanie Bolton
(Supervisor) (HR Manager) (HR Director)
305-***-**** 678-***-**** 678-***-****
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