Customer Service Medical
Resume:
NANETTE WILLIAMS
Durham, NC 27707
********@*****.***
OBJECTIVE
To obtain a position as a certified Medical Coder or Billing Specialist.
HIGHLIGHTS OF QUALIFICATIONS
IDX Medical Terminology
Siemens Bookkeeping
Blue E Insurance Claims
FISS MAS90
Accurate Procedural and Diagnostic Coding
RELEVANT EXPERIENCE
Customer Service Agent/IC
ACC Direct 03-2011 to present
Answer incoming calls regarding pledge donation (using scripts)
Refer members to Member Services
Explain gifts to members
Work with PBS and NPR radio and television
Data Collections Specialist 02-2010 to 02/2010
Green Resources@RTI International (MEPS-MPC)
Probe for information for contacting personnel to request medical records,
Send Authorization forms to physicians from patients that volunteer to participate in research to find out how people pay for and use health insurance benefits
Medical coding, ICD-9, and CPT codes (modifiers),
Abstract from the Medical Record
Receive and Return Medical Record
Customer Care Attendant 1-2010 to 2-2011
Accredited Computer Services
Explain coverage to HUMANA clients
Make and confirm demographic changes, using CI (Customer Interface, PBS)
Take payments
Compare plans with customers
Transfer calls to appropriate departments
Customer Care Agent 2-2009 to 4-2009
Sutherland Global Services, Inc.
Answer inbound telephone calls to support products such as Cable
Resolve Internet and VOIP issues
Suggest the appropriate up sale to the member
Educate the member on where to find needed information and how to perform
resets
Schedule service appointments
Merchant 1-2003 to 2-2009
Self Employment Marketing
Sales Experience
Management Experience
Business Development Experience
Initial advertising and marketing, capitalization and funding
Operational management
Developing business plans and strategies
Client relations Instituting cost controls
Internal audits and customer service
Medical Billing Specialist 3-2001 to 1-2003
Kelly Services/Kelly Healthcare
Process claims for 16 states
Accurately adjudicate claims and display extended working knowledge of each table
Administration of 6000 edits to ensure claims are processed to completion
Assist with the logging in of data into databases
Knowledge of medical terminology
EDUCATION
Stratford Career Institute 06-2010 Medical Transcription
Center for Employment and Training 06-2001 Medical Insurance Billing, Durham, NC
Bartlett Yancey Senior High School 06-1983 Academic HS Diploma
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