Customer Service Representative

TAMMY LEAVATTS

***** ********* ***** #** ● Houston, Texas 77096

(713) 777 – 8895 ● *********@*****.***

SUMMARY

Assertive and organized Customer Service Professional seeks an opportunity to utilize 10+ years of demonstrated expertise in the health care industry for an employer that will appreciate the ability to complete projects ahead of deadline consistently. Detail-oriented candidate is experienced in securing outstanding funds for managed and private care institutions, with expertise in workers compensation, reimbursements, insurance follow-up, pre-existing condition, appeals against timely filing, and pre-authorization appeals; also very articulate and persuasive in verbal and written presentations, while adhering to all state and federal. Uses time and resources wisely; considers efficiency, planning and accountability to be very important qualities in order to achieve projected company goals consistently.

Medical Billing Medical Coding Appointment Setting IDX/EPIC Systems

EOB’s/BCBS CMS-1500 CPT-4/ICD-9 codes Medicare/Medicaid TRICARE HMO/PPO/POS MediSoft HIPPA/UB-92’s Medical Charting PBX Operator Bookkeeping internet research.

MS Word MS Excel MS PowerPoint MS Access

AREAS OF EXPERTISE

Medical Billing and Coding

• Receive payments and posted amounts paid to customer accounts.

• Communicate with patient to ensure timely resolution of balances

• Locate and monitor overdue accounts, using computers and a variety of automated systems.

• Resolve issues, set payment expectation, arrange payment and request information from patient

• Notify customers of delinquent accounts by mail or telephone, to solicit payment.

• Assist in posting and adjusting payment; submit claims balances to secondary insurance providers

• Enter daily charges into billing system database, based on requisitions

• Process insurance rejections and followed up on all low pay appeals

• Sort, file and respond to correspondence; write reports to be submitted to management.

• Record address changes and purge the records of deceased customers.

• Ensure entire insurance process is completed while assisting in the collections of monies due.

Office Support

• Communicate with individuals to answer questions, explain information, and address concerns.

• Answer telephones, direct calls, and take messages; complete and mail bills, contracts, policies, invoices, or checks.

• Greet customers and ascertain what each customer wants or needs, and direct them accordingly.

• Compile, copy, sort, and file records of office activities, business transactions, and other activities.

• Operate photocopiers and scanners, facsimile machines, voice mail systems, and personal computers.

• Compute, record, and proofread data and other information, such as records or reports.

• Maintain and update filing, inventory, and database systems, either manually or using a computer.

• Open, sort, and route incoming mail, answer correspondence, and prepare outgoing mail.

• Review files, records, and other documents to obtain information to respond to requests.

• Train new employees on company policies, procedures and protocols.

EMPLOYMENT HISTORY

Customer Care Specialist, Affiliated Computer Services (ACS) – Houston, Texas 2010 – 2012

Medical Office Specialist (Externship), Synergy Healthcare Management Services, Inc. – Houston, Texas 2009 – 2009

Customer Service Representative, A-1 Personnel (City of Houston) – Houston, Texas 2008 – 2008

Ambulatory Service Representative, Kelsey-Seybold Administration – Houston, Texas 2002 – 2008

Customer Service Representative, Houston Community College – Houston, Texas 2001 – 2002

EDUCATION AND TRAINING

Medical Office Specialist Certificate, Texas School of Business – Houston, Texas

Computer Information Specialist Certificate, Houston Community College – Houston, Texas

Customer Service Certificate, Houston Community College – Houston, Texas

Diploma, Barbara Jordan High School for Careers – Houston, Texas

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