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Click here or scroll down to respond to this candidateCandidate's Name
Street Address
EMAIL AVAILABLE
Tel. PHONE NUMBER AVAILABLE
CAREER PROFILE
Solutions-driven, quality-focused professional with 14+ years value-added customer service and administrative experience within the health insurance industry. Enjoys numerous skills vital to improve profitability and accurate claims processing. Positive attributes include strong academic success, outstanding work ethic, thoroughness and integrity.
KEY PROFESSIONAL SKILLS
Excellent verbal, written and interpersonal skills.
Able to work within established times and guidelines.
Strong leadership, mentoring and motivational skills.
Works well independently within a team environment.
Organized and able to prioritize, manage time and solve problems.
SUMMARY OF ABILITIES
Medical Billing Medical Coding Payment Posting Customer Service
ICD-9-CM HCPCS CPT Introduction to ICD-10-CM Scheduling Insurance Verification
Co-Payments and Deductibles Medical Terminology Anatomy & Physiology HIPAA Compliance
Government Payers Medicare Medicaid Tricare Third- Party Payers
CMS 1500 CMS 1450 (UB-04) EOBs
Electronic Medical Records (EMR/EHR) Worker s Compensation
Managed Care (HMO, PPO, and POS) MEDISOFT Office Management
Insurance Claim Processing Insurance Billing Procedures MS Word/Office
Medical Office Procedures Computer Skills Data Entry Type 35wpm 10-Key Skills
EDUCATION AND TRAINING
Ultimate Medical Academy, Tampa, FL Medical Billing & Coding, 2011 (GPA 3.41)
Hands-on experience includes: medical terminology, anatomy and physiology, disease processes, surgical procedures, life cycle of an insurance claim, health care settings, health care payers, procedure and diagnosis coding from medical records, reimbursement systems, facility billing, keyboarding, word processing, medical practice management systems, and life skills for success.
CERTIFICATION
Working towards CPC-A Certification
PROFESSIONAL EXPERIENCE
Vangent, Tampa, FL 2010 2011
Amerigroup Community Care, Tampa, FL 2009 2010
Wakely & Associates, Clearwater, FL 2007 2008
Customer Service Representative
Provided knowledgeable responses to telephone inquiries in reference to Medicare eligibility and information in a courteous and professional manner.
Supplied information on Medicare Prescription Drug Coverage Plans, Medicare Advantage and Medigap questions including Part A and Part B.
Adhered to the Privacy Act as it related to the confidentiality of information released.
Utilized databases and written materials to look up and provide information.
Uniprise, Oldsmar, FL 2006 2007
Customer Service Representative
Interfaced with clients for the purpose of providing information on Health Savings Accounts (HSA).
Offered information regarding plan benefits and guidelines.
Accurately updated information.
Answered questions regarding payment, due date, and insurance coverage.
Progress Energy, St. Petersburg, FL 2004 2005
Customer Service Representative
Answered incoming phone calls and provided information on customer accounts.
Advised clients on electric bill amounts, authorized to extend credit, start new service and transfer service.
PSCU Financial Services, St. Petersburg, FL 2000 2004
Customer Service Representative
Assisted credit union members with questions regarding credit card and debit card statements.
Effectively solved problems and uncovered fraudulent transactions; reported lost/stolen cards.
ADDITIONAL PROFESSIONAL EXPERIENCE
Cigna Health Care, Tampa, FL Administrative/Member Services 1989 2000 |
