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Click here or scroll down to respond to this candidateCandidate's Name EMAIL AVAILABLE PHONE NUMBER AVAILABLESkills SummaryMedical billing & accounting skillsOutstanding written and verbal communicationMotivates and inspires colleaguesDedicated team leaderSets and actively achieves goalsWilling to take on additional responsibilitiesDynamic interpersonal skillsExtremely organizedFunctions well with team and independentlyCapable of handling sensitive information discretelyProfessional ExperienceSales Associate New Castle, DEKrispy Kreme October 2018 PresentI bring joy to my customers by answering questions and providing them with delicious doughnuts. I also take orders and accept payments at the register. I make sure our doughnuts and all other products are made to perfection, and as fresh as possible for our guests. I also add filling, icing and other toppings like sprinkles to make them look and taste delicious.Provider Partnership Consultant Wilmington, DEHighmark BCBS of DE July 2016 May 2019Assist Providers in an accurate and timely processing too see if the procedure and diagnosis codes are billable and/or require an authorization.Handle Providers inquiries by telephone for Highmark bcbs membersClaim inquiresCustomer ServiceICD10 codesApplication Processor Newark, DECitibank Nov 2015 July 2016Batch Government DocumentsProcess Applications in a lockbox environmentData EntrySorting and Scanning DocumentsDisclosure Consolidation Operations Specialist Newark, DEBank of America Dec 2013 May 2015Conducted research using various database resources and standards set by complianceNavigated multiple systems, accessed data, identified discrepanciesDevised solutions to potential issues uncovered during reviewCoached and trained team members to accurately identify and effectively handle account various situationsAdministrative Assistant II Wilmington, DEApple One Aug 2009 Dec 2013Entered data, compiled reports, assembled binders, made copies, other general office dutiesBuilt spreadsheets containing appropriate data from reportsDistributed correspondence; recorded and dispensed meeting minutesUpdated manuals and coordinated mass mailings; scheduled and coordinated department meetingsGreeted customers and answered multiple phone lines; assisted in various areas on as need basisSenior Representative Specialist New Castle, DEHSBC Household Finance Jan 2007 Aug 2009Processed and investigated wires in Global Funds DepartmentMonitored and processed payments which failed in the system for sufficient balanceWorked closely with account manager and credit officers to determine account standingsRequested payment release approvals based on account criteria using judgement and logicSenior Customer Service Representative New Castle, DEWawa Nov 2006 - Feb 2008Supported store management team in successfully completing daily tasksSupported the operation of Wawa store by preforming various assigned dutiesConducted food preparation following sanitation standards and guidelinesFunctioned at cash register and performed general housekeeping dutiesReceptionist Newark, DEBrandywine Counseling Mar 20 - Jul 2006Answered questions related to appointments and schedules of patientsScheduled appointments; collected and processed paymentsMaintained and updated patient medical recordsAnswered inbound calls on multi-line telephones, greet customers professionallySenior Claims Examiner II Philadelphia, PAKeystone Mercy Health Plan Apr 2001 - Dec 2006Processed medical and hospital claims in a production environmentMaintained financial and procedural accuracy; Maintained pending claims on a daily basisResearch claims history to determine the root cause of claims which were not paidCorrectly adjudicate the claims according to findingsAssisted in provider claims services taking inbound calls from providers about status of claimEducationDepartment of Labor Newark, DEReemployment Services ProgramHarrison Career Institute Newport, DEMedical AssistantChristiana High School Newark, DEBusinessExperience WithMicrosoft WordMicrosoft Power PointMicrosoft ExcelMicrosoft OutlookMicrosoft AccessFacetsGPSFED Plus |
