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Title Customer Service Medical Billing
Target Location US-AZ-Tucson
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
Street Address  S. Park Ave Spc. #57Tucson, AZ Street Address
Cell PHONE NUMBER AVAILABLEEMAIL AVAILABLEHIGHLIGHTS OF PERSONAL QUALIFICATIONS Dedicated. Trustworthy. Always maintain a positive attitude. Excellent people skills and work ethic. Bilingual (Spanish, English) Ability to multi-task Life Long Learner Excellent Customer Service Skills Excellent attendance.EMPLOYMENT GOAL/OBJECTIVETo learn new skills and work hard for your company. Have good work ethics, work well with otheremployees, have the opportunity to grow and be the most effective addition to your team.EDUCATIONSahuarita High School Graduated May 2012Pima Medical Institute Graduated November 2015ACHIEVEMENTSCompleted Computer Course (Proficient in Microsoft Office Word, Microsoft Office Excel, MicrosoftOffice PowerPoint. Can Type 45 WPM.)Received Dental Assistant Certificate w/ HonorsWORK HISTORYCSR Agent Tucson, AZC3 Connect February 2016  Current Work in a professional work environment answering calls to provide the best customer service. Assisted callers with Billing and Enrollment & Pharmacy questions. Worked with elderly, pharmacists, and providers. Worked with co-workers with coaching logs tracking Customer based Survey for possibleimprovements and future area of opportunities. Able to read and understand Quality and monitoring forms. Medical billing for commercial and Medicare policies CPT code knowledgeClaims Analyst Tucson, AZCentene Corporation May 2020- December 2023 Medical billing for commercial and Medicare policies CPT code knowledge worked with forms UB-04 and CMS 1500 Can differentiate and successfully analyze the correct way a claim should process. Duties included in pricing, submitting correct paying guidelines, denying for incorrect information being billed, identifying correct billing information.Process from 10-100+ claims per day depending on claim volume daily.Coordination of benefits for Medicare, Medicaid, TriCare, & Commercial Insurance

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