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Click here or scroll down to respond to this candidateCandidate's Name
Tampa, FL Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEProfessional SummaryAdministrative/Clerical/Customer Service Dynamic and performance-driven administrative professional with strong organizational, customer service, and communication skills. Multi-disciplinary industry expertise with emphasis in records management, medical claim processor and receivable. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level [Job Title] position. Ready to help team achieve company goals. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.SkillsAutomobile claims specialistAdvanced facials specialistRecords management specialistClaims reporting systemsClaims assessments[Specialization] care specialistInputting claimsProcessing medical claimsAdvanced [Specialization] specialistIntuit QuickBooks specialistWork HistoryJune 2020 - February 2022Zenith CLAIMS SPECIALISTAnalyzes and approves routine claims that cannot be auto adjudicatedApplies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and applies all cost containment measures to assist in the claim adjudication processCoordinates responses for routine phone inquiries and written correspondence related to claim processing issuesProofs claim or referral submission to determine, review, or apply appropriate guidelines, coding, member identification processes, provider selection processes, claim coding, including procedure, diagnosis and pre-coding requirementsIn accordance with prescribed operational guidelines, manages claims on desk, route/queues, and ECHS within specified turn-around-time parameters (Electronic Correspondence Handling System-system used to process correspondence that is scanned in the system by a vendor).January 2020 - June 2020University of TampaCLAIMS ADMINISTRATIVE SUPPORTPerforms general clerical duties to include but not limited to: photocopying, faxing, mail distribution and filingAccurately established and maintained all customer documentsCoordinates and maintains records for staff office space, phones, company Handled outgoing/incoming shipmentsof files; sorted/routed incoming and outgoing mail to proper servers in a timely mannerEnsuring that deadline are met and work is completed correctlyImplement and monitor programs as directed by managementGenerate memos, emails and reports when appropriate.February 2019 - December 2019Busch GardenCrew MemberPerforms housekeeping duties to keep the facility and equipment clean and invitingParticipates actively with other crew members and managers to meet sales target during your shiftEnsures to greet all customers with a smileEnsures fast and timely food service to guestsFebruary 2020 - January 2021One touch direct - 2124 Sligh aveCustomer Service RepresentativeUpdated account information to maintain customer records.Answered constant flow of customer calls with minimal wait times.Responded to customer requests for products, services, and company information.Provided primary customer support to internal and external customers.Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.Answered customer telephone calls promptly to avoid on-hold wait times.EducationZephyrhills High SchoolHigh School DiplomaExpected in March 2025Hillsborough Community College 2756 Ybor cityAssociate Public HealthProfessional development completed in [Subject]Awarded [Award Name]Continuing education in [Subject]Completed professional development in [Subject]Elected to [Elected Position] for [Student Organization, Fraternity or Sorority] in [Year] |
