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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Street Address 2Indianapolis, IN Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEAugust Street Address CurrentLowes CSC Central Production Office - Project Coordinator The Project Coordinator (PC) supports in-store installed sales across multiple locations to ensure assigned installed sales projects/ jobs progress in a timely manner and are completed efficiently. PC coordinates multiple installers, products and vendors for one project. Primary areas of responsibility include facilitating customer and installer scheduling and communication. In addition, the PC is responsible for all aspects of customer service as they relate to the purchased installation service. Ensures projects follow on schedule and all parties are aware. Contacts homeowners to initiate product delivery for the project as well as schedule necessary appointments. Ensures permits are obtained for applicable jobs/projects. Ability to remotely accesses store systems to support refund/rebill activities and track material orders as necessary. Maintains accurate record of all interaction and occurrences in relation to the customers project through status updates and comments in project tool. Coordinates installation schedules with Installers and validates with Homeowners Resolves customer issues; understands the appropriate time to escalate the issues to their respective department manager. December 2014 June 2016Twin Med, LLC - Customer Service AccountProcessing orders for facilities that order medical supplies, accounting, returns, adjustments, modifications, faxing, scanning, email, copying, electronic filing & processing in the DSSI system Receiving inbound calls and making outbound calls to accounts. October 2012 December 2014NGS WellPoint / TRU Telephone Reopening Unit (2013 2014) Assisting providers that have received denials due to provider errors. Making corrections and adjustments per the providers request and resubmitting the claims to be reprocessed. NGS WellPoint / Medicare DME Customer Service Representative (2012 2013) Assisting DME providers when they receive denials on DME Medicare claims, and the process needed to submit the claims for payment. Updating and correcting provider information as needed. Completing Over payments, Stop pays, under payments as needed and helping providers with the appeals process on denied claims. Assisting providers that have received denials due to provider errors. Making corrections and adjustments per the providers request and resubmitting the claims to be reprocessed. January 2012 October 2012Twin Med, LLC Customer Service Account Representative Processing orders for facilities that order medical supplies, accounting, returns, adjustments, modifications, faxing, scanning, email, copying, electronic filing & processing in the DSSI system Receiving inbound calls and making outbound calls to accounts. December 2005 - August 2010United Health Care/AmeriChoice - Hospitality Assessment Retention Ctr (HARC) Lead Rep (2008-2010) Contacting Medicaid members in over fifth-teen states to remind them that it is time to re-certify for their Medicaid benefits, completing health assessments for all members in the household, including explaining the Medicaid benefits to each member in accordance to the state in which they reside. Indiana Chronic Disease Management Program (ICDMP) 2006 -2008 Administering preventative health assessments with Medicare members and assisting members to take preventative actions for their chronic disease diagnosis. Introducing the Medicare D program to Medicare members assisting withselecting a prescription drug plan.April 2005 - August 2005Titanium Billing - Account Manager / Wichita Falls, Texas Registering charts, data entry, billing, collections, follow-up, AR's, payment arrangements, authorization/certification, coding, posting payments from insurance companies and patients, adjustments, discounts, meter mail, etc September 2003 - December 2004Blue Cross Blue Shield - Customer Service Representative / Wichita Falls, Texas Quoting medical benefits, processing medical claims, receiving incoming calls, making outgoing calls as needed, contacting providers, faxing, copying, scanning, follow-up, etcJune 2002 - September 2003Texas Department of Protective and Regulatory Services - Administrative Technician /Wichita Falls, Tx Front desk receptionist, switchboard (high call volume), opening & closing cases, scheduling appointments, keeping all office documents updated, job postings, filing, faxing, copying, scheduling conference rooms, mail room, etc June 1999 - February 2002Lutheran Hospital - Patient Accounting Representative / Fort Wayne, Indiana Collections, AR's, contacting patients for insurance information, contacting insurance companies to see if any additional information is needed to process claims, supplying additional information to insurance company as needed, follow-up, payment arrangements, reviewing medical charges with patients, copying, faxing, filing, etc... July 1996 - June 1999Aetna - Customer Service Professional / Fort Wayne, Indiana Receiving incoming calls from providers, members and group employers(benefit advocates), quoting medical & dental benefits, processing medical claims, adjustments, faxing, copying, filing, scanning, follow-up, ordering ID cards, provider search, educating members about benefits etc EducationIU Bloomington - Bloomington, Indiana 1 year college Indiana Tech Indianapolis, Indiana Online |
