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Customer Service Representative Resume Example

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CUSTOMER SERVICE REPRESENTATIVE
Professional Summary

Energetic Professional; with 13 years of experience deprived through College and service of employment in this field. Possesses a comprehensive background in customer service, medical billing and multi-specialist physicians and /or ambulatory departments. Possess intensive knowledge in continual process improvement of medical billing and coding.

Skills
  • Self-Motivated
  • MS Office proficient
  • Process Improvement
  • Customer Service / Call Center
  • Quality Assurance
  • Communication Skills
  • Crisis Communication
  • Problem Solver
  • HCPCS/CPT-5 and ICD-10 Coding
  • Organizing Patient Records
  • File & Record Maintenance
  • Perform Collections
  • Perform Preparation, Process Billing
  • Medical terminology knowledge
Work History
Customer Service Representative01/2016 to 06/2020
Company Name – City, State
  • Provided Quality patient care as demand within surgical, acute-care, rehabilitation, home-assisted living, and nursing-home settings.
  • Report directly to administration of office operations
  • Provided all secretarial services to assistant administrator
  • Collect and assembled information required for management reports and meetings
  • Communicated with all personnel/Monitored payroll time reports
  • Managed over 200 calls per day day
Customer Service Representative/Property Specialist09/2012 to 02/2016
Company Name – City, State
  • Conduct both intake and release procedures for inmates in Bexar County Adult Detention Center.
  • Responding to and resolving crisis situation such as fights, fires, and medical emergencies and restraining physically violent inmates.
  • Assisting with inmates' personal needs such as telephone calls, mail laundry, visits, and commissary.
  • Completing and processing surety bonds and all required paperwork on inmates and events occurring within jail facilities.
  • Worked in conjunction with various medical health and legal entities to ensure appropriate arrangements and classification for both inmates and releases within facility.
  • Supervised inmate's personal property and utilized mocha system for inventory of inmate property.
  • Purged property, handled TDC exchange for judges, and exported property and supplies between facilities.
  • Created intake assessments and follow-ups regarding highly confidential information.
  • Prepared detailed written records and reports while serving court documents and warrants.
  • Researched, analyzed, filed, and interpreted criminal and civil laws aiding in public law enforcement process warrants.
  • Provided primary customer support to internal and external customers.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Communicated with vendors regarding backorder availability, future inventory, and special orders.
  • Offered advice and assistance to customers, paying attention to special needs or wants.
  • Managed 300 calls promptly to avoid on-hold wait times.
Customer Service Representative/Insurance Verifier08/2011 to 09/2012
Company Name – City, State
  • Performed posting charges and completion of claims to payers in record timing.
  • Convert dosage to billable units, organized filed patient records, and appealed insurance denial
  • Submitted billing data to insurance providers and followed up with clients to collect payments.
  • Worked on claims and claim denials to ensure form verification, processing, and billing.
  • Implemented and maintained and reported on programs initiated by practice.
  • Insured insurance form verification, processing, and billing.
  • Provided excellent customer service on all claims worked.
  • Adhered to all guidelines /regulations of HIPPA.
  • Coordinated efficiency reports tracking complaints between customer service representatives and provided recommendations for overall complaint handling improvements.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
  • Evaluated account and service histories to identify trends, using data to mitigate future issues
  • Answered over 300 constant flow of customer calls with minimal wait times
  • Used company troubleshooting resolution tree to evaluate technical problems and find appropriate solutions
  • Consulted with outside parties to resolve discrepancies and create effective solutions
Customer Service Representative04/2010 to 09/2012
Company Name – City, State
  • Collecting, posting and managed account payments.
  • Submitted claims and follow-ups with insurance companies.
  • Handled all doctor referrals and maintain confidentiality to adhere to all HIPPA guidelines/regulations.
  • Responsible for verifying and notifying supervisor of all transactions that were made on daily basis.
  • Organized and filed patient records performed appeals when claims where denied.
  • Provided excellent customer service in order to get accounts paid by clients.
  • Trouble shoot equipment problems and maintain service and preventative maintenance records of all office equipment.
  • Prepared insurance forms and processing for CPT-5/ICD-10 and HCPCS.
Education
Bachelor of Arts: Biblical ArtsExpected in 06/2023Houston Baptist University- City, State
Associate of Arts: Medical Billing And Coding (NRCCS Certificated)06/2011Kaplan College - San Antonio- City
  • Continuing education in NAHP USA
Associate of Arts: Business Administration05/1994Davenport University- City, State
High School Diploma06/1983Northwestern High School- City, State
bowling, sewing, traveling

I love bowling we compete with different church denominations all over the world. Sewing I do in my down time it relaxes me and traveling is always fun to experiences different cultures throughout the world.

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Resume Overview

School Attended

  • Houston Baptist University
  • Kaplan College - San Antonio
  • Davenport University
  • Northwestern High School

Job Titles Held:

  • Customer Service Representative
  • Customer Service Representative/Property Specialist
  • Customer Service Representative/Insurance Verifier

Degrees

  • Bachelor of Arts : Biblical Arts Expected in 06/2023
    Associate of Arts : Medical Billing And Coding (NRCCS Certificated) 06/2011
    Associate of Arts : Business Administration 05/1994
    High School Diploma 06/1983

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