Ten plus years in a demanding environment along with superior computer skills and telephone etiquette. Passionate communicator and highly accurate at inputting data as a Medical Billing Specialist, Retention Specialist and Licensed Sales Insurance Agent, along with being very knowledgeable when it comes to Customer Relations by exceeding expectations with customers regarding insurance products and claims management.
Skills
MS Windows proficient
Knowledge of HIPAA
Strategic sales knowledge
Local/state health laws
Strong verbal and written communication skills
Credit card processing
Call center operations team leadership
Medical terminology knowledge
Retention strategies knowledge
Insurance policy review
Creative problem solver
ICD-9 forms
CPR certification
Customer relations
Reservations management
Equipment operation
Documentation and reporting
Training and development
Public speaking
Problem resolution
Business growth and retention
Public relations
Ability to use small electronics hand held devices to retrieve work related information
Quotes and sales
Policy renewals
MS Office
Communications
Education
Opelousas Senior High SchoolOpelousas, LAExpected in 2009 ā āHigh School Diploma: - GPA:
Northwestern State UniversityNatchitoches, LA, Expected in ā āBachelor of Science:Business Administration - GPA:
Certifications
Licensed Insurance Agent for the state of Louisiana
Sold various types of insurance policies to individuals including life, health, fire, cancer, medical and dental policies
Conducted research on insurance packages and investment options to generate client recommendations
Evaluated leads obtained through direct referrals
Negotiated production goals for new policies and policy renewals with business development manager
Developed and maintained long-term relationships with policyholders
Responded to customer calls within 24 hours to swiftly resolve issues and answer questions
Displayed consistent, positive attitude towards customers, peers and other personnel, even during high-stress situations
Worked to accommodate new and different insurance requests and explored new value opportunities to optimize insurance agency reputation
Approached potential clients by using direct marketing techniques, including mailings and phone contacts
Upsold additional products and services after identifying customer needs and requirements
Obtained underwriting approval by completing application for coverage
'Ike Group - Medical Billing Specialist Honolulu, HI, 09/2012 - 01/2017
Initiates audit process to evaluate thoroughness of documentation and maintenance of facility standards
Identifies procedures and principal diagnosis performed on each patient and properly code each procedure
Works directly with insurance companies to get claims processed and paid in a timely manner
Make outbound phone calls to resolve denial issues
Prepares the appropriate claims documents required by each insurer
Follow-up until payment is received and manage collection activities when necessary
Ensuring that all medical records have been signed by the appropriated parties
AT&T - Sales And Retention Team Leader City, STATE, 08/2009 - 09/2012
Managed team of 16+ team members to ensure customer satisfaction goals were consistently met
Defused escalated customer situations calmly and courteously
Audited, reviewed and approved time cards bi-weekly
Completed daily huddles with team to gather trends as well as gain commitments and set goals
Met or exceeded service and quality standards every review period
Monitored recorded and live calls to ensure commitment/goals were being met and quality customer service was being provided
Worked with management and Human Resources to calculate six month raises
Completed one on one coaching with each team member monthly to discuss job performance
Managed quality assurance program, including on-site evaluations, internal audits and customer surveys
Maintained excellent attendance record, consistently arriving to work on time
Accomplishments
Assisted in new hire process by calling and scheduling appointments with candidates, filling out company and state required paperwork for new hires, and preparing new hire manuals.
Ensured and enforced medical office compliance with HIPAA regulations for maximum quality and control.
Did monthly Quality Assurance call coaching with staff members.
Responsible for handling customer account inquiries, accurately providing information to ensure resolution of product/service complaints and customer satisfaction.
Won the āCustomer Service Team Lead of the Monthā Award, April, 2011
Won the "Customer Service Team Lead of the Year" for 2011
Promoted to Customer Relations Team Leader after only 4 months of employment.
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
How this resume score could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
