Provider File Specialist Resume Example
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Bluecross Blueshield Of South Carolina – Wyoming , WY
Responsible for establishing and maintaining certification of healthcare providers in support of provider directories, accurate, and timely claims adjudication, and provider billing. Obtains necessary information(written notifications, faxes, emails, or telephone contacts) and establishes certification of healthcare service providers. Prepares provider files/maintains provider data(updates, additions, deletions) on provider information management system. Identifies/assigns providers to the appropriate network and provider database.
Raising Cane's – Lufkin , TX
Responsible for checking guests in/out of hotel in accurate, and timely manner, maintained guests hotel reservations, ensured guests treated properly during stay, maintained employees work schedules, recorded employees work hours for payroll, bookkeeping, handled guests' issues.
Wisconsin Physicians Service Insurance Corporation – West Frankfort , IL
Responsible for maintaining shift ran smoothly, responsible for counting cash drawer at end of cashier's shift, recorded cash drawer detail, maintain employees schedules, responsible for maintaining well-stocked shift, provided excellent customer service in an accurate/timely manner, made sure all orders were prepared correctly before giving to customers, assisted co-workers in areas as needed(customers' orders, preparation, stocking, cleaning).
ClientLogic – City , STATE
Responsible for answering inbound calls in a call center environment, answered customers' questions regarding their cell phone service/bill for AT&T, provided technical support to customers having issues with the service, offered customers other AT&T services(internet, home service), made adjustments to bills as needed, provided excellent customer service.
Lake City High School - City, State
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Resume Overview
School Attended
- Lake City High School
Job Titles Held:
- Provider File Specialist
- Front Desk Clerk/Assistant Manager
- Shift Leader
- Customer Service Representative
Degrees
- High School Diploma : May 1996
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