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Provider File Specialist Resume Example

Resume Score: 80%

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PROVIDER FILE SPECIALIST
Professional Summary
Highly motivated individual with many years experience in a fast-paced, team-based environment.
Skills
  • Creative problem solver
  • Exceptional communication skills
  • MS Windows proficient
  • Quick learner
  • Strong client relations
  • Medical terminology knowledge
Work History
Provider File Specialist, 01/2012 to Current
BlueCross BlueShield of South Carolina – Florence, South Carolina, United States
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.
Front Desk Clerk/Assistant Manager, 04/2015 to 05/2016
Days Inn of Lake City – Lake City, SC

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.

Shift Leader, 07/2010 to 01/2012
Kentucky Fried Chicken – Lake City, SC

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).

Customer Service Representative, 01/2006 to 01/2011
ClientLogic – Kingstree, SC
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.
Education
High School Diploma: May 1996
Lake City High School - Lake City, SC
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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.

Resume Overview

Companies Worked For:

  • BlueCross BlueShield of South Carolina
  • Days Inn of Lake City
  • Kentucky Fried Chicken
  • ClientLogic

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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