Customer Service

Annville, PA 17003 • 104 mi.
Job Function:
Customer Service, Insurance, Education & Training
Email
•••••
Phone
•••••
Member No.
10218645
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Employment Type:
Full-Time
Experience:
10 – 15 Years
Salary:
$30-50k
Education:
Some College
Security Clearance:
None
Citizenship:
U.S. Citizen
Willing to Relocate:
Within Entire U.S.
Travel Preference:
Light Travel
Maximum Commute:
30 Minutes

RESUME

EDUCATION

Graduate of Central Dauphin High School,
••••• Piketown Road, Harrisburg, PA •••••
Major: Business

Harrisburg Area Community College
••••• S. Cameron Street, Harrisburg, PA •••••
Part-time Major: Education


WORK EXPERIENCE
•••••/••••• •••••/••••• TRC Interactive, 5 Miller Road, Harrisburg, PA ••••• Full-Time Customer Liaison servicing new and existing clients with set up and maintenance of web based financial regulatory training. Primary responsibilities include issue resolution, courtesy calls, marketing email and customer education. Additional duties included special projects such as creating software administrator guides and reviewing instructional materials for evaluating customer needs and database requirements for enhancements, reveal additional ways to improve quality and assess demand for new course subjects and curriculum.

•••••/••••• •••••/••••• - TLC Pet Sitting Services, Caregiver and owner of pet sitting business

•••••/•••••/••••• - Capital Blue Cross - ••••• Elmerton Avenue, Harrisburg, PA •••••, Provider Relations Telephone Unit: Responsible for answering all incoming provider questions regarding claim payment or denials, benefits, eligibility, Blue Cross company policy, and appeal issues, as well as interdepartmental follow-up on items requiring resolution by other departments.

•••••/••••• 7/••••• - Joyner Sports Medicine - ••••• Grayson Road, Harrisburg, PA •••••, Supervised the front office staff during company transition. Prior to company reorganization, I assumed daily duties of a Patient Account Representative. I was responsible for deposits, reconciliation, payment posting, collections, and insurance follow-up. I spoke with patients and insurance companies regarding collections, benefits, and eligibility. I prepared various reports in addition to monthly statements for patients, and claims submission to various insurance companies.

•••••/••••• •••••/••••• - Care for chronically ill and disabled mother until her death.

•••••/•••••/••••• Hershey Medical Center - PO Box ••••• Hershey, PA •••••, Patient Account Representative: Examined and resolved inquiries regarding patient balances and insurance payments or denials for hospital and physician services usually brought about by recently issued patient financial statements. These inquiries were via call center and written correspondence. Resigned due to family issues.

•••••/••••• •••••/••••• - Great-West Life Insurance Co. - ••••• Inverness Drive E. #•••••, Englewood, CO ••••• Member Services Representative extensively trained to provide exceptional service to inbound callers including: members, provider, and plan administrators. This position required a full understanding of plan processing, restrictions, as well as, guidelines for all medical, dental, vision, and pharmacy plans. In addition, it was required that I explain all state and federal laws as applicable. I also was required to process claims of all types. Resigned and return to Pennsylvania to care for my mother after fathers death.

SPECIAL SKILLS
Excellent verbal and written communication skills, typing, data entry, web and PC literate, software applications include: medical billing, Versyss, Microsoft Office and various others, good general knowledge of bookkeeping principles, ICD-CM and CPT coding, and medical terminology. Health and Life Insurance License obtained •••••

REFERENCES AVAILABLE UPON REQUEST

KEYWORDS

customer service, coding, CSR, internet, writing, training, financial, regulatory, finance,