Customer Service Call Center
Resume:
JESSICA CARTER
*** ********* ***. ** ***** Albans, WV 25177
**************@*****.***
Eastern time zone
PROFESSIONAL PROFILE
Customer service oriented and performance driven professional, possessing a strong understanding of the importance of accurate claims processing. Pays close attention to detail for accurate and compliant documentation and maintains and ensures patient privacy and confidentiality.
Academic Honors Recognition.
Effective problem solver, able to assess needs and identify solutions.
Adept at managing time, coordinating details, and balancing competing demands.
Strong written, verbal, and interpersonal skills for effective communication and documentation.
Microsoft Word, Excel, and PowerPoint; Types 36 WPM.
KEY QUALIFICATIONS
Electronic Health Records (EHR) Payment Posting Scheduling HIPAA Compliance Insurance Verification Insurance Claim Processing EOBs Co-Payments Deductibles Managed Care (HMO PPO POS)
Government Payers Third Party Payers Worker’s Compensation Medical Billing Medical Coding
ICD-9 ICD-10 HCPCS CPT Medical Terminology Medicare Medicaid and Tricare
CMS 1500 CMS 1450 (UB-04) Fee Schedules
EDUCATION
Ultimate Medical Academy
Associate of Science Degree – Medical Billing and Coding, 2019
WORK EXPERIENCE
ReRoute Inc./Cognizant Call Center- Saint Albans, WV, 04/2023-Current.
Parkland Community Health Plan-Member/Provider Customer Service Agent (Remote)
Interact with customers via inbound and outbound calls to resolve customer inquiries.
Take action and follow up to ensure timely and efficient problem resolution.
Review claim status and verify insurance eligibility information.
IBex Global solutions Call Center - Saint Albans, WV, 7/2022-2/2023.
Directv Customer Service Agent
Interact with customers via inbound and outbound calls to resolve customer inquiries.
Take action and follow up to ensure timely and efficient problem resolution.
Review customer billing and payment history add and change customer programming.
Teleperformance Call Center – Saint Albans, WV, 02/2020 – 07/2022
WellCare Provider Services Agent / Customer Service (Remote)
Interact with customers via inbound and outbound calls to resolve customer inquiries.
Take action and follow up to ensure timely and efficient problem resolution.
Review claim status and verify insurance eligibility information.
Stay at Home Parent – Chapmanville, WV, 2004-Current
Homemaker
Develop, manage, and maintain a budget effectively.
Coordinate and facilitate medical care, meals, and educational and social activities.
Provide physical, emotional, and intellectual support by evaluating each member’s individual needs.
Model appropriate social behaviors and encourage a concern for others to cultivate development of interpersonal
relationships and communication skills.
Giovanni's Pizza – Chapmanville, WV 05/1999 – 08/2006
Cook
Prepared food for service and cooked menu items in cooperation with the rest of the kitchen staff.
Stocked inventory appropriately.
Ensured that food came out simultaneously, in high quality and in a timely fashion.
Complied with nutrition and sanitation regulations and safety standards.
Maintained a positive and professional approach with co-workers and customers.
Tele-spectrum – Charleston, WV 08/2000 – 08/2001
Tele-sales Representative / Customer Service
Made outbound calls and signed customers up for services.
Upgraded current services and provided individualized sales and customer service.
Ensured that customers were assisted properly and that all their questions and concerns were addressed while
adhering to company guidelines and policies.
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