Customer Service Rep

Natalie Wright

**** ******* ***

Louisville KY, *0258

Cell: 502-***-**** ****************@*****.***

OBJECTIVE

Desire to use my experience in customer relations, marketing, communication and accounting to meet and achieve the companies’ goal. Eager to take on new challenges. Well organized and enthusiastic.

Qualifications

Communication Skills, Reconciliations, Accounts Receivable/Payable, Adaptability to Change, Market Relation, Customer Service, Enrollment Processing,

PROFESSIONAL HISTORY

HUMANA INC. Louisville, KY February 1, 1982 to March 7, 2024

Customer Service Rep (WFH)

Focus on incoming calls from agents and brokers for Humana’s Medical, Dental and Vision products by establishing positive relationships in assisting their staff to help educate, resolve and ensure satisfaction with group issues while helping them understand Humana’s policies and procedures. While getting them the necessary tools to complete their services for our customers.

Taking on line payments and sending inquires over for resolution and follow up.

Large Group Billing Specialist Level 2 (WFH)

Moved into Small Group Billing (WFH)

Customer problem solving for billing issue: including enrollment and cash posting. Worked with areas outside of billing to resolve issues. Assure accuracy throughout department accounting systems. Handle major account rec posting of multi-level accounts payments in excess of $150k plus per month. Problem solving with fellow associates.

Billing Technical Specialist

Trained New Associates in Formal Class Setting, Processing of new invoices and Initial Welcome calls,

Audit account for in-depth problem resolution for customer groups. Assist with elevated customer service calls

Senior Billing Representative

Billing, Enrollment and other customer service issues to monitor payments to ensure accuracy on group accounts. Make any necessary payment adjustments to correct inaccurate or incomplete posting. Review and approve adjustments, audits and payment corrections on groups.

Additional Humana Jobs:

Senior Marker billing Rep

Assist and advise other areas billing of problems. Process new group billings and reinstatements. Review suspense listing and current posting errors.

Market Billing Auditor

Worked ATB reports, adjust billing for rate changes and complete Audits. Reviewed reinstated accounts.

Market Billing Representative II

Batch processing, coverage change correction, correct addresses, names, and terminate members.

Customer Service Rep III

Cancellation of groups, refund request, adding and approving new rates adjusting group contracts.

Reimbursement Accounting Clerk

General ledgers entries for Hospital accounting, reviewing / testing accuracy of Third-Party payer logs. Worked with 13 out of states Hospitals and personnel for year-end cost reporting and statistical data.

Review monthly logs submitted with patient to bed ratio. Input data for cost.

EDUCATION

Business Management Technology Degree

Jefferson Community College, Louisville, KY

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