Calibous AG. Moskowitz
Philadelphia,PA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
14
14
years of professional experience
Work History
Pre-Certification Specialist
AmeriHealth Administrators/ Independence Blue Cros
Philadelphia
10.2018 - Current
- Followed document protocols to safeguard confidentiality of patient records.
- Organized patient records and database to facilitate information storage and retrieval.
- Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
- Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
- Recommended service improvements to minimize recurring patient issues and complaints.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
- Proved successful working within tight deadlines and fast-paced atmosphere.
- Mentored new hires, resulting in stronger staff development and increased productivity.
- Scheduled and taught online courses to increase learning opportunities.
- Performed continuous evaluations of content and plans in order to enhance delivery and improve effectiveness.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Utilized specialized software to process incoming claims, enter data and generate reports.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Managed large volume of medical claims on daily basis.
- Evaluated medical claims for accuracy and completeness and researched missing data.
Small Commercial Representative
Exelon/ Peco
04.2014 - 10.2017
- Managed wide variety of customer service and administrative tasks to resolve customer issues quickly and efficiently.
- Responded to Electric and gas emergencies with 100% safety rating
- Recognized and rewarded outstanding work performance to cultivate a positive and collaborative customer service culture.
- Answered 80 calls per day by addressing customer inquiries, solving problems and providing new product information.
- Entered data promptly and efficiently with 100% accuracy rate.
- Built relationships with customers and community to promote long term business growth.
- Gained customer trust and confidence by demonstrating compelling, persuasive and composed professional demeanor.
- Trained new employees on customer service, money handling and organizing strategies.
Customer Account Executive IV
Comcast Cable Company
01.2010 - 05.2013
- Mastered and constantly improved sales prospecting, follow-up and upsell processes.
- Scheduled installs of services in a way to be convenient with subscribers schedule.
- Schedule Service appointments to address customer reported service issues.
- Represent Comcast in professional and positive manner in all situations.
- Contributed long-term sales strategy ideas to team to promote continuing business success.
- Tracked and maintained orders to guarantee prompt and successful delivery of merchandise to customers.
- Negotiated sales deals between customers and agency, resulting in mutually beneficial agreements and cultivated relationships.
- Secured on-time payments and collected on delinquent accounts
- Achieved top sales among top 5 of salespeople in the region for 2 years. Bow-tie award winner
- Recorded and maintained sales prospect and sales data within customer relationship management system.
Education
Associate of Arts - Nursing
Community College of Philadelphia
Philadelphia, PA05.2025
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John Bartram School
Philadelphia, Pennsylvania2001
Skills
- Electronic Patient Medical Record
- Software Applications
- Benefits Verification
- Training and Development Skills
- Insurance Approvals
- Patient Data Management Systems
- Microsoft Office
- Claims Handling and Coverage Verification
- Organization and Time Management
- Medical Services Administration
- Instructional Strategies
- Employee Onboarding
- Accounts Payable and Accounts Receivable
Timeline
Pre-Certification Specialist
AmeriHealth Administrators/ Independence Blue Cros
10.2018 - Current
Small Commercial Representative
Exelon/ Peco
04.2014 - 10.2017
Customer Account Executive IV
Comcast Cable Company
01.2010 - 05.2013
Associate of Arts - Nursing
Community College of Philadelphia
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John Bartram School