Summary
Overview
Work History
Education
Skills
Timeline
Generic

Cynthia Casey

Phoenix,AZ

Summary

A detail-oriented customer service driven individual with over 10 years of experience. Passionate about building strong and lasting customer relationships. Proficient in written and oral communication. Seeking to gain additional knowledge and utilization skills.

Overview

24
24
years of professional experience

Work History

Customer Service Representative

Social Security Administration, SSA
Bellaire, Texas
08.2019 - 09.2025

Responded to inbound calls, resolving client inquiries and enhancing customer satisfaction. Scheduled benefit appointments. •Using interviewing skills to determine client's eligibility for social security Assisted Medicare beneficiaries with premium questions, ensuring clear understanding of benefits. Documented and processed death reports, maintaining accurate records for compliance and service continuity.

  • Responded to inbound calls, resolving client inquiries and enhancing customer satisfaction.Scheduled benefit appointments.•Using interviewing skills to determine client's eligibility for social securityAssisted Medicare beneficiaries with premium questions, ensuring clear understanding of benefits.Documented and processed death reports, maintaining accurate records for compliance and service continuity.
  • Provided detailed information on benefits and eligibility requirements to customers.
  • Assisted clients with Social Security inquiries and application process.

Reimbursement Specialist

Preventice Services
Houston, Texas
01.2018 - 08.2019

•Managed accounts receivable for denied or underpaid insurance claims, ensuring prompt resolution. Contacted insurance companies to initiate appeals or reconsiderations, advocating for claim approvals. •Verified insurance details by contacting patients and medical practices, ensuring accurate billing. •Handled incoming calls from patients to address inquiries and process payments. to take patient payments or answer patient questions

  • Processed reimbursement claims for medical devices and services efficiently.
  • Coordinated with healthcare providers to resolve billing issues promptly.
  • Reviewed patient documentation to ensure accuracy and completeness.

Appeals Coordinator

Community Health Choice
Houston, Texas
03.2017 - 01.2018
  • Facilitated communication between providers and payers regarding payment disputes.
  • Maintained records of all appeal activities in a timely manner.
  • Compiled and documented information for appeal cases.

Billing Agent

Partners Pharmacy
Stafford, Texas
07.2016 - 01.2017

Managed billing processes for long-term care pharmacy department, ensuring accurate invoicing. •Responsible for entering patient insurance information to bill insurance Communicated with long-term care facilities to resolve reporting errors, enhancing data accuracy.

  • Processed patient billing inquiries with accuracy and attention to detail.
  • Managed insurance claims submissions and follow-ups for timely resolutions.
  • Coordinated payment collection efforts from patients and insurance providers.

Billing Representative /Liaison

J & K PMS
Houston, Texas
09.2015 - 07.2016

•Onsite representative for MD Anderson Cancer Treatment Center Managed insurance correspondence to ensure timely processing at MD Anderson Cancer Treatment Center. •Printed medical records and explanations of benefits using CMS 1500 forms for claim processing.

  • Managed billing inquiries and resolved customer issues promptly.
  • Coordinated payment collections and tracked outstanding accounts to minimize delays in revenue recovery.
  • Processed invoices using billing software and maintained accurate records.

Billing Account Manager

Medix Staffing
Houston, Texas
03.2015 - 09.2015

•Managed billing for long term care pharmacy department, ensuring accuracy and compliance. •Responsible for entering patient insurance Information to bill insurance •Communicated with long term care facilities to resolve reporting errors and enhance billing accuracy.

  • Managed client billing inquiries and resolved discrepancies effectively.
  • Reviewed invoices for accuracy and compliance with company policies.
  • Coordinated billing processes with internal teams and external clients.

Collections Specialist

Avante USA
Houston, Texas
12.2012 - 03.2015
  • Reviewed customer accounts and resolved overdue balances through phone and email outreach.
  • Reconciled account balances and investigated payment discrepancies with clients.
  • Prepared aging reports and tracked delinquent accounts for collection follow-up.
  • Maintained customer payment records and updated account notes in accounting systems.

Collections Representative

NCO
Houston, Texas
10.2010 - 12.2012

Reviewed explanations of benefits to identify reasons for denied medical claims. Contacted insurance representatives to dispute claim denials and advocate for resolution. Resubmitted claims for payment. Appealed denied claims to the medical director for review, aiming to secure proper payment.

  • Communicated with customers to negotiate payment plans and resolve disputes effectively.
  • Utilized collection software to track payments and maintain accurate account records.
  • Reviewed explanations of benefits to identify reasons for denied medical claims.Contacted insurance representatives to dispute claim denials and advocate for resolution.Resubmitted claims for payment.Appealed denied claims to the medical director for review, aiming to secure proper payment.

Customer Service Representative

Sears
Round Rock , TX
06.2007 - 10.2009
  • Resolved customer issues to enhance satisfaction and loyalty
  • Answered inbound calls for customer complaints, providing timely solutions
  • Handled escalated supervisor calls to address complex issues
  • Scheduled service repairs to ensure efficient operation and customer convenience
  • Trained and mentored new hires.

Customer Service Representative

GC Services Call Center
Killeen, Texas
02.2005 - 05.2007

Answered inbound customer service calls, addressing inquiries and reviewing account balances to ensure customer satisfaction. Answered questions about non-sufficient fund fees. Processed customer account cancellations, facilitating a smooth transition and maintaining accurate records. Verified available funds for customer transactions. Mentored new hires during onboarding and provided guidance.

  • Resolved client inquiries through phone, email, and in-person communication.
  • Provided accurate information to clients regarding Social Security benefits and services.
  • Assisted clients with applications for Social Security programs and services.

Nutrition Care Specialist

US Army
Fort Hood, Texas
01.2002 - 01.2005

Conducted patient interviews to gather detailed insights on eating patterns, informing tailored nutrition strategies. Developed and implemented nutrition care plans aligned with physician diet prescriptions, enhancing patient dietary adherence. •Instructed patients on dietary guidelines and their families concerning the diet plan and assist with proper implementation of the dietary plan provided

  • Collaborated with healthcare teams to coordinate comprehensive nutrition care services.
  • Assessed nutritional needs of service members and recommended dietary plans.
  • Developed educational materials on nutrition and wellness for military personnel.

Education

Associate of Science - Billing And Coding

Colorado Technical University
Colorado Springs, CO
05-2011

Skills

Customer service

Research and tracking
Database management

Customer eligibility assessment

Safety and security
Personnel Management
Microsoft applications

Security clearance Training and development

Customer service
Technical support
Administrative

Team collaboration

Customer engagement

Training and development

Personnel Management

Presentation and briefings

Safety and security

Security clearance

Timeline

Customer Service Representative

Social Security Administration, SSA
08.2019 - 09.2025

Reimbursement Specialist

Preventice Services
01.2018 - 08.2019

Appeals Coordinator

Community Health Choice
03.2017 - 01.2018

Billing Agent

Partners Pharmacy
07.2016 - 01.2017

Billing Representative /Liaison

J & K PMS
09.2015 - 07.2016

Billing Account Manager

Medix Staffing
03.2015 - 09.2015

Collections Specialist

Avante USA
12.2012 - 03.2015

Collections Representative

NCO
10.2010 - 12.2012

Customer Service Representative

Sears
06.2007 - 10.2009

Customer Service Representative

GC Services Call Center
02.2005 - 05.2007

Nutrition Care Specialist

US Army
01.2002 - 01.2005

Associate of Science - Billing And Coding

Colorado Technical University
Cynthia Casey