Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Timeline
CustomerServiceRepresentative

Ines Herndon

Portland

Summary

Dependable candidate seeking a remote position to expand skills and positively contribute towards company success. Dedicated professional with demonstrated strengths in customer service, collaboration, and work ethic.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Customer Service Representative

Broadpath
03.2022 - Current
  • Handled customer inquiries and suggestions courteously and professionally with a strong commitment to accuracy, efficiency, and service quality.
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
  • Referred unresolved customer grievances to designated departments for further investigation.
  • Explained benefits and medical claim outcomes to plan participants and third parties in easy to understand terms in order to educate each on available options.
  • Educated customers about billing, annual plan changes and policies and procedures.
  • Filed grievances and medical appeals on behalf of plan participants and third parties.
  • Offered assistance to plan participants, compared and discussed alternate plan options that best fit their individual needs.

Certified Pharmacy Technician

Rite Aid
02.2017 - 10.2017
  • Maintaining pharmacy's standard s by adhering to infection-control procedures, policies and regulations.
  • Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
  • Collected co-payments or full payments from customers.
  • Counted, measured and compounded medications following standard procedures.
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
  • Ensuring the availability of drugs and ordering them for the pharmacy.

Education

Medical Billing And Coding Diploma -

Penn Foster University
2020

General Education Development -

Vance Granville Community College
2012

Skills

  • Medical Terminology Knowledge
  • HIPAA Compliance
  • Medical Coding Knowledge
  • Verbal and Written Communication

Certification

  • 2016-2020 | Pharmacy Technician Certification Board
  • 2013-2015 | N.C. Nurse Aide 1

Accomplishments

    Medicare Learning Network - Web Based Training, Certificates

  • World of Medicare
  • Medicare Billing 837P & CMS-1500
  • Medicare Billing 837I & CMS-1450
  • Diagnosis Coding Using ICD 10 CM
  • Part C Coverage Determinations Appeals & Grievances
  • Part D Coverage Determinations Appeals & Grievances
  • Combating Medicare Part C & D Fraud Waste & Abuse

Timeline

Customer Service Representative

Broadpath
03.2022 - Current

Certified Pharmacy Technician

Rite Aid
02.2017 - 10.2017

Medical Billing And Coding Diploma -

Penn Foster University

General Education Development -

Vance Granville Community College

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Ines Herndon