Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Overview
11
11
years of professional experience
Work History
Customer Service Representative
Department Of Veterans Affairs
Waco, TX
01.2016 - Current
Accesses various menu options to identify, review analyze process and complete First Party and third party billing encounters.
Increased access to Community Care by synchronizing all revenue activities in regard to Community Care operations.
Applies analytical and evaluation techniques to determine if First party co-payment bills are appropriate ensuring 90% efficacy of billing system.
Retrieves, accesses, manages and processes various revenue reports.
Independently researches, analyzes, and corrects Veteran's First party issues in relation to complex Veteran's Affairs (VA) programs.
Applies comprehensive knowledge of procedures, practices, regulations and policies including Public Laws and Codes to resolve inquiries and issues involving various insurance claims and health benefits questions
Requests review of referral cases, examinations, re-examinations, or opinions to evaluate disabilities resulting from diseases or injuries
Handles issues concerning Treasury Offset Program (TOP) and Debt Management (DMC) regarding any debt collection/offsets, Lesser DMC Setup and Suspending Charges.
Explains and initiates Income Verification Match (IVM) process, Repayment Plans, Waivers, and Bankruptcy process.
Provides insight on Pharmacy Issues, Fugitive Felons program, Audits and Death Notifications ensuring veteran receives 1005 of appropriate knowledge.
Customer Service Representative
Examination Management Services, Inc, EMSI
Waco, TX
10.2013 - 01.2016
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Negotiated medical fees and expedited records acquisition.
Downloaded collected medical records and compiled them into secure data bases for instant retrieval and review.
Adhered to Health Insurance Association of America (HIAA) security and privacy guidelines resulting in 100% compliance.
Displayed exceptional skill in using electronic computing systems that were critical in efficiently retrieving medical data.
MANUAL SCREEN-PRINTING REPESENTATIVE
W PROMOTIONS
Waco, TX
08.2010 - 07.2012
Researched topics and ideas for screenplays.
Storyboarded screenplays and scripts based on production ideas.
Edited screenplays based on executive feedback.
Formatted screenplays into usable scripts.
Maintained and operated equipment, loaded ink and solved technical issues resulting in 90% operational efficiency.
Performed quality analysis on 100% of completed items.
Advanced Medical Support Assistant at Department of Veterans Affairs, Central TX Veterans HealthcareAdvanced Medical Support Assistant at Department of Veterans Affairs, Central TX Veterans Healthcare
VETERAN CLAIMS EXAMINER INSURANCE at Department Of Veterans Affairs, Veterans Benefits AdminVETERAN CLAIMS EXAMINER INSURANCE at Department Of Veterans Affairs, Veterans Benefits Admin
Health System Specialist at Department of Veterans Affairs/ Veterans Health AdministrationHealth System Specialist at Department of Veterans Affairs/ Veterans Health Administration
Rating Veterans Service Representative at Department Of Veterans Affairs, Veterans Benefits AdminRating Veterans Service Representative at Department Of Veterans Affairs, Veterans Benefits Admin