Summary
Overview
Work History
Education
Skills
Timeline
Generic

Javon Lowe

Richmond,TX

Summary

Dynamic Claim Customer Service with demonstrated experience servicing policyholders and claimants in Medical insurance industry. Displays in-depth knowledge of claims and appraisals, excellent communication skills and excels in team environments.

Overview

8
8
years of professional experience

Work History

Claims Customer Service Representative

New Era Life Insurance
Katy
09.2020 - Current
  • Handle client / patient questions, complaints, requests or inquires with highest degree of courtesy and professionalism, with the goal of one call resolution and patient retention.
  • Familiar with ICD-10, CPT coding $Medical Terminology
  • Conduct inbound and/ or calls to patients and doctor's office as necessary or required to complete tasks.
  • Adhere TO all HIPPA privacy requirements when dealing with client's confidential information.
  • Communicate and educate patients and providers on coverage amounts providers by their insurance policy.
  • Overcome objections and effectively resolve customer concerns
  • Processed high volumes of bodily injury claims efficiently while working in fast -paced environment.



Data Entry Specialist

Apartment Data
Houston, TX
10.2017 - 09.2020

Provided primary customer support to internal and external customers in fast paced environment .

Offered advice and assistance to customers, paying attention to special needs or wants. Entered customer interaction details to track requests , documents problems, & record solutions offered.


Collected customer feedback and made process changes to exceed customer satisfaction goals Managed documents by organizing forms, photocopies ,filling records , preparing correspondence and creating reports.

Corrected any data error to prevent later issues such as duplications or data degradation. Reviewed and updated client correspondence files.

Collected customer feedback and made process changes to exceed customer satisfaction goals 100%

Educated customers on special pricing opportunities and company offerings.

Maintained knowledge of current promotions, exchange guidelines , payment policies and security practices

Medical Case Worker

Amerigroup/ United Health Group
Houston
05.2015 - 08.2018
  • Coordinated individualized discharge plans to manage the safe transition back into the community and home environment
  • Organized clinical documentation ,treatment plans , and referrals.
  • Updated treatment plans on monthly basis with the latest intervention strategies and progress notes
  • Resolved problems, improved operations, and provided exceptional client support.
  • Works with medical in interpreting appropriateness of care and accurate claims payment
  • Transferred data and documents from insurance provider to physicians media after introduction.
  • Documented case notes daily coordinated follow-up for seamless case management.
  • Prepared all required treatment records and reports

Education

Associate of Applied Science - MEDICAL BILLING CODING

Alterius College
Houston
11.2021

Associate of Science - NURSING

GARY JOB CORPS
06.2001

High School Diploma -

Robert E. Lee High School
Houston
05.1999

Skills

  • Claim Amount Calculations
  • Call Documentation
  • Customer Service and Assistance
  • Insurance Claim Forms Review

Timeline

Claims Customer Service Representative

New Era Life Insurance
09.2020 - Current

Data Entry Specialist

Apartment Data
10.2017 - 09.2020

Medical Case Worker

Amerigroup/ United Health Group
05.2015 - 08.2018

Associate of Applied Science - MEDICAL BILLING CODING

Alterius College

Associate of Science - NURSING

GARY JOB CORPS

High School Diploma -

Robert E. Lee High School
Javon Lowe