MARY GLAMUZINA
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
9
9
years of professional experience
Work History
Account Advisor, Provider Services
Blue Cross Blue Shield of Louisiana
Baton Rouge, LA
2025.03 - 2026.05
- Research and resolve complex claim issues, payment discrepancies, and provider concerns while ensuring accuracy and compliance with HIPAA regulations
- Assisted healthcare providers with claims, benefits, eligibility, authorizations, and billing inquiries, ensuring timely and accurate resolutions in high-volume call center
- Review claim status, denials, adjustments, and benefit information to support timely issue resolution
- Documented provider interactions within internal systems and maintained detailed account records to support streamlined communication and issue resolution
- Deliver professional customer service while handling escalated calls and sensitive healthcare information
Provider Inbound Representative
Humana
Metairie, Louisiana
2022.01 - 2024.12
- Assisted healthcare providers with claims, eligibility, benefits, prior authorizations, and billing inquiries in a high-volume call center environment
- Researched and resolved provider issues, ensuring adherence to healthcare policies and HIPAA regulations, which enhanced provider satisfaction
- Reviewed claims status, payment information, and denial explanations, facilitating timely issue resolution and minimizing delays
- Documented all interactions thoroughly and accurately within internal systems
- Handled escalated and complex provider concerns, delivering professional customer service that strengthened provider relationships
Customer Service Representative
GDIT (General Dynamics Information Technology)
Hattiesburg, MS
2019.06 - 2022.01
- Handled inbound customer calls professionally and resolved complex issues with empathy and efficiency
- Provided accurate information regarding Medicare policies, coverage, and healthcare services while maintaining HIPAA compliance
- Handled inbound customer calls and resolved complex issues with empathy and efficiency, enhancing customer satisfaction
- Documented customer interactions and case details in internal systems to ensure accurate records and facilitate follow-up
- Navigated multiple systems simultaneously to research account information and process requests accurately
- Followed CMS guidelines and company policies to uphold quality and compliance standards in customer service
Customer Service Representative
E-470 Express Toll Authority
Aurora, Colorado
2017.09 - 2019.03
- Assisted users with account management, complex billing inquiries, and resolution of account discrepancies.
- Delivered high-quality service in a high-volume environment.
- Processed customer orders and collected payment information.
Education
GED -
Pearl River Central High School
05.2006
Skills
- Account Management
- Provider Relations
- Customer Support
- Phone Support
- Email Support
- Chat Support
- Technical Troubleshooting
- Software Support
- Issue Escalation
- Claims Resolution
- Multi-system Navigation
- Workflow Optimization
- Cross-functional Collaboration
- Problem Solving
- Conflict Resolution
Timeline
Account Advisor, Provider Services
Blue Cross Blue Shield of Louisiana
2025.03 - 2026.05
Provider Inbound Representative
Humana
2022.01 - 2024.12
Customer Service Representative
GDIT (General Dynamics Information Technology)
2019.06 - 2022.01
Customer Service Representative
E-470 Express Toll Authority
2017.09 - 2019.03
GED -
Pearl River Central High School