Mary F Ebuh
Jacksonville,FL
Summary
To seek and maintain full-time position that offers professional challenges by utilizing interpersonal skills, ability to resolve discrepancies and identify cost saving techniques.
Experienced customer service/billing specialist
Overview
6
6
years of professional experience
1
1
Certification
Work History
Provider Services Representative
Network Health
Wisconsin Dells, WI
09.2024 - Current
- managing a high volume of incoming calls for medical providers seeking information or assistance.
- Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.
- Enhanced customer satisfaction by efficiently resolving provider inquiries and concerns.
- Offer member services to members for claims inquiries, Medicare advantage benefits and products
- Process premium payments
Medical HEDIS Specialist
The Cigna Group
01.2024 - 05.2024
- Make outbound calls to physician offices and request measures for Medical Records
- Review Medical Records for abstractions
- Send Medical record request via fax or mail to Physician offices
- Accuracy and completeness check of measures/vitals
- Maintain professionalism and coordination at physician or outpatient facilities.
Customer Service Representative
SagilityHealth
01.2023 - 10.2023
- Complete Member's Health Risk Assessments on a daily basis to be sent to care managers
- Process outbound calls
- Process inbound call for customer support in a friendly manner.
Customer Service /Billing Specialist
Concentrix Healthcare
07.2022 - 12.2022
- Process claims, check account receivables, check claim statuses and send bills to insurances via EMR
- Pitch Medicare plans, product and services for Plan D prescription drugs to mail order
- Upsell all medications eligible for mail Oder delivery.
- Handles high volume of inbound calls
- Process payment and subscriptions
- Educate members on Medicare advantage plans and benefits
- Maintained up-to-date knowledge of customer accounts
Customer Service Representative
HGS Healthcare
10.2021 - 06.2022
- Take inbound calls for insurance plans and products
- Process returns, exchange or refunds and log queries in a timely manner
- Take orders for processing and delivery
- Educate members on Medicare plans and benefits
- Responded to inquiries and issues.
Remote Customer Service Representative
Mass Market company (MCI)
01.2021 - 07.2021
- Make inbound and outbound calls
- Excellent and Proficient customer services
- Provided assistance to clients for navigation
- Scheduled appointments for customers
- Answer phone and assisted customers with updates
- Explained products and benefits for upsell
Customer Service Representative
Dollar general
01.2019 - 08.2019
- Good management, customer/client relationships.
Education
High school diploma -
Victory High School
FlAssociate's degree - Medical Billing & Coding
Ashworth College
Duluth, GA05.2024
Data Analytical
Google Career Certification
04.2024
Skills
- Medical Billing & Coding
- Patient support
- Customer services
- HIPAA
- Spreadsheet Excel
- Microsoft Word/powerpoint
- ICD-10-CM
- CPT codes
- SQL
- HCPCS
- Tableau
- R-programming
- Data/Medical records Analysis
Certification
- Google Analytics Certification
- Certified Coding Specialist CCS
- Certified Billing and coding specialist CBCS
Timeline
Provider Services Representative
Network Health
09.2024 - Current
Medical HEDIS Specialist
The Cigna Group
01.2024 - 05.2024
Customer Service Representative
SagilityHealth
01.2023 - 10.2023
Customer Service /Billing Specialist
Concentrix Healthcare
07.2022 - 12.2022
Customer Service Representative
HGS Healthcare
10.2021 - 06.2022
Remote Customer Service Representative
Mass Market company (MCI)
01.2021 - 07.2021
Customer Service Representative
Dollar general
01.2019 - 08.2019
Associate's degree - Medical Billing & Coding
Ashworth College
Data Analytical
Google Career Certification
High school diploma -
Victory High School