Mary F Ebuh
Jacksonville
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
7
7
years of professional experience
1
1
Certification
Work History
Telesales Representative
GuideWell, Florida Blue
Jacksonville
2025.10 - Current
- Create sales leads and collaborated with Licensed sales agent to drive enrollment
- Conducted follow-up calls to ensure customer satisfaction and gather feedback.
Provider Services Representative
Network Health
2024.09 - 2025.10
- Managed a high volume of incoming calls for medical providers seeking eligibility and verification of coverage
- 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
- Assisted members with inquiries regarding health plan benefits and services.
- Coordinated communication between providers and members to resolve issues.
Medical HEDIS Specialist
The Cigna Group
2024.01 - 2024.05
- 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
2023.01 - 2023.10
- 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
2022.07 - 2022.12
- 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
2021.10 - 2022.06
- 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)
2021.01 - 2021.07
- 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
2019.01 - 2019.08
- Good management, customer/client relationships.
Education
Diploma - Medical Billing & Coding
Ashworth College
Duluth, GA 2023.04 - 05/2024
Data Analytical
Google Career Certification
High school diploma -
Victory High School
FlSkills
- Medical Billing & Coding
- Customer services
- HIPAA
- Microsoft Excel
- Microsoft Word/powerpoint
- ICD-10-CM, HCPCS, CPT codes
- SQL, Tableau and R-programming
- Data/Medical records Analysis
Certification
- Google Analytics Certification
- Certified Coding Specialist CCS
- Certified Billing and coding specialist CBCS
Timeline
Telesales Representative
GuideWell, Florida Blue
2025.10 - Current
Provider Services Representative
Network Health
2024.09 - 2025.10
Medical HEDIS Specialist
The Cigna Group
2024.01 - 2024.05
Diploma - Medical Billing & Coding
Ashworth College
2023.04 - 05/2024
Customer Service Representative
SagilityHealth
2023.01 - 2023.10
Customer Service /Billing Specialist
Concentrix Healthcare
2022.07 - 2022.12
Customer Service Representative
HGS Healthcare
2021.10 - 2022.06
Remote Customer Service Representative
Mass Market company (MCI)
2021.01 - 2021.07
Customer Service Representative
Dollar general
2019.01 - 2019.08
Data Analytical
Google Career Certification
High school diploma -
Victory High School