Muzik Lewis
Anaheim,CA
Summary
- Over 4 years of healthcare customer service experience and claims analyst
- Expert in insurance and claims verification
- Excellent customer service, time management, and problem-solving skills in fast paced environment
- Proficient in Microsoft and excel, Typing skills 60+ wpm.
- Knowledge using Dofr, Easy cap, Q-Nex
- Experience with appeals and grievances, manual claim processing.
- Experience at IPA medical group
Overview
5
5
years of professional experience
Work History
Customer Service Representative
Optum financial
02.2024 - 04.2024
- My responsibilities while working for Optum Financial included answering incoming calls from members regarding their HSA, FSA, HRA and LFSA accounts
- Sending members out there 1099 SA's and 5498
- I also was able to assist members with managing their investments put into account as well as contributions
- In addition, I was able to check claim status and communicate with claims
- Lastly, I was able to assist members with Helping members reset their online account passwords
Customer Service Representative
Centene
04.2023 - 09.2023
- While working for Centene, my responsibilities included, answering inbound and outbound calls from customers, helping customers with understanding their medicaid health plan policy, offering rewards program to members and scheduling appointments for members as well as booking rides helping members with travel to their doctor appointments
- I also was responsible for tending to outbound calls from providers while being in charge of processing claims and looking into the claim letting providers know if claim was denied or approved and further information
Customer Service Rep/claims processing
Datafied
10.2022 - 02.2023
- Responsible for data entry as well as failing and passing documents that came back from facilities
- Understand plan contracts, Responsible for processing medical claims, and verifying eligibility of claims while working through different systems we used
Customer service rep/ Claims processing/ Sr claims analyst
Anthem Blue Cross
05.2022 - 10.2022
- Processed medical insurance claims
- Responsible for verifying the authenticity and eligibility of claims, analyzing billing, communicating with policy holders, and ensuring adherence to all the policies and regulations
Sr Claims Analyst
La Care
04.2021 - 04.2022
- Responsible for solving problems, scheduling appointments, obtaining referrals and providing accuracy to customers
- Responsible for processing medical claims and verifying eligibility of claims while working through different systems we used
Customer Service Rep
Prospect Medical
02.2020 - 02.2021
- Responsible for answering phone calls in a courteous, prompt manner and acting as a liaison between Prospect Medical/ProMed Healthcare
Customer Service Rep
Workforce Enterprises
01.2019 - 01.2020
- Answered incoming calls, transferred customers to the correct place, as well as helped customers in the best way I possibly can to make them happy
Education
Fullerton College
09.2024
High School Diploma -
Cambridge Rindge and Latin High School
01.2019
Skills
- Customer Service
- Problem-solving abilities
- Active Listening
- Critical Thinking
- Data Entry
- Customer Relations
- Problem Resolution
- Call center experience
- Computer Proficiency
- Conflict Resolution
- Money handling abilities
- Complaint Handling
- Microsoft Excel
- Complaint resolution
- Payment Processing
- Client Relations
- Customer satisfaction measurement
- Professional telephone demeanor
- Call Center Operations
- Microsoft Outlook
- Scheduling
- Follow-up skills
- Call Management
- Product Knowledge
- Appointment Scheduling
- Paperwork Processing
- Documentation
- Administrative Support
- Microsoft PowerPoint
- Data Collection
- Quality Control
- Clerical Support
- Escalation management
Timeline
Customer Service Representative
Optum financial
02.2024 - 04.2024
Customer Service Representative
Centene
04.2023 - 09.2023
Customer Service Rep/claims processing
Datafied
10.2022 - 02.2023
Customer service rep/ Claims processing/ Sr claims analyst
Anthem Blue Cross
05.2022 - 10.2022
Sr Claims Analyst
La Care
04.2021 - 04.2022
Customer Service Rep
Prospect Medical
02.2020 - 02.2021
Customer Service Rep
Workforce Enterprises
01.2019 - 01.2020
Fullerton College
High School Diploma -
Cambridge Rindge and Latin High School
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