Prepared, processed and maintain new provider enrollement for managed care
Loaded new provider in the manages care database
Worked in a team environment
Customer Service Representative
Georgia Secretary of State
Atlanta, GA
11.2017 - 07.2021
Handle all inbounds calls from existing license holders, elections, and corporations
Maintaining call center database by updating customer information
Search customers information using Mlo
Created ticket for escalated issue in the Boss Ticketing System
Operated the Amazon Connect System
Received and handled high volume of calls
Customer Service Representative - Temp Agency
Dekalb County Sanitation/ Utility Customer
Decatur, GA
06.2016 - 10.2017
Handle all inbounds calls from existing customers
Maintaining call center database by updating customer information
Search customers information in SoftPak Software Solutions
Emailed all complaints to the Supervisor
Resolved problems by clarifying the issue
Emailed all expedited Service Request to the supervisor using MS Outlook
Create Service Request for each customer in Oracle Application
Operated the Avaya Phone System
Transferred all escalated calls issues to the appropriate area
Customer Service Associate
Ajax Beverage Store
Atlanta, GA
03.2015 - 08.2017
Operated cash register for cash, check and credit card transactions with excellent accuracy levels.
Helped customers complete purchases, locate items and join reward programs.
Reconciled cash drawer at start and end of each shift, accounting for errors and resolving discrepancies.
Checked identification for proof-of-age for alcohol and tobacco sales.
Prepared bank deposits nightly
Call Center Representative
Altegra Health
Alpharetta, GA
01.2015 - 03.2015
Complete call log
Follow up on customer calls
Handled customer inquiries both telephonically and by email
Made over 100 outbound calls
Document all call information according to standard operating procedures
Enrollment Clerk
SOURCEHOV, Inc
Atlanta, GA
07.2012 - 07.2013
Facilitated the organization of department correspondence and assisted customers insurance claims and registration, processing over 250 claims an hour
Process all incoming payments( checks/card payment/cash)
Utilized department software to update customer records and coordinated with management for the preparation on monthly reports
Reviewed documents for accuracy and completion and performed quality inspections on company correspondence to ensure that all insurance measures were met
Supervised daily bookkeeping operations with attention to accounts receivable, accounts payable, banking reconciliation and disbursements.
Provider Relations Coordinator
Care Improvement Plus, SC
Atlanta, GA
07.2007 - 06.2011
Coordinated with customers pertainining to medicare benefits and the health insurance plans
Operated multil-line phone systems to assist customer with gernal company information
Reviewed new physician contracts and updated customer information into company software
Maintain contracts daily
Interact with providers to ensure closure of paperwork is completed
Facilitated the distribution of provider agreements
Ensure new physician contracts are entered accurately
Retreiving Claims Clerk
SOURCECORP, Inc
Atlanta, GA
07.2005 - 07.2007
Consturcted daily deposit spreadsheets to process over 1200 refund and benefit checks daily
Utilzed DoucTech software to scan medical bills and checks to appropriate offcials
Reviewed new physician contracts and updated customer information into company software
Evaluate all information to determine how claim should be handled and filed batches of checks and EOB’s
Claims Processor
07.2004 - 07.2005
Processed over 120 claims per hour and entered confidential data into the DEIS system while adhering to all HIPPA polcies
Answered inquiries from providers on the subject of claims, eligibility, covered benefits and approval status issues
Authenticated the information on all medical claims received
Education
Diploma - Sorrells
Independence University
Booker T. Washington High School
Skills
10 Years of Administrative Support
Records Management
Accounts Payable/Receivable
Microsoft Office Suites
Insurance Verification/Claims
Customer Service
Inventory Management
Budget Analysis & Payroll
Multi-Line Phone Systems
Mailroom Procedures & Policies
Timeline
Senior Professional Enrollment Representative
Northside Hospital
07.2021 - 08.2022
Customer Service Representative
Georgia Secretary of State
11.2017 - 07.2021
Customer Service Representative - Temp Agency
Dekalb County Sanitation/ Utility Customer
06.2016 - 10.2017
Customer Service Associate
Ajax Beverage Store
03.2015 - 08.2017
Call Center Representative
Altegra Health
01.2015 - 03.2015
Enrollment Clerk
SOURCEHOV, Inc
07.2012 - 07.2013
Provider Relations Coordinator
Care Improvement Plus, SC
07.2007 - 06.2011
Retreiving Claims Clerk
SOURCECORP, Inc
07.2005 - 07.2007
Claims Processor
07.2004 - 07.2005
Diploma - Sorrells
Independence University
Booker T. Washington High School
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