Summary
Overview
Work History
Education
Skills
Work Availability
Timeline
Generic

Stanley G. Shives

Turtlecreek,PA

Summary

Seasoned professional with expertise in administrative support, billing, and claims processing. Skilled in meeting goals under tight deadlines, complying with and following policies and procedures, and document preparation.

Overview

18
18
years of professional experience

Work History

Customer Service Rep

Russel Tobin Agency KCI, DME
04.2022 - 06.2023
  • Answer incoming and outgoing calls for people wanting to return the, equipment and set up ups pickups
  • Document and research patients in the database that have not returned the DME by calling the patients, nursing facilities and hospitals
  • Email regional reps of DME for product pickup.
  • Answered over 70 calls of constant flow of customer calls with minimal wait times.
  • Responded to customer requests, offering excellent support and tailored recommendations to address needs.
  • Updated account information to maintain customer records.
  • Followed up with customers about resolved issues to maintain high standards of customer service

Admin Service Associate

Mindlance, US Steel
03.2018 - 11.2020
  • Reviewed over 200 pension documents per day for missing information and confirm up-to-date signatures and beneficiaries
  • Copied and scanned documents into database system ensuring accuracy and compliance
  • Reviewed, corrected and sent documents to claims department.
  • Paid attention to detail while completing assignments

Office Assistant (Contractor)

AARP, Duquesne University College
11.2015 - 02.2017
  • Answered 9 phone lines, with average of 15 calls per day, at community job center in order to schedule resume writing appointments for young adults
  • Maintained incoming student freshmen’s’ records, accurately sorting and filing documents
  • Accepted paper applications, extracted pertinent information, and keyed data into system with attention to detail
  • Prepared and drafted resumes for clients following premade templates and processes
  • Took and distributed messages and made appropriate referrals
  • Received, sorted, and distributed mail to campus professors
  • Prepared correspondence.
  • Expedited document processing with accurate data entry and timely filing.

Customer Care Reservist (Contractor)CVS

Remx Staffing, CVS
02.2011 - 01.2012
  • Took incoming calls from medical facilities and general public
  • Filled and took medicine prescription orders.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Delivered outstanding service to customers to maintain and extend relationships for future business opportunities.
  • Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.

Customer Service Representative

Dial America
06.2011 - 12.2011
  • Answered incoming calls, took reservations, and gave directions for Megabus.
  • Enhanced customer satisfaction by efficiently addressing and resolving their concerns and inquiries.
  • Streamlined communication channels for improved customer experience and faster response times.
  • Adhered to company guidelines and protocols while representing the brand professionally during all interactions with customers.

Collections Representative

Cardworks Services
06.2010 - 12.2011
  • Answered inbound and outbound calls for the purpose of credit card payments
  • Verified and updated all pertinent information pertaining to card holders.
  • Increased collections success by effectively communicating with debtors and negotiating payment arrangements.
  • Reduced delinquency rates by promptly identifying high-risk accounts and initiating appropriate collection strategies.

Patient Billing Representative/ Internship

Interim Healthcare/ PTI School
04.2008 - 11.2009
  • Contacted members by sending electronic reminders of overdue accounts and collecting payment for deductibles
  • Posted incoming payments
  • Pulled patient records to begin billing process for services rendered.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Liaised between patients, insurance companies, and billing office.
  • Posted payments and collections on regular basis.

Provider Services Representative

Unison Health Plan
03.2005 - 11.2007
  • Responded to inquiries related to physician claim inquires
  • Verified and forwarded denied claims for authorization or reprocessing
  • Rechecked claim to ensure it was submitted with a valid code for processing.
  • Met customer call guidelines for service levels, handle time and productivity.
  • Maintained up-to-date knowledge of product and service changes.

Education

Certificate in Medical Coding -

Pittsburgh Technical Institute
Oakdale, PA
06.2010

Diploma - Medical Claims Processing

Bidwell Training Center
Pittsburgh, PA
09.1996

Associate - Business Administration

Wheeler Business School
Pittsburgh ,PA
01.1983

Skills

  • Technical:
  • Microsoft, Word, Excel, Outlook; Document scanner XTCM; Epic healthcare software
  • Proficient in: ICD-9; Medical Terminology; CPT codes; Anatomy Physiology; HCPCS- diagnosis codes
  • Patient Billing
  • Data Entry
  • Invoice Processing
  • Payments Posting
  • Call Management
  • CRM system proficiency
  • Salesforce Knowledgeable

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Customer Service Rep

Russel Tobin Agency KCI, DME
04.2022 - 06.2023

Admin Service Associate

Mindlance, US Steel
03.2018 - 11.2020

Office Assistant (Contractor)

AARP, Duquesne University College
11.2015 - 02.2017

Customer Service Representative

Dial America
06.2011 - 12.2011

Customer Care Reservist (Contractor)CVS

Remx Staffing, CVS
02.2011 - 01.2012

Collections Representative

Cardworks Services
06.2010 - 12.2011

Patient Billing Representative/ Internship

Interim Healthcare/ PTI School
04.2008 - 11.2009

Provider Services Representative

Unison Health Plan
03.2005 - 11.2007

Certificate in Medical Coding -

Pittsburgh Technical Institute

Diploma - Medical Claims Processing

Bidwell Training Center

Associate - Business Administration

Wheeler Business School
Stanley G. Shives