Enthusiastic retail professional with hands-on experience in customer service, and medical billing, payment processing and sales. Strong communicator and team player, eager to learn new processes to support overall organizational success.
Overview
4
4
years of professional experience
Work History
Cashier
Family Dollar
Philippi, WV
07.2020 - Current
Stocked shelves with merchandise when needed.
Answered customer inquiries regarding store policies and procedures.
Organized promotional displays or arrange merchandise on counters or tables to promote sales.
Issued receipts, refunds, credits or change due to customers.
Processed returns and exchanges of merchandise in accordance with store policies.
Verified that customers were of legal age to purchase alcohol or tobacco products.
Elite Medical Management
Heather Brown
Belington , West Virginiawv
05.2020 - 05.2022
Provided guidance on utilization management processes to ensure quality care while controlling costs.
Tracked performance metrics such as turnaround time for authorization requests, denial rates.
Evaluated changes in legislation that impact the organization's operations related to medical management activities.
Reviewed appeals submitted by members or providers for denied services or payments.
Assisted with training new personnel on medical management protocols and procedures.
Reviewed insurance claims for accuracy prior to submission for payment processing.
Maintained accurate records of all medical management activities in accordance with applicable laws and regulations.
Coordinated insurance eligibility verification, prior authorizations, referrals, and claims processing.
Maintained positive working relationship with fellow staff and management.
Education
Some College (No Degree) - Medical Insurance Billing
Pierpont Community And Technical College
Fairmont, WV
Skills
Payment Collection
Payment Processing
Cash Register Operation
Customer Service
Cash Handling
Customer Assistance
Written and verbal communication
Proficient in [Software]
Liquor regulations and compliance
Customer service excellence
Money Handling
Staff Training
Certification
Medical office assistant
Timeline
Cashier
Family Dollar
07.2020 - Current
Elite Medical Management
Heather Brown
05.2020 - 05.2022
Some College (No Degree) - Medical Insurance Billing