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Mar 23, 2010

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Tell Us About You/Your Company or What Type of Work You Do if Seeking Employment: I am a highly motivated individual committed to excellence in my everyday life and in my career live. I have 10 years of experience in the Healthcare, Administrative and Client services field in many different facets ranging from administrative to processing contracts with hospitals and insurance companies. I am sure that I would be an asset to any company that is looking for a dependable, trust worthy and professional canidate.

Post Your Resume (Remove Your Home Address, Phone and all Personal Information ie. SSN, DOB, DL#****Failure to Comply will result in your account being banned! This is not a site for commercial advertising. If you are not looking for employment you need to be a Sponsor. Click on the Advertising Tab for more information!) Protect Your Privacy and DO NOT POST YOUR PHONE NUMBER OR HOME ADDRESS. YOUR RESUME WILL POST TO THE INTERNET - DO NOT PUT ANYTHING ON YOUR RESUME THAT YOU DO NOT WANT OTHERS TO SEE!: EDUCATION
Mesquite High School: 1994-1999 - Diploma
Collin County Community College: Jan 2009-present - Business Management

EMPLOYMENT

June 2006-March 2010
Texas True Choice
Addison, TX

October 2007-present
Hospital Appeals/Reports Coordinator
• Administer monthly high dollar hospital reports
• Review various hospital appeals
• Perform advanced functions necessary for the re-pricing of hospital claims through the re-pricing system and/or manually
• Maintain spreadsheet data to track appeals
• Email reports to payers and send status reports to hospitals and act as the primary contact for hospitals on appeals

August 2007- October 2007
Team Lead-Special Projects
• Inbound and outbound calls to and from patients, providers and payers asking for status of claims, re-pricing of claims and payer of the claims
• Verified providers fee schedules, informed professionals and facilities of there CPT rates, and reviewing their contracts
• Updated specific information to better benefit the customer service department, in charge of providing help to our web base customers
• Dealings with the Clearing house such as THIN and WEB MD

March 2007-August 2007
Provider Relation Representative
• Supported the overall business objectives of the organization by serving as a liaison between the organization, providers and clients
• Maintained positive relationships with providers in an assigned territory
• Assisted in maintaining the accuracy of provider data loaded in the TTC systems.
• Successfully worked across functional lines within the organization to resolve provider issues and questions

June 2006 – March 2007
Customer Service Representative
• Performs proactive telephone calls to established accounts to review Employer Account information; assess opportunities for additional services; review level of client satisfaction with center performance and staff services; inventory client supplies
• Communicated client feedback to appropriate Health Services Manager for follow up.
• Participated with Center Leadership Team to effectively maintain existing accounts and develop new business opportunities
• Updated specific information to better benefit the customer service department, in charge of providing help to our web base customers
• Dealt with the Clearinghouses such as THIN and WEB MD

March 2004 – November 2005
KeysBackyard/Jumpking
Customer Service/ Tech Support
Mesquite, TX
• Inbound and outbound calls to customers troubleshooting on various types of equipment
• Assisted customer and dealer on product info, installation, troubleshooting, and shipping info
• Inbound tech support for portable spas
• Assisted customers and dealers on product info, installation, troubleshooting, and shipping info

October 2002 - February 2004
Advance PCS
Team Lead/CSR
Richardson, TX
• Supervised team of CSR reps, taking complaint calls and troubleshooting and monitoring CSR’s
• Led weekly team meeting over new information and updates and stats on CSR calls

February 2000- October 2002
Symphony Mobile X-Ray
Dispatch/ CSR
Dallas, TX
• In charge of field tech within a region, tech scheduling, route info, patient updating

COMPUTER SKILLS
Microsoft Office
PC and LAN operating systems

REFERENCES AVAILABLE UPON REQUEST