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Emblem Health - Customer Service Representative Resume Example

Michael Moore
XXXX XXXXXXXX XXXX
Syracuse, NY 13204
Ph: XXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXX
Professional Summary
Service oriented in customer service with over ten years of experience . Strong personable skills for resolving issues with members and providers. Trained in medical claims processing with excellent communication and time management skills.
Skills
  • Customer and Personal Service
  • Clerical
  • Production and Processing
  • Critical Thinking
  • Writing
Experience
Customer Service Representative Aug 2007Present Emblem Health East Syracuse, NY Receiving inbound calls from members and providers to assist with their overall issues and concerns. Review medical insurance policies to determine coverage, prepare claim forms or related documents for review for completeness. Process and investigate claims for payments.
Credentialing Administrator Sep 2006Aug 2007 Aspen Dental East Syracuse, NY Communicating with Doctors to assist with them obtaining participation statuses with insurance carriers by submitting their application's, resume's, license's, DEA's, and all necessary paperwork. 
Claims Processor Mar 2006Sep 2006 Excellus Blue Cross Blue Sheild Syracuse, NY Investigate and edit medical billing claims for aide errors. Communicating with providers and subscribers requesting information to complete the processing of the claims.
Customer Service Representative and Sales Specialist Aug 2000May 2005 AT&T Syracuse, NY Inbound call center handling over 70 or more calls daily focusing on sales and customer service. Including resolving billings issues, selling phone and data services to small businesses.
Education
Associate of Applied Science: Business Administration Morriville, NY SUNY Morrisville May 1997
High School Diploma: Business Syracuse, NY Henninger High School Jun 1993
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Resume Details

This is a real resume for a Customer Service Representative in Syracuse, New York with experience working for such companies as Emblem Health, Aspen Dental, Excellus Blue Cross Blue Sheild. This is one of the hundreds of Customer Service Representative resumes available on our site for free. Use these resumes as templates to get help creating the best Customer Service Representative resume.

Previous Companies:

  • Emblem Health
  • Aspen Dental
  • Excellus Blue Cross Blue Sheild

Previous Job Positions:

  • Customer Service Representative
  • Credentialing Administrator
  • Claims Processor
  • Customer Service Representative and Sales Specialist

Schools:

  • SUNY Morrisville
  • Henninger High School

Level of Education:

  • Associate of Applied Science
  • High School Diploma

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