Revonda M. Baldwin
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- STRENGTHS QUALIFICATIONS
- PROFESSIONAL EXPERIENCE HEALTH INSURANCE EXPERIENCE
- CUSTOMER RELATIONS EXPERIENCE
- WORK HISTORY BEACON HEALTH OPTIONS, Morrisville, NC 2014 – Present Claims Processor/Adjuster
- Tech Support/Apple Products Advisor Continued Revonda M. Baldwin
- COMPUTER SKILLS
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Revonda M. Baldwin 1600 Woodfield Creek Drive Phone: 828-409-0993 Wake Forest, NC 27687 revonda.baldwin@gmail.com
Talented professional with 7+ years’ experience in health insurance and customer relations. Seeking to utilize my transferrable skills to become a contributing team member of a successful organization. STRENGTHS & QUALIFICATIONS
PROFESSIONAL EXPERIENCE HEALTH INSURANCE EXPERIENCE: • Administered superior customer service to customers by providing assistance with claims payments and/or reimbursements. • Maintained HIPAA and PHI compliant practices by following standard policies and procedures. • Responsible for reviewing medical records when necessary to determine if service rendered was based on emergent diagnosis in order to apply policy directives. • Processed ambulance claims with knowledge of ICD-9/10 and CPT procedure codes according to policy stipulations for maximum benefits on behalf of customer. • Prepared professional correspondence to request additional information for claim processing and reimbursement. CUSTOMER RELATIONS EXPERIENCE: • Answered product and service questions; suggested information about additional products and services. • Resolved product and service problems by clarifying the customers’ concerns, determined the cause of the problem and then provided the best solution. • Expedited enrollment corrections or adjustments to plans including processing of life events. • Prepared product and service reports by collecting and analyzing customer information. WORK HISTORY BEACON HEALTH OPTIONS, Morrisville, NC 2014 – Present Claims Processor/Adjuster UNITED HEALTH GROUP, Raleigh, NC 2013 – 2014 Claims Adjuster VERITUDE @ FIDELITY INVESTMENTS, Durham, NC 2012 – 2013 Health & Welfare Associate (Contract position) AFFILIATED COMPUTER SERVICES, Raleigh NC 2011 – 2012 Tech Support/Apple Products Advisor ~Continued~ Revonda M. Baldwin Page 2 CONVERGYS, Hickory, NC 2008 – 2009 Customer Service Representative EDUCATION CAMPBELL UNIVERSITY Expected December 2015 AS, Business Administration COMPUTER SKILLS: Intermediate Microsoft Suite (Outlook, Excel, PowerPoint, and Word), Internet Research. Familiar with various systems and databases (Nasco, Comet, Unet, Lotus Notes, Service Connect). ~Excellent references provided upon request~ Directory: wp-content -> uploads -> gravity forms gravity forms -> Earl E. Klein Jr gravity forms -> Narrative of how the entry meets the award criteria – July 28, 2016 gravity forms -> Air Atlanta Icelandic November 2006 – Current gravity forms -> Professional summary Download 11.23 Kb. Share with your friends:
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