1. PERLICTRIUS (Lisa) OWENS
1607 S. 8th Street, Apt 4 Milwaukee, WI 53204 414-323-0460
perlictriuso2@hotmail.com
Objective
Attentive Customer Service Representative with 10+ years of solid customer
service experience, strong organizational
and problem solving skills, currently seeking a career that will utilize previous
skills in a challenging capacity.
Skills & Qualifications
Insurance benefits
IDX Medical Billing
Patient Medical Claims Follow-up
Sales Skills Great communication skills
HIPPA Laws
Medical Terminology
Employment History
Compunnel Software – Milwaukee, WI
Medical claim examiner 01/16 03/16 to 03/04/16
Processing claim for Blue Cross of MN. Using to Stars system. Rejecting and
paying medical claims that was submitted with incorrect information. Working for
inforis.
Indian Health Center Inc. - Milwaukee, WI
Program Assistant-Intern 01/2015 04/2015
Completed intake of patients ensuring forms were completed accurately
Greeted, registered, and scheduled patients for office visits
Answered questions about the program offered within the mental health
department
Masterson Personnel/Buy Seasons New Berlin, WI
Customer Service Representative-Temp 05/2014 10/2014
2. Provided a positive customer service experience
Receive calls regarding the sale of goods
Analyzed and processed orders, returns, and credits
Prepared and responded to correspondence in a timely manner
Acted as liaison between customer and internal departments
Blue Cross Blue Shield Pewaukee, WI
Health Insurance Agent 11/2005 10/2008
Handled calls from Medicare part A, B and D participants
Explained policies, features of supplemental plans, and Medicare advantages plans
Analyzed insurance plans and suggested additions while promoting sales
Performed administrative tasks to maintain records and handle policy renewals
Lakeshore Medical Clinic South Milwaukee, WI
Insurance Follow-up 05/2004 01/2005
Utilized IDX system to investigate reasons for insurance claim denials
Contacted third party payers to review claims and discuss payment
Reached out to the insured or responsible party to obtain missing information
3. Reviewed insurance policies with patients and answered questions for clarification
Owens, Perlictrius PG| 2
Employment History Continued
Dental Associates Ltd. Wauwatosa, WI
Dental Billing Specialist (Orthodontics) 06/2002 06/2003
Maintained an accurate record of patient account files and insurance data to secure
maximum reimbursement
Verified and reconciled orthodontic payment history on patient accounts
Resolved insurance and billing concerns by contacting insurance companies or
responsible payers
Claims Service Resource Group Milwaukee, WI
Medical Claims Processor 09/2000 06/2002
Reviewed and verified insurance policies to determine coverage
Interacted and provided information to customer and others regarding claim status
and payments
Prepared insurance claim forms and other documents as required
Achieved individual productivity and quality assurance goals
Fortis Health Insurance Milwaukee, WI
Benefit Analyst 01/2000 09/2000
Assisted with the day-to-day operations of benefit programs
Ensured accurate benefit payment were made on claims
Remained compliant with contract provisions and state mandates
Communicated with providers of health care to obtain medical histories for
accurate claim processing
Education & Licenses
Milwaukee Area Technical College - Milwaukee, WI
4. A.A.S. Culinary Arts 2015
Kaplan Financial Milwaukee, WI
State of Wisconsin Health License 2005
State of Wisconsin Food Manager License 2016
ServSafe Certification 2016