1. Sabina Selby
934 W. Somerset St, Philadelphia, PA 19133
Cell (267)441-3464 Home (215) 227-8379
sabinaselby@yahoo.com
PROFESSIONAL SUMMARY
Over 10 years of customer service experience in call centers. Have a passion for patient and customer-centered care. I have
medical office experience and knowledge of third party insurancecoverage. 5 years of claims experience and also proficient on
different computer applications and systems. Organized and detailed driven and work well independently as well as part of a
cohesive team.
PROFESSIONAL EXPERIENCE
Unique Advantage Staffing
Penn Operator 11/2015-current
 Collecting demographics. Overhead paging Doctors and other departments daily
 Point of contact for Stats calls and emergency procedures (Fire and Disaster, etc.)
 Connecting callers through medical database
Devon Health Services, King of Prussia, PA 09/2013-11/2015
Customer Service Representative
 Handled large call volume. Held responsible for 90% of Devon Health Care claims being reviewed, adjudicated and
sent to insurance companies for payment daily
 Was the point of contact for members, participating physicians, hospitals, and/or ancillary facilities. I was promoted to
lead customer service representativewithin a nine month period
 Analyzing documents and information, data entry, record keeping, ensuring timely and accurate completion of
assignments within operations and thenegotiation departments
 Provided feedback to management regarding any trends, significant caller complaints, or ongoing issues that need to be
escalated
Devon Health Services, King of Prussia, PA 03/2012-10/2012
Claims Repricer
 Reviewed and adjudicated at least 100 claims daily in accordance with claim processing guidelines
 Held responsible for transferring and archiving contracted documents
Carney Group, Horsham, PA 09/2011-01/2012
Customer Service Representative(Contractor)
 Answered 150 calls or more daily. Reactivated, canceled and changed AARP Medicare Supplemental Plans
 Supplied general service information, sold a minimum of 15 memberships daily
Randstad Staffing, Wayne, PA 11/2010 – 01/2011
Enrollment Specialist (Contractor)
 Received Accident & Health Insurance License in PA, FL
 Enrolled a minimum of 50 or more Anthem and Empire members into their Medicare Advantage Plans daily
Aetna Behavioral Health, King of Prussia, PA 02/2007 – 03/2008
Member Services Assistant
 Assisted Aetnamembers with claims, benefits, and research of information
 Explained to members their specific plan of benefits. Point of contact for crisis calls
 Set up behavioral health cases in E-tums and transferred cases and calls to Case Managers
Rose International, Chesterfield, MO 10/2006 - 02/2007
Member Services (Contractor – Aetna, Blue Bell, PA)
 Provided customer service in Aetna’s Employee Self Service department
 Walked members through their benefit enrollment and processed payments for collections
EDUCATION

2. University of Phoenix BSB/M-current
CAPE School, Blue Bell PA Accident & Health Insurance License
Center of Innovative Training, Philadelphia, PA Secretarial Science