Cynthia Ombogo
111 Willow Bend Dr
Apt 1D
Owings Mills Md 21117
443-985-1425
Cynthia.ombogo@carefirst.com
OBJECTIVE
To progress in an industry where I can utilize my knowledge in Health, Life and long term care in addition to attaining advanced experience and knowledge in the progressive medical coding industry.
PROFESSIONAL EXPERIENCE
Chesapeake Telephone Services (05/98-03/00)
Position: Customer Service Representative
Duties:
• Worked in call center taking calls for Doctor’s Hospitals, Nursing homes, Lawyers and Bail bonds and dispatching them appropriately.
• Also took catalogue orders and various calls for American Red Cross donations.
MCI WCOM (04/00-11/02)
Position: Customer Service Representative
Duties:
• Worked in call center assisting customers with telephone billing and service questions.
• Was involved in selling new products to both existing and new customers.
• Assisted in mentoring new associates.
Care first BlueCross BlueShield (01/03-Present)
Position: Customer Service Specialist/ Claims Adjuster.
Duties:
• Using my knowledge of products and contractual provisions that govern administration to determine the need for managed care initiatives, and to administer service to a client within the business segment through telephonic inquiries, written and electronic inquiries for claim adjustment and benefit information.
• Providing effective training, coaching and motivation for Level 1 associates.
• Administering service to clients as it relates to inquiries concerning pre-existing conditions, knowledge of policies, riders, coordinating benefits, benefit exclusions, administration of credit card payments, debit accounting and other enrollment and billing transactions.
• Examining claims to identify key elements and processing requirements based on diagnosis, provider, medical policy, contracts and policy procedures.
• Adjusting claims in accordance with standard policies and procedures to resolve over and underpayments.
• Identifying and reporting productivity data, customer service problematic issues, and system hindrances to aid in development of Customer Service improvement.
SKILLS
• Ability to consistently maintain a positive professional attitude and function as a team player.
• Ability to identify and solve problems quickly and under pressure.
• Strong initiative to take on additional responsibilities.
• Dedicated, dependable and self directed.
• I demonstrate a continuous effort to exceed performance expectations.
• Proficient in Microsoft Word, Excel and Power Point.
EDUCATION
• Alliance High School
High School Diploma
Graduated 1995
AAPC ( American Academy of Professional Coders)
o Medical Terminology (5th Edition) certification.
o Anatomy certification.
o CPC-A certification.
111 Willow Bend Dr
Apt 1D
Owings Mills Md 21117
443-985-1425
Cynthia.ombogo@carefirst.com
OBJECTIVE
To progress in an industry where I can utilize my knowledge in Health, Life and long term care in addition to attaining advanced experience and knowledge in the progressive medical coding industry.
PROFESSIONAL EXPERIENCE
Chesapeake Telephone Services (05/98-03/00)
Position: Customer Service Representative
Duties:
• Worked in call center taking calls for Doctor’s Hospitals, Nursing homes, Lawyers and Bail bonds and dispatching them appropriately.
• Also took catalogue orders and various calls for American Red Cross donations.
MCI WCOM (04/00-11/02)
Position: Customer Service Representative
Duties:
• Worked in call center assisting customers with telephone billing and service questions.
• Was involved in selling new products to both existing and new customers.
• Assisted in mentoring new associates.
Care first BlueCross BlueShield (01/03-Present)
Position: Customer Service Specialist/ Claims Adjuster.
Duties:
• Using my knowledge of products and contractual provisions that govern administration to determine the need for managed care initiatives, and to administer service to a client within the business segment through telephonic inquiries, written and electronic inquiries for claim adjustment and benefit information.
• Providing effective training, coaching and motivation for Level 1 associates.
• Administering service to clients as it relates to inquiries concerning pre-existing conditions, knowledge of policies, riders, coordinating benefits, benefit exclusions, administration of credit card payments, debit accounting and other enrollment and billing transactions.
• Examining claims to identify key elements and processing requirements based on diagnosis, provider, medical policy, contracts and policy procedures.
• Adjusting claims in accordance with standard policies and procedures to resolve over and underpayments.
• Identifying and reporting productivity data, customer service problematic issues, and system hindrances to aid in development of Customer Service improvement.
SKILLS
• Ability to consistently maintain a positive professional attitude and function as a team player.
• Ability to identify and solve problems quickly and under pressure.
• Strong initiative to take on additional responsibilities.
• Dedicated, dependable and self directed.
• I demonstrate a continuous effort to exceed performance expectations.
• Proficient in Microsoft Word, Excel and Power Point.
EDUCATION
• Alliance High School
High School Diploma
Graduated 1995
AAPC ( American Academy of Professional Coders)
o Medical Terminology (5th Edition) certification.
o Anatomy certification.
o CPC-A certification.
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