2785 10th Avenue North, #301 Cell: (561) 654-4900

Palm Springs, Florida 33461 Email: jamesfores@att.net or jf8273ac@westpost.net

James Fores page: 1

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Objective: To apply my customer service skills in a job that will enable me to g
ain experience, provide the service I am well qualified to do, as well as advanc
e in the administration field.
Qualification: Certified as a tax credit leasing agent, compliance in the fair h
ousing and customer service certified. Computer literate in Excel, Microsoft wor
d, Rent-Roll, Yardi, MRI, Data Entry, Clinix, Optika/Acorde, Starlink, StaffTrac
k, 10 key, Clerical skills, including the ability to handle multi-lined.

Education: 1984-1987 Dunkirk Senior High School, Dunkirk, New York

Professional 2010-2010 Cornerstone Group (Portofino Apartments), Palm Springs, F
L 33461
Experience: Professional Leasing Consultant
Greeting prospective residents informing them of rental and qualification criter
ias. Verify
employment verification, background and credit to meet qualifications. Provide t
our of
community, as well vacant apartments. Collect residents rent payments, renewal a
nd provide
excellent customer service. Data entry, inbound and outbound calls, marketing, c
lerical filing, and
customer service on a daily basis.
2008-2010 Apollo Information Services, Inc., Fort Myers, FL 33901
Provider Enrollment Credentialist
Enrolled all Emergency Department Practitioners that provided emergency services
to client
facilities with all applicable third party payers, as well populated and maintai
ned the practitioners
provider number tables in StaffTrack Data. Obtained the practitioners NPPES (Nat
ional Plan &
Provider Enumeration System) username and password to load provider numbers into
the
Practitioners NPPES accounts for insurance billing purposes. Contacted all insur
ance carriers for status
of practitioners enrollment application. Certain practitioners enrollment applic
ation with insurance
carriers were submitted via the insurance website (Medicaid-MO, BCBS-MI, BCBS-WI
, CAQH). I
tackled the 2259 System (Accounts Receivable) which housed posted outstanding co
llectable dollars.
Provided accurate information to the President of the company, Director of Billi
ng Operations and to the
Provider Enrollment Department regarding status of practitioners enrollment appl
ications with insurance
carriers, as well the dollar amounts collected from each insurance carriers. Cus
tomers service on a daily
basis.
2006-2008 Apollo Information Services, Inc., Fort Myers, FL 33901
Refund Representative
Looked over accounts that had credit balances to determined to whom the credit d
ollar amount
belonged to. Credit balance accounts required thorough research to determined if
patients insurance
coverage or patients were applied the refund. Research was required by pulling t
he insurance carriers
EOB (Explanation of Benefits) to determined if insurance carrier overpaid patien
ts accounts, patient
was covered at time of service, or overpayment was done in error by the insuranc
e carrier on patients
coverage. Researched was also done on every patient accounts to determined if ov
erpayment was done
in error by patients, or if payment was processed into patients account in error
by the Cash Receivable
Department. Inbound & outbound calls to/from insurance carriers and patients. Cu
stomer services on a
daily basis. (09/2007-02/2008: Provider Enrollment Task Force: Assisted the Prov
ider Enrollment
Department in obtaining all Emergency Department Practitioners, that provided em
ergency services,
credentialed with each insurance carriers up to date. Provided insurance carrier
s the practitioners
necessary credentials to process the enrollment application accurately and rapid
ly. Communicated
with the Director of Billing Operations of status with practitioners as well the
insurance carrier regarding
enrollment applications.)

2785 10th Avenue North, #301 Cell: (561) 654-4900

Palm Springs, Florida 33461 Email: jamesfores@att.net or jf8273ac@westpost.net

James Fores page: 2

________________________________________________________________________________
__________

Professional 2005-2006 Apollo Information Services, Inc., Fort Myers, FL 33901

Experience: Customer Service Representative
Answered incoming calls from patients, insurance carriers, hospitals, attorneys,
and collection
agencies regarding patients medical bills. File CMS-15 claims to the proper insu
rance carriers
for payment. Patients medical records were forwarded to attorneys, motor vehicle
insurance carriers and
workers compensation agencies when requested. Followed up on patient accounts wh
en under a
payment plan. Took credit card/check by phone payment and applied payments to th
e proper accounts.
Updated patients accounts with their insurance coverage plan and submitted the C
MS-15 claims to the
insurance carrier. Customer service on a daily basis.
2004-2005 TGM Associates (Gulfstream Isles Apartments). Fort Myers, FL 33907
Leasing Consultant
Greeting prospective residents informing them of rental and qualification criter
ias. Verify
employment verification, background and credit to meet qualifications. Provide t
our of
community, as well vacant apartments. Collect residents rent payments, renewal a
nd provide
excellent customer service. Data entry, inbound and outbound calls, marketing, c
lerical filing, and
customer service on a daily basis.
2001-2003 Wilson Company (Westchase Apartments), Fort Myers, FL 33901
Resident Representative
Greeting prospective residents informing them of rental and qualification criter
ias. Verify
employment verification, background and credit to meet qualifications. Provide t
our of
community, as well vacant apartments. Collect residents rent payments, renewal a
nd provide
excellent customer service. Data entry, inbound and outbound calls, marketing, c
lerical filing, and
customer service on a daily basis.

Languages: Fluent in English and Spanish

Military: 1990-1998 Graduate of the United State Army Reserves

Extracurricular Producer/Remixer
Activities:

Software Windows 95, 97, 98, XP & Vista, Microsoft word, PowerPoint, Excel, vari
ous faxes, scanners and
Knowledge: copiers

References: Available Upon Request