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Customer Service Medical

Location:
Stockbridge, GA
Posted:
October 31, 2012

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Resume:

Shameka Pouncy

Email: abpari@r.postjobfree.com

Address:

City: Stockbridge

State: GA

Zip: 30281

Country: USA

Phone: 678-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Objective To obtain a clerical position in the medical field that will allow me to provide excellent service with respect and accountability.

Educational Background:

High School Dipolma from Clayton College & State University, Morrow GA 1/2001 to 6/2003 (Medical Coding)

Job History / Details:

Professional Summary

Objective To obtain a clerical position in the medical field that will allow me to provide excellent service with respect and accountability.

Experience

January 2006 to Current

Children's Healthcare of Atlanta Atlanta, GA

Insurance/Precert Coordinator

Coordinates and performs verification of insurance benefits by contacting provider and determining eligibility of coverage.

Obtains authorizations for high dollar radiology procedures by providing coding and clinical information to the insurance companies.

Obtains accurate and complete demographic, insurance, and payer information from customers to perform pre registration on all assigned accounts.

Maintains tracking of patients on schedule, ensuring that eligibility and authorization information has been entered into data entry systems.

Meets weekly production numbers for insurance verification and pre registration.

Follows up on problem accounts via telephone or email, documenting each encounter.

Informs patients of any discrepancies on current insurance policies such as terminations, non coverage for certain procedures, or non network provider information.

Exemplifies excellent customer service while communicating with patients, physician offices, and internal customers.

Collaborate with other professionals to evaluate patients medical or physical condition and to assess client needs.

2006 to 2007

Children's Healthcare of Atlanta Atlanta, GA

Senior Access Specialist

Answers telephone, greets patients and visitors, and proactively assist with waiting room management.

Performs multi-task administrative duties to ensure efficient daily business operations including ordering and restocking front office supplies and receiving and distributing mail.

Acts as liaison between patients, waiting room management, and department staff by informing patients and families of procedures or delays, answering question, offering assistance and other services needed.

Posts, reconciles, and balances charges for the department.

Interviews and register patients by obtaining precise and accurate demographic financial data to complete the scheduling and registration process in a timely and efficient manner.

Initiates and execute daily medical record maintenance while maintaining patient confidentiality, including creating patient charts, filing encounters specific paperwork.

Provides release of medical information as required.

2004 to 2006

Federal Occupational Health Atlanta, GA

Medical Records Technician

Maintained Pre-Placement and Incumbent medical exams consisting of over 500 monthly.

Performed quality assurance checks on all medical exams prior to their data entry.

Performed medical billing in a Merits database.

Transcribed medical documentation from Pre-Placement and Incumbent medical exams.

Collaborated with physicians for documentation requirements.

Filed/pulled medical records following proper numerical guidelines.

Performed general clerical duties such as scanning documents, copying, faxing, and providing customer service to internal and external clients.

2003 to 2004

Washington Mutual Riverdale, GA

Teller II

Performed general banking functions for customers by processing deposits and withdrawals at the customer requests.

Continually safeguarded bank's cash by following security guidelines administered by management.

Balanced the teller window daily within bank guidelines following bank policies.

Assisted in the development of new business for the bank.

Made unsolicited suggestions to customers for new and existing services.

January 2001 to January 2002

Arrowhead Chiropractic Atlanta, GA

Chiropractic Assistant

Greeted and instructed patients with sign in process.

Verified insurance benefits as well as explaining coverage to patients.

Scheduled patients for appointments, allowing physician enough time to treat patients equally.

Filed memos, letters, x-rays, medical charts, and contracts.

Created and dispersed marketing correspondences.

Education

2004 Clayton College & State University,

Medical Coding

Georgia Medical Institute

Medical Office Assistant



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