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Customer Service High School

Location:
Virginia Beach, VA
Posted:
November 07, 2012

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Resume:

Brenda Smith, Resume

Email: abperi@r.postjobfree.com

Address:

City: Virginia Beach

State: VA

Zip: 23453

Country: USA

Phone: 757-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

To obtain a challenging position requiring strong interpersonal, managerial and organizational skills with a company where continued professional growth is possible. Excellent interpersonal and communication skills, patient, supportive and loyal team player. Over 10 years experience in Insurance Verification/Authorization and home infusion billing, handling phone inquiries, scheduling appointments,estimating daily charges.

Educational Background:

High School Dipolma from Parkland High School, State Of Pennsylvania PA 1/2001 to 6/1981 (business)

Job History / Details:

Professional Summary

To obtain a challenging position requiring strong interpersonal, managerial and organizational skills with a company where continued professional growth is possible. Excellent interpersonal and communication skills, patient, supportive and loyal team player. Over 10 years experience in Insurance Verification/Authorization and home infusion billing, handling phone inquiries, scheduling appointments,estimating daily charges.

Licenses

Notary Public

Skill Highlights

Extensive Home Infusion Insurance knowledge

Managed care contract knowledge

Electronic Medical Record (EMR) software

ICD-9

CPT and HCPCS coding

Interpreting instruction

Quality assessment of coded data

HIPAA compliance

Medical billing software

Strong work ethic

Strong attention to detail

Multi-tasking

Customer service

Office support (phones, faxing, filing)

Maintains strict confidentiality

Billing and collection procedures expert

Composed and professional demeanor

Resourceful and reliable worker

Professional Experience

January 2002 to Current

HomeChoice Partners, Inc VA

INSURANCE VERIFICATION/AUTHORIZATION SPECIALIST

Verification of new and readmitted patient's insurance to ensure proper coverage, request all necessary referrals and/or authorizations, calculate estimated daily therapy cost, obtain Medicare ABN forms when necessary.

Ensure all ongoing therapy authorization is obtained in a timely manner.

Communicate patient coverage and estimated therapy cost to individual branches and provide backup coverage for other branches.

Train new teammates in all aspects of Insurance verification, home infusion coding and authorizations.

Extensive knowledge of home infusion insurance, agency and hospital billing.

1999 to 2002

Gentiva Health Services Virginia Beach, VA

CLIENT CARE COORDINATOR

Coordinate Patient needs with appropriate skilled care giver.

Communicate with Patients and care givers on a daily basis.

Data entry of care giver payroll/visit billing, patient Plan of Treatment, Physician Orders, Oasis data, Employee information, wage transfers.

Tracking and mailing of Physician orders and Plans of Treatment.

Maintain and order nursing supplies.

PHARMACY DEPARTMENT: Staff Infusion Nursing.

Intake Infusion referrals.

Verify Pharmacy and Nursing insurance benefits and obtain authorizations.

Routing of accounts receivable and payable invoices.

Collection of past due accounts.

1993 to 1999

Dr. William R. Thesier Virginia Beach, VA

CHIROPRACTIC OFFICE/THERAPEUTIC ASSISTANT

Education and Training,

High School Graduate

10 years experience in Home Infusion Insurance coverage and billing



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