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Customer Service Medical

Location:
Clovis, CA, 93612
Salary:
open
Posted:
May 23, 2013

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Resume:

LILIANA APARICIO

*** *. ********** ***. #**** Clovis, CA. 93612 559-***-**** abv1eo@r.postjobfree.com

OBJECTIVE

To obtain a full time position in a professional environment in which I can utilize my past work experience and knowledge to contribute stellar customer support, along with advanced communication and problem solving skills toward optimizing the goals of a progressive employer.

SKILLS PROFILE

- Strong customer service and multi-tasking skills

- Excellent organizational skills with attention to detail

- Self motivated & responsible

- Efficient and effective in getting a job/task done

- Superior capacity of understanding new concepts and applying them correctly

- Proficient in MS Word, MS Excel, MS Power Point, QuickBooks, Brightree, and Cortex billing software

- 65-70 WPM

- Knowledgeable in all aspects of durable medical equipment

- Knowledge of medical and dental terminology, diagnoses, and ICD 9 billing codes

- Fluently bilingual in English and Spanish

EMPLOYMENT HISTORY

1st Choice Medical June 2012 May 2013

Office Coordinator/Biller (Fresno, CA.)

- Answered multi line phones and directed calls to appropriate correspondents for a Durable Medical Equipment company.

- Verified insurance eligibility and benefits to determine the patient’s qualifications for the medical equipment being requested.

- Input patient’s demographic information into system to schedule the delivery of their medical equipment and prepared files to forward to billing.

- Had to keep current knowledge of rules and regulations about medical insurances and billing procedures.

- Maintained coordination of patient billing, insurance claims forms (1500 claim forms), payment follow-ups, and appeals.

- Worked all medical reviews and denials, mainly from Medicare & Medi-Cal, provided them with all of the requested documentation and wrote cover letters to explain our reasoning to appeal their decisions of non-payment or for recouped payments, to ensure that the business was lawfully receiving payments for the majority of our claims.

- Maintained close and pleasant relationships with various inner office staff from hospitals, doctor’s offices, rehab facilities, convalescent homes, etc. in order to ensure that they continued using our company for their medical equipment needs.

- Wrote written requests and/or placed verbal requests to facilities to obtain required medical documentation for our patients.

- Wrote out scripts/RXs for physicians and forwarded to have them signed for approval of their orders.

- Maintained a clean working space and coordinated most of the filing throughout the office.

- On occasion, greeted customers on the store floor and helped with our retail sales, received payments, returned change, printed receipts, etc. Also made collection calls to private paying patients when necessary.

Deegan’s Appliance Repair January 2007 May 2012

Inventory Manager/Dispatcher/ Assistant office manager (Fresno, CA.)

- Managed all incoming and outgoing inventory, determined part numbers, placed orders for all needed parts, completed all parts returns, checked in all incoming parts and distributed accordingly, as well as provided payment to our distributors when needed.

- Provided professional customer support to all of our clients, answered all phone calls and attended to their repair needs, scheduled appointments, and input all necessary information into system to create invoices.

- Created private billing statements and forwarded to customers, also billed all major manufacturers and home warranties for warranted items and repairs.

- Created routes with up to 10 service calls for up to 12 technicians based on geographical areas on a daily basis so that they may pick up and get on their way first thing in the morning, also provided them with directions and support via two way radios when needed.

- Maintained accurate records of accounts receivables and payables in QuickBooks and made all bank deposits.

- Purchased and kept up with all necessary office supplies to keep office running smoothly at all times.

Western Dental June 2007 January 2007

Receptionist/Credit Clerk (Fresno, CA.)

- Greeted all patients politely and professionally when checking them in for their appointments or scheduling future

appointments.

- Answered all incoming telephone calls and directed accordingly, made outbound calls to help fill in appointment books for at least 4 dentists by reminding patients of upcoming follow ups and procedures due for them.

- Verified insurance eligibility and benefits to determine coverage, if patient had to pay a portion of the services rendered, I would run credit checks and if qualified, I would help work out payment plans for individuals.

- Made weekly collection calls to individuals with past due balances and attempted to collect the amounts owed.

- Managed the cash deposits when on the closing shifts, had to verify all cash and check payments were accounted for and deposited into safe at the end of the work day.

- Prepared and created patient files for new and returning patients in a timely manner and placed in dentists bins to be called for treatment.

- Maintained organized filing of all patient files and office paperwork.

Deegan’s Appliance Repair July 2005 May 2006

Dispatcher (Fresno, CA.)

- Started with this company as soon as I turned 18, began doing the basic office and dispatch work such as data entry, filing, answering phones, aiding technicians with customer questions and issues, etc. I left the company only because business slowed down and my hours were cut down to part time, I needed a full time job at the time. A position was offered to me again at a later time and I returned and took on much more duties and responsibilities as evident above.

EDUCATION

Sunnyside High School

Graduated in 2005 (Fresno, CA.)

- Advanced placement Spanish course

- Honors English Course

- Computer skills training course

References and recommendation letters available upon request



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