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Customer Service Medical

Location:
Richmond, VA
Posted:
February 04, 2014

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Resume:

Nichole Miles

*** **** **** * *

Petersburg VA, *3805

762-***-****

acchy8@r.postjobfree.com

Objective:

My goal is to obtain a challenging position within a company that can utilize my skills as an Administrative support

professional, where I can expand my knowledge and experience to assist in the continued improvement of the

organization.

Skills

Strong Verbal and Written skills Administrative support

Excellent Organizational Skills Time Management skills

Strong Interpersonal skills Ability to work individually or with a team

Multi-tasking skills Extensive Customer Service Training

Extensive Claims Training Knowledge of coding systems: CPT4, ICD10

Data Entry Skills Cash handling skills

Education

1995-1999 Carver High School- Columbus, GA - College Preparatory High School Diploma

2000-2001, KLA Medical Services, Columbus, GA - Medical Coding Certificate

2001-2001 Elizabeth Turner Cont. Ed program/ Columbus State University-Columbus, GA- Medical Coding Program

2002-2003, Chattahoochee Valley Community College- Phenix City, AL- A.A. General Studies

2012- Current Walden University online, Minneapolis, MN – B.S. Healthcare Management

Work Experience

*** Midtown Acute Care*** Columbus, GA

Medical Receptionist

March 2012 to April 2013

Worked in a fast paced Urgent care checking patients in and out using Primesuites Medical Software. Verified

insurance, updated patients’ demographics, collected co-pays for services being rendered, Handled cash, check and

credit card transactions. Posted payments to patients’ accounts. Scanned in medical records/data to patient charts.

Processed all Release of Information requests and maintained all medical record logs

*** Erika Trotter of Real Estate Investments*** Atlanta, GA

Administrative Assistant

February 2008 to February 2012

Greet and assist all visitors, potential buyers and renters accordingly. Answered telephones, took messages, distributed

incoming mail, created documents to include spread sheets. .Completed expense reports, and other necessary real

estate forms that were needed at time of closings and rental agreements. Answered inquiries regarding vacancies and

scheduled viewings for potential buyers and renters.

*** MJ’s Credit Repair and Tax Services Columbus, GA

Income Tax Preparer

October 2010- April 2011

Furnish tax payers with sufficient information and advice to ensure correct tax form completion. Prepare simple income

tax forms for individuals and small businesses. Educate tax payers on new tax laws and documents needed to file

correct tax returns

***Magellan Health Services- Alpharetta, GA

Customer Service Associate

November 2006 to January 2008

Using the As-400 software in a call center environment assisted mental health and substance abuse providers and

members with authorizations for services, information regarding member eligibility, EAP services, claim status and

Magellan’s program and procedures. Resolved customer’s administrative concerns through extensive research. Set up

outpatient authorizations for mental health and substance abuse services sought by member.

***Legacy Medical Center*** Atlanta, GA

Patient Account Representative

December 2004 to June 2006

Organized and collected patients account balances. Managed telephone calls from patients, insurance companies and

medical practices. Answered patient account inquiries, followed up on billing to make sure that payer-specific billing

requirements were met. Updated and managed assigned accounts in a timely manner. Maintained and complied with

audits

***Todays Staffing*** Atlanta, GA

Provider Inquiry Specialist

June 2003-December 2004

In a call center environment served as the initial contact for Georgia Medicaid and Peach care for kids providers and

staff. Provided callers with general program information and member specific information as requested. Verified

members eligibility, researched and adjudication claims for payment, set up referrals as needed. Assisted providers

with credentialing information and routed calls to the correct department.

***Blue Cross Blue Shield of GA***

Data Entry Specialist

October 2002 to March 2003

Verified HCFA 1500 and UB-92’s for accuracy using Blue cross’s software management system. Made necessary

corrections to claim forms so that they could be processed correctly. Utilized basic office skills, filing and mailing in state

and out of state claim forms and documents

*** Spherion Staffing ***

Bank Card Customer Service Representative

December 1999 to June 2000

In a call center environment answered incoming calls from Aspire Visa cardholders regarding their accounts balances.

Updated customers’ accounts with correct demographic information. Answered calls regarding account balances and

charges. Made corrections to customers’ accounts regarding incorrect charges.



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