Post Job Free

Resume

Sign in

Customer Service Representative

Location:
United States
Posted:
July 30, 2014

Contact this candidate

Resume:

Neveah Staten (***) ***-

****

**** ********* **, *** ****

ace6gj@r.postjobfree.com

Las Vegas, NV 89129

Experienced Certified Billing and Coding Specialist with the proven ability

to thrive in a multifunctional capacity. Eight combined years of experience

in the medical field has provided me knowledge in various healthcare

information systems, healthcare laws including: HIPAA, MEDICARE, MEDICAID,

and OSHA, as well as the ability to provide exceptional customer service.

EDUCATION

Certificate- Medical Billing and Coding

Kaplan College

February, 2014

High School Diploma

Cheyenne High School June,

2005

PROFESSIONAL PROFILE

Patient Collector

02/2014-Present

Pulmonary Associates

Las Vegas, NV

. Process new and existing patients insurance information into the

automated healthcare system to ensure accuracy and availability of the

data for future use

. Contact insurance companies via telephone and/or in writing to check

the status of new and existing claims as well as to verify new patient

information

. Compile and submit patient information to insurance companies for

payment to include information on prescriptions, sleep study details,

chart notes, compliance results, and any test results

. Bill insurance companies for services/equipment provided using HCFA

1500 Claim Forms

. Secure payment for the provider by processing appeals for denied

insurance claims in order to prevent bill excess being passed to the

patient

. Conduct in-person and/or telephonic consultations with patients

regarding their bills to include helping them understand balances,

deductibles, coinsurance, and out-of-pocket expenses as well as

collect payment for these amounts

. Educate the patient on their insurance coverage and Explanation of

Benefits and clarify any ambiguities

. Establish payment plans for the patients with delinquent accounts that

suit their financial abilities and needs as well as those of the

provider

. Manage patient payment plans by ensuring the appropriate amount is

charged against banking and/or credit card information supplied per

the agreed upon arrangement

. Maintain contact with patients to ensure they are going to send in

payment or that credit card or banking information on file has not

changed

. Analyze delinquent accounts and, at my own discretion, negotiate with

patients to return the equipment and write off the balance or give

them a discount when applicable

Neveah Rogers Page 2

Customer Service Representative

11/2006-12/2012

Medco Health Solutions

Las Vegas, NV

. Gather relevant information from members to assist them with getting

the maximum benefits from their prescription drug plan

. Verify insurance information to ensure accurate processing and

payment, including accepting co-payments and deductibles from members

. Assist members with determining and locating in-network retail

pharmacies so as to minimize their out-of-pocket costs

. Ensure member confidentiality by actively interpreting and applying

HIPAA regulations

. Effectively communicate prescription plan coverage and limitations to

members, and offer suggestions if or when needed

. Work closely with members during open enrollment to gather information

regarding prescription drug use and frequency to aid them in choosing

a prescription drug plan that aligns with their budget and medical

needs

. Use the automated Healthcare Information System, ESD, to refill member

orders and check the status of pending orders

. Inform members of medication prices and changes and changes in

coverage

. Refer members to outside resources, including Medicare, Medicaid, and

customer service for individual insurance plans, that may be able to

resolve any discrepancies that were not within my scope and range

Teller

12/2005-05/2006

Westar Credit Union

Las Vegas, NV

. Greet members and assist them in processing routine banking

transactions to include, withdrawing and depositing funds, checking

available balances, and completing transfers

. Provide members with information regarding account fees, changes, and

features

. Assist members with providing direct deposit information for their

employers

. Verify member identity prior to completing a transaction per Weststar

processes and procedures

. Maintain an average daily balance of $1,000.00 on the cash register

per Westar rules and regulations

. Deposit and withdraw funds from bank vault in order to maintain

compliance with drawer limits

TECHNOLOGY

ESD Optum Bright

Tree Microsoft Excel Microsoft Word

Microsoft Powerpoint



Contact this candidate