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Customer Service Medical

Location:
Houston, TX, 77044
Salary:
18.00 hour
Posted:
October 09, 2015

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Resume:

NICOLE ALFARO

**** ******* *** #***

Pasadena TX 77504

346-***-****

MEDICAL ASSISTANT

MA with experience in a multi-physician family medical practice and additional healthcare experience as an RPT. Known for dedication to providing premium patient care. Skills include:

Medical Office Management

Medical Billing & Coding

Medical Records Management

Data Entry (65 WPM)

Bookkeeping & Filing

Taking Patient Vitals

Blood Draws

Injections

Patient Scheduling

Ancillary Testing

Patient Education

HIPAA & JCAHO Knowledge

Education

Medical Assistant (MA), Occupational Title

Ultrasound Diagnostic School, September 2002 - June 2003

General Education Diploma, North Harris College - Houston, TX, 2001

Professional Experience

Internet Medical Clinic, Dr. Robert Zayas - Kingwood, TX

Medical Assistant, June 2003 - September 2003

Served as a key member of the interdisciplinary healthcare team for a busy family medical practice. Additionally, I assisted the doctor as well as Physician Assistant and Registered Nurse team in ensuring optimal patient care and smooth daily functioning of office. Key Results:

•Consistently praised for efficient handling of administrative duties (e.g., answering phones, scheduling appointments, maintaining medical records, patient processing, billing and bookkeeping) that allowed

doctors and nursing staff to focus on the health concerns of their patients.

•Demonstrated proficiency in taking patient medical histories and vital signs, as well as in performing venipunctures, injections and various diagnostic procedures and ancillary tests (e.g., EKGs, immunoassays, chemistry analysis, hematology, urinalysis and sigmoidoscopies).

•Ensured the cleanliness, sanitation and maintenance of all facilities, exam rooms and equipment.

•Helped implement practice’s quality assurance and control program. Efforts ensured compliance with HIPAA, CLIA and OSHA regulations; improved patient care/satisfaction.

•Reacted calmly and effectively in emergency situations, and added the personal, caring touch that immediately put patients at ease.

Asurion Insurance Company

Asurion, which is located in Houston Texas, is a company organized for the sole purpose of providing insurance to cellular telephones. During my tenure with the company, I was employed as a Customer Service Representative between August 2007 and January 2009.

As a Customer Service Representative I was responsilbe for the Following Task:

•Process financial responsibility of incoming calls to the Call Center.

•Handled customer insurance claims on variant accounts.

•Processed claims for lost, stolen, damaged, or malfunctioning cellular telephones.

•Provided world class customer service for international clients.

•Processed payment information, which involved variant aspects of financial verification.

Coventry HealthCare

Coventry is a Medicare replacement company located at 14955 Heathrow Forest Parkway, Houston TX 77032.

The organization provided health insurance to those individuals who qualified for Medicare. During my tenure with Coventry Healthcare, I was employed as a Customer Communications Specialist between the dates of February 2009, and March of 2011. As a Customer Communications Specialist, I was responsible for the following tasks:

•Verification of patient eligibility and benefit for Medicare.

•Provided Pre-authorization and Referals.

•Provided patient claim status.

•Provided remittance advice summaries.

•Provided reasons of claim denials and incorrect billing per Medicare guidelines.

UT Physicians

Received hands on training from May 9th 2011 thru May 16th 2011 for the following Front Desk and Medical Assisting duties including the following tasks:

•Managed Care / Coding Basics

•Flowcast Registration

•Flowcast Scheduling

•Flowcast Eligibility an Referrals

•Flowcast TES Check Out an Work File

•Allscripts

Body Works

Body Works was a Chiropractic office located in Pearland TX. I was an Office Manager at the Front Desk from March of 2011 to September 2011. As an Office Manager at the Front Desk I was responsible for the following tasks:

•Check-in/Out patients.

•Responsible for patient flow in office and patient triage.

•Responsible for appointment book. Advance multiple scheduling.

•Operating an hooking-up patients on Traction table with muscle stems.

•Doing X-rays and MyoVision scans.

•Opening an closing clinic.

•Answering phones and greeting patients.

•Collecting an explaing financial agreements for patients.

•Referrals and authorizations for services.

•Verify insurance an coverage.

•Billing electronic an paper claims.

•Balancing day sheet and posting all cash intake.

•Deposits.

•Payroll.

•Responsible for all cash intake.

•Managment of all employees including hiring, write-ups, and terminations.

Getix Health

Getix Health is a medical billing company for Hospitals in California which handles patient accounts. Located at 9800 Centre Parkway, Suite#1100 Houston TX 77036. I am currently a Lead that has been with toe company since October 2010 that handles the following tasks:

• Provide one-on-one coaching sessions to team members who are not meeting company expectations. This includes, but is not limited to 3 sessions for each team member following account audit reviews that fall below company expectations.

• Ensure all team members achieve customer and client satisfaction standards.

• Monitor all team members including automated dialing phone system, i.e., phone queue, call transfers.

• Ensure all team members achieve company production goals.

• Demonstrate the ability to cover call center hours as pertaining to client needs. Possibility of call center hours may vary and reasons may include: High call volume, office closures due to inclement weather and/or all other client needs.

• Assist team members with the utilizations of all systems including: hospital host systems, Cubs, InContact, and all other phone systems

• The sending of support tickets and the assisting of team members experiencing technical issues

• Escalated call assistance; call backs to resolve account balances which meet client and customer satisfaction. These calls may need to be returned during same business day.

• Attendance that is acceptable by company standards. ‘Sr. Rep’ is considered a leadership position and policies regarding attendance must be met. Any attendance ‘write-ups’ may inhibit or prevent a ‘Sr. Rep’ from displaying leadership qualities needed in order to meet and/or exceed client and/or customer satisfaction.

• Must be able to pull all performance reports as needed and must display the ability to analyze and present data to all team members

• Communicate areas of improvement to trainer and all levels of management in order to meet and/or exceed company expectations.

• All other duties requested by, Supervisor, Manager or Director of Operation

Billing, coding, disputes, updating patients demographics, updating insurance, payment plans, payments, charity.

During my tenure with all instutions, I received outstanding evaluations due to my beyond and above timeliness in completing any and all tasks placed before me. I have been noted as a conscientious employee who expressed total dedication not only to these companies, but also to the patients. I always expressed a sincere sense of empathy in dealing with each and every patient, and consequently became a part of the solution, and not the problem.



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