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Customer Service Representative

Location:
Boston, MA
Posted:
February 08, 2016

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Resume:

Charles Gilcrest II

** ********* **. **********, ** 02124

actf4t@r.postjobfree.com

857-***-**** / 617-***-****

Summary:

Extensive knowledge of standard office filing systems, clerical procedures including correspondence control, record keeping, and ability to operate office machinery and equipment. Knowledge of Microsoft Word, Excel and Outlook. Basic Spanish skills.

Experience:

Medical Office Coordinator, Dermatology Associates Brighton, MA

9/2015 to Present

Answer phones in a courteous and quick fashion.

Manage patient appointment scheduling and rescheduling for new and established patients.

Update patient information including demographics, contact information, health insurance changes.

Verify patient eligibility for treatment with insurance companies.

Check patients in upon arrival and pull charts for physicians. Print out encounter forms and daily appointment list.

Check fax machine for all incoming medical information.

Collect co-payments in cash, credit card, and check form.

Process all referrals into computer.

Social Security Administrator, Healthcare Financial Inc. Boston, MA

12/2013 to 9/2015

Performed all data entry of Social Security referrals including entering and updating demographics and application info into databases.

Entered data from documents into computer following format displayed on screen, and entered necessary codes.

Prepared and sorted documents. Identified and interpreted data to be entered.

Updated contact log with any work performed on specific cases to keep cases current with all contact and outreach activities.

Worked with Social Security office to schedule appointments based on information provided; informed patients of appointment times and answers their questions.

Customized release forms on a pre-claimant basis.

Prepared, collated and dispatched mailings based on specific needs, processed mailings and release forms returned from patients, routine paperwork according to company guidelines.

Contacted patients to follow up on specific cases to encourage applicants to return appropriate paperwork for continued processing.

Assisted in the retrieval of medical records from provider.

Contacted Social Security offices to request information about initial application processing activity.

Responsible for data entry of social worker referrals including entering and updating demographic and application information into databases.

Researched information on MAP’s, EVS, Virtual Gateway or SSA online tools to determine eligibility and identify proper coding statuses accordingly.

Researched and collected paperwork required to show as evidence to support approval notifications as required by specific clients.

Temp Positions, Office Team/All-Star Staffing Greater Boston, MA

6/2013 to 12/2013

Telecommunications, Network Health

Answered all incoming calls and directed to appropriate person.

Updated health insurance, primary doctor and demographics.

Point person for inquiries regarding health insurance benefits, providers, and other insurance related questions.

Assisted callers with finding or changing primary care physician.

Registrar, Park Plaza Hotel

Registered guests staying at hotel, greeting each visitor courteously and professionally.

Recorded guest information, dietary preferences, and religious needs in guest management system.

Collected payments from guests.

Warehouse Laborer, Recycling Printing Co.

Shipped and received incoming and outgoing packages.

Weighed contents of packages and inventory.

Ensured proper and secure packaging for all items.

Patient Access Specialist, Dana Farber Cancer Institute Boston, MA

4/2008 to 1/2013

Preregisted new patients via phone. Collected and accurately documented patient demographic, financial, and other relevant personal information into the hospital information system.

Verified insurance eligibility and benefits using automated eligibility systems, payer websites, or contacted the insurance carriers during pre-registration.

Ensured patient receipt of privacy policy and consent to treatment forms; Verified patient identification; Copied insurance cards; Escalated patients as required to Financial Counselors.

Documented daily activities in a timely, thorough and accurate manner into the hospital information system.

Temp Positions, Various Staffing Agencies Greater Boston, MA

11/2006 to 12/2007

Billing Specialist, MIT

Processed health insurance claims for employees and their family members.

Followed-up for payments and updated health insurance as needed.

Maintained and updated regulations for insurance claims & files.

Submitted claims to foreign insurance companies as required.

Customer Service Representative, Neighborhood Health Plan

Responsible for client enrollment and updates.

Help clients find primary doctors and specialist.

Customer Service Representative, Boston Coach

Responsible for scheduled pick-ups and drop-off’s of limousine services.

Responsible for international services.

Education:

Telecom Coordinator, Skin Care Physicians Chestnut Hill, MA

01/2002 to 04/2006

Covered all incoming calls and properly assessed, transferred and assisted all patients and vendors with inquiries.

Retrieved all phone and mail messages, documents calls.

Took payments from patients, enter charges and procedures in Centricity.

Brookline High School Brookline, MA

High School Diploma



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