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Medical Customer Service

Location:
Kissimmee, FL
Posted:
May 12, 2016

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Resume:

JELISSA LEWIS

***** ****** **** *******, ** ***** 346-***-**** acuq62@r.postjobfree.com

PROFESSIONAL PROFILE

Customer-service oriented professional with strong understanding of importance of accurate claims processing. Maintains attention to detail needed to review and correct errors and maintain high levels of accuracy.

Actively participates as a member of a team to move toward the completion of goals.

Follows policies, procedures, and guidelines to ensure consistent quality.

Adapts to new challenges and ideas and able to develop rapport with diverse populations.

KEY QUALIFICATIONS

Medical Billing Medical Coding ICD-9-CM HCPCS CPT ICD-10-CM Medical Terminology

Electronic Health Records (EHR) Electronic Medical Records (EMR) Greenway

Managed Care (HMO, PPO, and POS) Government Payers Third Party Payers Worker’s Compensation

Centers for Medicare and Medicaid CMS 1500 CMS 1450 (UB-04) Tricare

EOBs Payment Posting Revenue Cycle Management Scheduling

Insurance Verification Insurance Billing Procedures Insurance Claim Processing

Practice Management Medical Office Procedures Anatomy & Physiology HIPAA Compliance

Co-Payments Deductibles Co-Insurance Superbills

Reimbursement Methodologies Fee Schedules Outpatient / Physician Inpatient / Facility

EDUCATION

Ultimate Medical Academy

Medical Billing and Coding Associate of Science Degree, 2014

Enhanced knowledge base included Research and Writing Skills, Analyzing and Solving Issues, Business Communications, Accounting for Managers, Biology, and Sociology.

Diploma – Medical Billing and Coding, 2014

Completed an intensive, accredited training program which included:

Analyze and code surgical procedures and diagnosis using ICD-9-CM and CPT codes.

Collaborate across collection/billing departments to ensure billing related issues are resolved

Verify insurance eligibility, and submit claims to various insurance companies electronically.

RELEVANT WORK EXPERIENCE

Walmart Vision Center Houston, TX 2015 – Present

Optician

Utilize computer to enter customer information and insurance data.

Schedule office appointments and verify insurance coverage.

Handle patient check in and check out, answer phones, and create copies.

Comply with HIPAA regulations and assist customers in choosing eyewear.

ADDITIONAL WORK EXPERIENCE

Dollar General Houston, TX 2014 – 2014

Key Holder / Customer Service Representative

Handled opening and closing procedures.

Greeted customers, assisted with purchases, and operated cash register.

Stayed aware of price of goods and stocked shelves.

Moody Gardens Senior Citizen Home Galveston, TX 2007 – 2008

Volunteer



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