Customer Service Medical Records

CG

CHRISTOPHER GENTRY

ad5sl7@r.postjobfree.com 346-***-**** Houston, TX 77071

Documentation review

Negotiation

Databases

IVR

Analysis skills

Presentation skills

Tape Library - Exxon Mobile

Communication skills

EMR Systems

Hospital Experience

CPT Coding

Laboratory Experience

Medical Billing

Navigating

Multitasking

Facets

EMR

Spreadsheets

Chrome

Google Sheets

PowerPoint

Excel

Edge

Windows

Teams

Zoom

Scanning Medical Records

EHR System

Prior Authorizations

Outreach calls

Schedule Adherence

Can-do Attitude

Assertive

Professionalism

Adaptability

Dependable

Integrity

Time Management Skills

Surpass Customer Expectations

Exceptional Customer Service Skills

Appeals Claims

Greviances Claims

Hippa Guidelines Training

Familiarity With Metrics

Case Management

Case Coordinators

Escalations Calls

Rx Claims

Maestro

Maces

Icue

IVR System

Queue System

Members Benefits

Prescriptions Slots

Refills

Clinical Appointments

Providers Calls

CMS Portals System

Eligibility Healthcare

Immunizations

Vaccines

Mobile Team Nurses

TB Control

Clinics

Epidemiology

COBs

Knowledge Central

Sops

Enrollment

Re-enrollment

Recertification

Healthcare Fraud

Document Imaging services

Pharmacy Calls for Flag Accounts

Fast Pace Environment Skills

Providers Look Up for Members

Medicare

Medicaid

Summary

Skills

Experience

Uhg Minneapolis, MN

Medicare Customer Advocate

02/2022 - Current

As a Medicare Customer Representative provider facilitated Outbound & Inbound calls with exceptional customer service rapport serving the following States Arizona, Louisiana, Kansas, Mississippi, Texas, Washington, New Jersey, Wisconsin & New York

Responded to and Resolved inquires by identifying the topic & type of assistance Health Care benefits available to them like enroll in new plan with Traditional Medicaid including Health Care Benefits for members & handling various call types with Billing, Claims, Prior Authorizations, Outreach calls to Providers Offices, Vision well care, Dental Coverage, Pharmacy, Clinic facility, OptumRx Claims to remove a Flag for members to get there Prescriptions at there Pharmacy for Medicaid members Using databases like Icue to view Prior Authorizations for members Familiarity with CMS, COB Claims denials, Appeals & Grievances processing, rules, regulations requirements

Familiarity working from Queue assisting members

Assist members with navigating website.

Humana Louisville, KY

Enrollment Representative I

03/2023 - 10/2023

CMS Portal responsible for Medicare enrollment, Re-enrollment, processing applications, determining eligibility, knowledge of CPT codes, Mentor system Hogmod system, ID Cards, Benefits, Medicare plans ABCD, IVR system, TRS, TRR, CRM, ALS .

Parrollon Houston HCA Healthcare

Houston, TX

Document Imaging Technician

01/2019 - 03/2020

Revise work Queue at the beginning of the day to identify batches to process for Assigned practices and continues to monitor throughout the day for incoming batches

Assess & evaluate medical records documentation to ensure all physician documentation is completed in compliance with established guidelines and uploaded to the correct patients medical records in a timely and accurate manner.

Oakbend Medical Center Houston, TX

Food Nutrition Assistant

07/2016 - 12/2017

Delivery of Nutritionals meals to Patients, Staffing, other duties assigned, interact with Patients while there to further assistance Interact with Staff, Patients, Providers, and Hospital Administrators, Staff Celebration for Mothers, Family, Newborns, Answering incoming calls through IVR Phone Services System from Patients for Diet Nutrition meals & ICU care units .

Houston Community College System

(HCCS) Houston, TX

Financial Aid Assistant

10/2016 - 11/2017

Research Students Government Financial Aid Document's, and Downloaded Government Documents into Laserfiche file folders for completion, Answer Students Inquiries through call center systems, assist students with refunds, and students parent & W2s forms . U.S. Department of Health & Human

Services Houston, TX

Community Liaisons

07/2010 - 09/2010

Instructed education session on available Social Service Resource Topics to the public

Conducted & Documented Outreach activities regarding population affected by Hurricane Ike, Perform site visitations & surveys Research, evaluated, reviewed, & maintain information referral guide, Assist with other duties .

Deloitte & Touche Houston, TX

Proofreader/Editor

03/2010 - 05/2010

Editing Sensitive Correspondence Documents

Department of Health and Human Services

Houston, TX

Health Program Specialist

Conducted & Documented Outreach activities to evaluated Immunization needs in assigned areas

Disperse Vaccines to Private Doctors, TB Control, Mobile Team Nurses, 08/1995 - 09/1997 All City Health Clinics, Walgreens locations, Specials site Clinics, prepared monthly Immunization reports for CDC, Vital Statistics reports

& Region field reports, Coordinated Childhood & Adults Inoculations Records to the Public, Prepared Medical Records Downloaded into database, Provided instructional training session with Programs, TB Vaccine Control, Epidemiology, Immunizations, Medical Support Training, Assist with other duties .

Health & Human Services Department

Houston, TX

Senior Clerk Clinical

02/1990 - 03/1994

Process Immunizations Records, Assist with Mobile Team Nurses while giving inoculations to public, Shot record reading, Vaccines Dispensary to Private Doctors, Nurses, TB Control, Clinics, Epidemiology, Data entry medical records, special clinics as needed, reports, vital statistics, field reports, regulations to ensure safety health, vehicle maintenance, Answering health care calls, ordering supplies, scanning, medical records filing, faxing documents, CDC correspondence, seminars, Immunizations Records training, Assist with other duties . Paul Quinn College Houston, TX

Some College in Biochemistry

08/1984

BLS Certification

Education and Training

Certifications

Contact this candidate