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Customer Service Medical

Location:
Texas, United States
Salary:
36,000.00
Posted:
April 23, 2012
Email:
ozfj70@r.postjobfree.com
Contact Info:
***********@*****.***


Tyronsaca Smotherman
Educated and trained professional in Medical insurance Billing and Coding
Primary 972*******
ozfj70@r.postjobfree.com

*** ********** **
Mesquite, Texas 75150

PROFESSIONAL EXPERIENCE
Fairfield Inn and Suites by
Marriott 11/12-Present
http://www.marriott.com
Front Desk Clerk
•Verify customer credit and establish how the customer will pay for the accommodation
•Compute bills, collect payments, and make change for guest.
•Perform bookkeeping activities, such as balancing accounts and conducting nightly audits.
•Record guest comments or complaints, referring customers.
•Make and confirm reservations.

Argus Services Corporation, Dallas Texas 07/09-10/11
http:www.argusservices.net
Intake Specialist
•Operate Case Director to Input EOB’s and Medical Reports
•Input Medical Notes, CPT and ICD9 codes into Bedrock System and Preauthorization System.
•Call to Claimants to check the status of their injuries and to complete Employee Survey.
•Input Peer Review information into Case Tracking.
•Scan, Copy and Fax medical documents when needed by Physicians or Case Managers.

Wal-Mart, Crockett, Texas 04/07-06/09
http://www.walmart.com
Customer Service Representatives
•Confer with customers by telephone or in person in order to provide information about products and services, to take orders or cancel accounts, or to obtain details of complaints.
•Keep records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.
•Resolve customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, and adjusting bills.
•Check to ensure that appropriate changes were made to resolve customers' problems.
•Contact customers to respond to inquiries or to notify them of claim investigation results and any planned adjustments.

Nancy's Income Tax Services, Crockett, Texas 01/02 - 01/08
Receptionist
Operate telephone switchboard to answer, screen and forward calls, providing information, taking messages and scheduling appointments.
Receive payment and record receipts for services.
•Perform administrative support tasks such as proofreading, transcribing handwritten information, and operating calculators or computers to work with pay records, invoices, balance sheets and other documents.
•Greet persons entering establishment, determine nature and purpose of visit, and direct or escort them to specific destinations.
Hear and resolve complaints from customers and public.

EXTERNSHIP
Affordable Chiropractic, Mesquite, TX 03/09 - 04/18
http://www.drleedc.com/
Medical Biller and Coder (Externship)
•Interview patients to obtain medical information and measure their vital signs, weight, and height.
•Show patients to examination rooms and prepare them for the physician.
•Record patients' medical history, vital statistics and information such as test results in medical records.
•Explain treatment procedures, medications, diets and physicians' instructions to patients.
•Help physicians examine and treat patients, handing them instruments and materials.
•Prepare treatment rooms for patient examinations, keeping the rooms neat and clean.

Medical Edge Healthcare Group, Dallas, TX 04/09 - 05/09
http://www.med-edge.com/
Insurance Verification and Claims (Externship)
•Review and verify data, such as age, name, address, and principal sum and value of property on insurance applications and policies.
•Organize and work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or cancelled.
•Correspond with insured or agent to obtain information or inform them account status or changes.
•Transcribe data to worksheets and enter data into computer for use in preparing documents and adjusting accounts.
•Calculate premiums, refunds, commissions, adjustments, and new reserve requirements, using insurance rate standards.

RELEVANT COURSEWORK
Medical Billing and Coding
•Medical Terminology/Body
•Customer Service/Compliance
•Knowledge EDI/Electronic Claims

•Identify Insurance Plans (Medicare, PPO, HMO)
•Patient Scheduling
•Patient Referrals/Authorizations

•Intellicode Programs
•Filing CMS 1500 (paper) Claims
•EOB'S/Posting/Follow Up

•Medisoft
•CPT Coding/E/M
•ICD-9-CM/HCPC Coding

•10 Key
•Posting Charges/Payments
MS Word/Excel

•Medical Transcription
•Medical Law Ethics
•HIPAA

EDUCATION

Everest College, Dallas, Texas
Medical insurance Billing and Coding; 2009

Indiana Business College, Online
Human Resource; 48 hours completed

Kennard High School, Kennard, Texas
Graduate; 2000