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Quality Assurance High School

Location:
Chambersburg, PA
Posted:
August 09, 2013

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Resume:

Judith L Cates (Judy)

*** ****** ***

Greeencastle, PA 17225

Phone # 814-***-****

Email: **********@*****.***

EXPERIENCE

The Peer Group, Johnstown, PA (out of business)

Clerical

December 2003 – September 2006

• Scheduled pharmaceutical conferences by phone with physician’s offices.

• Data Entry

• Typing speed of 50wpm

UPMC MRI Center, Somerset St., Johnstown, PA (location changed to Conemaugh Health

System)

Front Desk Receptionist

October 2000- January 2002

# 800-***-****

• Greet patients, visitors, and physicians

• Use of HBOC System, Microsoft Office, Fax Machine

• Registration of all outpatients

• Schedule patient examinations; inpatient and outpatient

• Answers, screens, routes phone calls.

• Working knowledge of insurance, Medicare, Medicaid, Commercial and Work

Comp.

• Obtain prior medical records

• Send referring reports to physician’s office

• Prepare all medical forms associated with the patients’ exam

• File all necessary films, and reports

Management Financial Services/NCO Financial Services, Johnstown, PA

April 1995- February 2000

Patient Account Rep/Training Coordinator

(Letter of Recommendation available)

• Train incoming employees to the duties of a patient account representative

• Insurance follow up on hospital claims. (UB’s)

• Security operations of building

• Maintain updated client specifics trend training errors to work towards improving

work quality

• Ability to read explanation of benefits, write up adjustments.

• Spool/Build reports from system

• Update demographics

• Provide ongoing training in areas identified through audits

• Run collector activities and review work of all new employees to insure quality

• MS Office Applications, Excel

• Typing speed of 50wpm

Emergency Physicians Billing Service (INTERMEDIX), 3303 South Meridian, Oklahoma

City, Ok

Quality Assurance-Patient Account Representative

August 1989- June 1994

#405-***-****

• Process all incoming call from the call management system

• Update HCFA Demographics, requests for HCFA’s

• Capable of reading accounts and effectively communicating transactions to callers.

• An understanding of billing codes, billing cycles, payment denial postings

• Understand how the policy of the physicians group, state laws and company policy

will affect the response to a caller’s request

• Write charge, service, and billing complaints

• Write discount requests, professional and financial hardships

• Set up requests for payment arrangements

• 80-100 calls per day

• Microsoft Word

• Relief switchboard

Quality Assurance: To ensure all Patient Account Representatives are consistently

using the information available to them. Correct HCFA’s for errors in

demographics

Manufacturers Hanover Finance Corporation, Johnstown, PA

(Out of business)

Front Desk Receptionist

June 1976- November 1980

• Code loan papers into computer system for printout of legal loan documents

• Open and close cashier drawer

• Balance cash drawer at the end of each day, and complete bank deposits

• Pay monthly office bills from computer system

• Contact past due customers 30-90 day delinquent accounts

• Complete loan application for customers applying for a loanContact customers

creditors

• Contact credit bureau for credit reports

Computer Skills: Microsoft Office, Wyse Terminal, Packard Bell PC, Excel

Seminar: Report Building, NCO Financial Services, Philadelphia, PA

EDUCATION

CONEMAUGH VALLEY HIGH SCHOOL, JOHNSTOWN, PA

** Graduated 1975

1997-1998 PENN HIGHLANDS COMMUNITY COLLEGE, JOHNSTOWN, PA

LETTERS OF RECOMMENDATION AVAILABLE



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