Customer Service Medical
Resume:
Phoebe Smith
Compton, CA 90221
***.*********@*****.***
A challenging and responsible position where my medical billing knowledge, verbal and written communication skills would be utilized and employment that will provide opportunity to distinguish myself as a significant contributor to the success of the company.
Summary of Qualifications
• Excellent organizational and time management skills, detailed oriented with strong problem solving and research skills
• Ability to negotiate and deal with customers
• Medical Billing / Collections
• Ability to multitask and be flexible
• Possess a positive attitude and able to interact well with others
Skills
• HMO • Commercial • Managed Care • Third Party Billing • Customer Service
• ICD-9 • CPT Coding • Medical Term • Medicare Guidelines • EOBS
• MS Word • Excel • Medisoft • Dezine • Brightree
Experience
Work Source, Los Angeles, CA Aug 2012 – Dec 2012
Clerical Worker
• Responsible for answering phones, daily charts, filing and faxing
Metro Med Inc., Los Alamitos, CA July 2000 – Apr 2012
Medical Biller
• Electronically submitted daily claims, printed paper claims and patient invoices
• Ensured timely and accurate charge submission
• Completed appeals, posted patients payments and adjustments
• Thoroughly investigated past due invoices and minimized number of unpaid accounts
• Obtained Authorizations, Prescriptions and Medical records
• Confirmed patient information, collected co-pays and sent accounts to collections
• Remained up -to -date with all insurance requirements, including the details of patients financial responsibilities, fee-for-service and managed care plans
• Efficiently performed insurance verification and pre-certification
• Performed quality control of the data entry system to verify that claims and payments were posted correctly
• Examined diagnosis codes for accuracy, completeness and appropriateness according to services rendered
• Scheduled patient appointments for equipment pick- up and delivery
• Prepared and attached all required claims documentation including referrals treatment plans or other required correspondence to reduce incidence of denials
• Strictly followed all federal and state guidelines for release of information
• Printed monthly reports (account receivable, expiring authorization and patient eligibility)
Post Alarm Systems, Arcadia, CA July 1991– April 2001
Dispatcher
• Responsible for receiving and transmitting pure and reliable messages to police, fire, patrol, service and medical personnel
• Involved monitoring of residential and commercial buildings on a fully automated security system
• Answered disturbance calls, handled customers complaints, scheduled appointments for service personnel, patrol and installation department
• Notified customers of alarm activation and entered data into the computer system
• Printed daily reports and supervised dispatchers
Education
Larson Training Center, Santa Fe Springs, CA Mar 2013 – June 2013
MS Word, Excel, Medisoft, Cloud-based Apps, PowerPoint, Medicare, Medi-cal and Medical Terms
Certificate
Compton senior High School Sept 1975 – June 1977
Diploma
References available upon request
Contact this candidate