Customer Service Medical

Natali Negron Del Valle

[pic]

* ****** **., ***** ** 08638 Ph: 609-***-****

**************@*****.***

[pic]

OBJECTIVE

A rewarding position which will utilize my education and experience to

advance the goals of the firm and promote personal growth and professional

advancement.

EMPLOYMENT HISTORY

Patel Medical Group, Hamilton, New Jersey

Office Manager, 2011- Present

. Transcribe physician dictations on a daily basis for patient records

into Practice Fusion paperless medical record system

. Process patient referrals and pre-certifications using the NaviNet and

Care-Core database

. Scheduling patients for in office procedures such as EKG's, yearly CPE

and PPD testing

. Research and book any business travel for the Doctor

. Retrieve patient information from hospitals and other doctor offices

for medical processing

. Organize and process billing information daily for Patel Medical group

using Microsoft Excel

. Perform administrative duties such as scheduling and tracking of

appointments for returning patients using the company database

. Assist with the planning and research of the office wide paperless

transition scheduled for end of 2011

. Provide patient customer service upon arrival of office visit

. Prepare patient charts each morning

. Open and close the office daily

CHN PPO- a division of Consolidated Services Group, Hamilton, New Jersey

Network Operations Coordinator, 2008- 2010

. Process and scan CHN documents such as contracts and arbitrations into

the CACTUS database for tracking and digital record retrieval

. Research company archives, communicate with various departments, and

respond to network related inquiries from internal and external

customers

. Process provider terminations using the CACTUS database for direct

contracts, IPAs, IMEs and EPO providers according to internal policy

. Successfully manage negotiations for discounted rates with providers

for company savings

. Assemble and dispatch recruitment packets and follow up with client

participation

. Educate and update providers telephonically and/or in writing on CHN

policies and procedures

. Review bills and retrieve documents for Arbitration process

. Respond to and resolve provider's inquiries and complaints by

interfacing with CHN's departments to expedite resolution of issues

. Developed data reports using Excel spreadsheets for Vice President of

Network Operations

. Create interactive maps of locations throughout the participating

network region using the Geo Access software

Princeton Insurance Company, Princeton, New Jersey

Claims Assistant, 2007- 2008

. Medical and X-ray document scanning and tracking using Image Right

. Run merge mails for participating doctors using Microsoft Word

. Efficiently retrieve digital medical records using company database

for medical malpractice lawsuits

. Accurately process and send indemnity payments using the ECHOS

database

. Administering closings for completed claims

. Dutifully report litigation information for malpractice lawsuits into

National Practitioner Databank

. Set up meetings with attorneys using Microsoft Outlook on training

procedures for the medical malpractice record retrieval website

. Responsible for professionally communicating with attorneys via email,

phone, and letters

Mercer County Community College, West Windsor, New Jersey

Administrative Assistant, 2003 - 2007

. Maintain and process student applications into college database

. Compile student status reports following the completion of each

semester

. Communicate effectively with universities across the country regarding

transferring students

. Successfully correspond with colleges and students via telephone,

direct mail, email and in person concerning transcripts

. Enter and process college transcripts

. Track college transcripts being submitted to other colleges for

verification purposes

. Provide customer service for students

. Prepared and distributed documents and diplomas for college alumni

. Daily updates of the student record management system, Intergrow

COMPUTER AND SOFTWARE EXPERIENCE

. Basic understanding of HTML coding using Dreamweaver CS3.

. Knowledge of Photoshop CS3

. Advanced knowledge of Microsoft applications such as Word, Excel,

PowerPoint, and Outlook Express

. Knowledge of Adobe Acrobat and Acrobat Reader

. Advanced knowledge of Windows XP and Windows 7

. GeoAccess GeoCoder

. Image Right and CACTUS

. InfranView photo editor

. Ability to accurately type 55 wpm

PROFESSIONAL SKILLS

. Fluent in English and Spanish

. Meticulously organized coupled with the ability to work independently

. Ability to quickly adapt to new technological situations

EDUCATION

Humanities & Social Sciences, AAS, Mercer County Community College, West

Windsor, New Jersey 2006.

Contact this candidate