Customer Service Medical

Objective

To obtain a position that will allow me to utilize my acquired skills and

knowledge to contribute to the goals of your company.

Profile

Flexible and versatile - able to maintain a sense of humor under pressure.

Poised and competent with demonstrated ability to easily transcend cultural

differences. Thrive in deadline-driven environments. Excellent team-

building skills, customer service, leadership, communication, interpersonal

and organizational skills. Very dependable and conscientious. A self-

starter that works well independently or in a team setting. Motivated to

learn and easy to work with.

Skills Summary

Exceptional customer service

Computer Savvy

Multi-phone line system

Vital Signs

Bilingual(English/Spanish)

General Office Skills

Charge Entry

Insurance Billing

ICD-9/CPT Codes

Charting

Triage

Insurance authorizations

Employment History

11/2010-02/2011 Managed Health Network- Health Net Huntington Beach, CA

Intake Representative

Take appropriate steps to resolve a variety of customer service issues

regarding quality assurance, provider relations, and billing

Explain benefit structures and authorization procedures

Gather and enter demographic and preliminary clinical information

Apply protocol to identify cases requiring immediate clinical attention

Make appropriate referrals to mental health clinicians

Facilitate first phase of authorization for alternative and inpatient

managed care treatment

10/2008-05/2010 Urological Medical Group Fullerton, CA

Front/Back Office Medical Assistant

Oversaw front-office operations and provided impeccable customer service

Ensured open lines of communication between patients, staff and physicians

with demonstrated efficiency and confidentiality

Efficiently managed the front desk in areas of computerized processes

utilizing the Medical Manager to handle scheduling, billing and

collections, medical records and insurance claims

Maintained up-to-date computer-based laboratory test results and patient

information

Responded to priority issues to ensure the prompt referral of urgently

needed medical care

Schedule medical screenings and follow-up to obtain results

Resolved problems, inquires and concerns including test results and

prescription renewals

Prepared patients/rooms for physical examinations; interviewed patients to

obtain medical histories; explained treatment procedures; sterilized

equipment and properly disposed of contaminated supplies

Input patient demographics and insurance information into system

Sent out cultures, cytology, biopsies, and analysis to laboratory

Obtain authorizations for procedures and office visits

Pulled and prepped charts with patients laboratory results

Collected co pays

02/2007-05/2008 Community Health Care Tacoma, WA

Interpreter/Scheduler

Greeted and assisted patients

Registered patients into the system

Assisted patients in filling out appropriate forms

Interpreted between the doctor and patient

Scheduled appointments

Verified insurance benefits and eligibility

Updated patients demographics

Took patients vital signs

Triaged calls

Pulled charts for next day appointments

Obtained lab results

Collected co pays

Supervised new employees

Answered Phone Calls

07/2005-12/2006 Occumed Medical Group Garden Grove, CA

Front Office Assistant

Checked patients in

Prepped patient rooms with appropriate equipment for procedure

Roomed patients

Took patients vital signs and documented in chart

Documented patients reason for visit

Assisted doctor with injections and minor procedures

Cleaned and sanitized rooms

Called in prescriptions for patients

Scheduled return appointments for patients

Verified insurances

Set up appropriate follow up treatment for patients

Answered phones

Responsible for opening and closing the office

Education

Valley High school - Santa ana, ca

MAJOR: HEALTH CAREERS

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