Customer Service Sales

**** ******* ****** *** ****, CA ***** TEL 408-***-**** ************@*****.***

HTTP://WWW.LINKEDIN.COM/IN/RACHELGARENA

OBJECTIVE

To obtain a position utilizing my customer service experience, administrative talents, medical

and coding skills within a growing organization.

PROFESSIONAL SUMMARY

• 12 years Administrative and Customer Service experience

• Organized professional, detail and deadline oriented

• Excellent communication skills both written and verbal

• Highly proficient computer skills, speedy and accurate data entry

EDUCATION

Heald College, Milpitas, CA

Associate Degree Applied Science- Medical Insurance Billing and Coding

University of Santo Tomas, Manila, Philippines

Bachelor of Science in Commerce/ Business Administration

AWARDS

• Award of Excellence for Perfect Grade Average (4.0 GPA) and Perfect Attendance

• Dean’s Lister – University of San Tomas

SKILLS

• •

ICD-9, CPT, HCPCS II Explanation of Benefits

(Aging Report)

• Medical Records

• Data Entry and 10-Key

• CMS-1500 (Outpatient), UB-

•

04 (Hospital) Keyboard 50 wpm

• •

Medical Terminology Computer and Software : MS

Words, Excel, PowerPoint,

• Anatomy and Physiology

Publisher

• HIPAA Compliant

• Bilingual – English and

• Medical Computerized Office –

Filipino

IDX

• Reimbursement

PROFESSIONAL EXPERIENCE

MEDICAL BILLER AND CODER SAN JOSE MEDICAL GROUP

S an Jose, Ca April 2011

PA G E 1

S upported the Billing and Accounts Receivable Department staff in their everyday

t ransactions like receiving hospital and doctors tickets, payment adjustment,

p atient registration, verification and created monthly files for hospital charge

t ickets.

Received hospital charge tickets and verified patients’identification using the IDX system

•

Registered new patients using IDX system

•

• Assigned CPT-4, ICD-9 and HCPCS codes to patient scenarios

• Verified payment status of claims submitted to insurance carriers

• Analyzed patients outstanding balance if they need to be adjusted or write off

• Verified insurance payment and changed patients’ financial status using IDX system

• Verified and extracted Electronic Medical Record of Caremore patients for Medicare Record

• Sorted and mailed copy of CMS-1500 to managed care organization

UNIT CLERK VOLUNTEER STANFORD MEDICAL CENTER

PALO ALTO, CA 2011- PRESENT

Provided administrative support to the Intermidiate Intensive Care Unit at busy medical center in Northern

California.

Familiar with safety protocols and hazard communications in busy hospital

•

Answer phones, greet and assist visitors, and direct patients in accordance with HIPAA requirements

•

Responsible for maintaining medical supplies and inventory

•

Responsible for locating and paging medical staff using Smartpage computer system

•

ZONE SALES ADMINISTRATIVE ASSISTANT SARA LEE FRESH BAKERY

S AN JOSE, CA 2004 - 2009

Supported sales division with day-to-day functions such as updating customer information and handling

1758 Bethany AVENUE SAN Jose, CA 95132 TEL 408-***-**** ************@*****.***

HTTP://WWW.LINKEDIN.COM/IN/RACHELGARENA

customer calls for Northern California. Provided administrative support to sales executives. Led diverse

special projects, presentations and assignments flawlessly and delivered them early or on time.

Increased sales by $120,000 by constant monitoring and updating of customer pricing.

•

Prepared accurate sales report on weekly, quarterly and annual basis; increased sales productivity by 10%.

•

Established office policies and procedures, record storage system and safety program, which significantly

•

increased office efficiency.

MAJOR ACCOUNTS OFFICER PHILAMCARE HEALTH SYSTEMS

M ANILA, PHILIPPINES 1988-2000

THE LEADING HEALTH MAINTENANCE ORGANIZATION (HMO) IN PHILIPPINES; PARTNER OF

UNITED HEALTH CARE.

Account manager for accounts including Tupperware Philippines, Bank of America, Philips Semiconductors,

McDonalds, Wendy’s and other accounts with more than 100 members and $150,000 annual membership

fees.

Analyzed health care usage of each corporate account and interfaced with clients. Created and executed

•

program management to ensure client’s needs were supported and achieved.

Generated new business and expansion of current business through contract negotiation and product

•

orientation.

Managed and implemented premium increases of each account based on data points such as usage and

•

current premium amount.

PA G E 3

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