Customer Service Medical

R ona L. White

**** ******* **. *** **** Houston, TX 77075* ronalat ******@*****.**** 281-***-****

Epic Implementation Specialist/ Customer Service Representative with heavy

medical insurance benefits, claims processing, and healthcare knowledge.

Summary of Qualifications

Over 10 years of heavy customer service skills, including more than 2 years in

•

healthcare environment.

Work in EPIC projects, participated in several deployments within hospitals.

•

Experience in processing medical claims, particularly Medicare Advantage plans.

•

Knowledge of ICD-9, CPT, and HCPCS.

•

Informed on HIPPA and Privacy Act.

•

Skills

EPIC SAP IDX RNS AS400 Clinic Station

Microsoft Office Netsuite

Professional Experience

Application Support Representative Apr 2011 - Jun 2011

Avanade/ MD Anderson

Avanade is an IT agency that provides careers for technical professions.

Under contract to provide support for in house EMR software for MD Anderson. Answer questions and

concerns about the software. Provide on-site training for physicians and nurses for new deployments of

the software. Work to correct any issues or defects that may arise.

Implementation Specialist Apr 2010 - Apr 2011

Medix/ Texas Children’s Hospital

Medix is a staffing firm that provides careers to Healthcare professionals.

Support end-users during the EPIC application implementation. Assist with on-site training, escalated

issues, and serves as a liaison between EPIC application teams and end-users, ensuring user acceptance

and satisfaction. Provide support for a variety of departments such as Ambulatory, Clinic

1

Documentation, CPOE Order Entry, and Operating Rooms. Serve as an on call representative to

answer questions from end-users.

Rona L. White * 9800 Hollock St. Apt. 408 * Houston, TX. 77075 * 281-***-**** * *************@*****.***

Outpatient Service Associate Jun 2008-Jan 2009

University of Texas Medical Branch

UTMB is an academic health center dedicated to educating science, research and care for patients.

Front desk customer support for outpatient Cardiology, Hematology, and Oncology clinic. Arrive

patients in EPIC for appointments, gather medical records, and prepare patients for labs. Verify

insurance information either through IDX, insurance website, or via telephone. Review billing sheets

for accuracy to insure payment for services.

Technical Claims Specialist May 2007 - Jun 2008

Coventry Healthcare

Coventry provides a Medicare Advantage Plan to assist 65 years and older with coverage that suits

there medical needs.

Interface with customers via telephone, written correspondence, fax, web and/or electronic mail to

routine inquiries regarding health benefits or payment of claims. Customer service console in response

to inquires including, but not limited to, authorizations, payments, denials, coordination of benefits and

eligibility. Working knowledge of ICD-9, CPT, RBRVS, and HCPCS. Accurately adjudicate claims in

accordance with health plan guidelines, company standards and company procedures for one or more

lines of business including all types of inventory claims, COB claims, pends, quality review claims,

unfinished claims report, and adjustments.

Help Desk Support Apr 2006 – Apr 2007

Go Figure

Go Figure is member management software that makes it easier for health and fitness clubs to manage

their business.

Answer technical questions about custom software and other computer related issues. Negotiate

installing programs and updating software as new patches and fixes become available. Travel to

conventions in different parts of the US to promote and demonstrate the use of the software. Provide

technical support to primarily Curves gym owners.

Education

Currently enrolled at Ashford University in the Bachelors Program for Healthcare Administration

2

3

Contact this candidate