Administrative Assistant Medical

**** * ****** ******, *******, TX *****

E-mail: abhjir@r.postjobfree.com

Vernell N. Kents 254-***-**** Cell (254)

***-*******

SUMMARY OF SKILLS AND QUALIFICATIONS: Proficient with Microsoft

applications and use of database programs. I am able to handle a multitude

of personalities. I am enthusiastic, organized and dependable with a

desire to succeed.

OBJECTIVE: To obtain a position that will enable me to use my strong

organizational skills, educational background, and ability to work well

with people.

PROFESSIONAL EXPERIENCE:

07/10-Pres SCOTT & WHITE CLINIC, KILLEEN, TX - Patient Service Specialist

-Answers and screens calls routing calls to the correct desk

area

-Greets patients and ascertains their needs in a professional

manner

-Complete orders for billing using CPT codes and regulatory

guidelines

-Schedule, reschedule, and cancel Physicians appointments

-Submits authorizations, referrals, and consults for ancillary

tests or surgery to be performed

03/09-03/10 PATIENT FINANCIAL SERVICES, RALEIGH, NC - Account Follow- Up

Representative

-Followed up with third party insurance carriers, on unpaid

claims

-Corrected billing errors and resubmitted claims

-Communicated with physicians and medical staff to ensure

diagnosis and procedure codes

-Researched EOB statements for proof of payments, adjustments

and patient responsibility

01/07- 02/09 METLIFE, ORISKANY, NY - Disability Claims Clerk II

-Supported the Appeals Specialists and Case Managers with

clerical duties

-Entered personal and commercial checks into the database

-Processed payments from invoices

-Answer In-bound calls from claimants

04/06-01/07 ADECCO EMPLOYMENT AGENCY, AUSTIN, TX - Administrative Assistant

(Temporary assignments, worked with various clients)

-MetLife, National Bank, Waste Management, IT Company and Adecco

- In-house Projects

12/05-04/06 ALLUMED, TEMPLE, TX - Medicaid and Medicare Coordinator (Temp

Position)

-Performed initial evaluation for client intake and input

information into database

-Verified Medicaid and Medicare insurance and eligibility

-Called doctors, specialists and therapist for diagnosis,

prescriptions and Title 19

-Created invoices estimates for billing purposes using

QuickBooks

-Processed health insurance claims

5/03-11/05 CAREPLUS HEALTH PLAN, NEW YORK, NY - Walking Outreach

Representative

-Retrieved medical records from hospitals and non-par providers

for billing discrepancies

-Assisted with enrollment information and provided leads for CHP

and FHP

-Aided in scheduling client appointments to the medical provider

-Visited client's homes in order to distribute information and

answer questions on the process of their health insurance

policies

EDUCATION AND TRAINING:

2009 Wake Tech Community College - Certificate, Medical Office Procedures

2004 Access Careers - Certificate, Phlebotomy and EKG

1994 Mohawk Valley Community College - Medical Management and Medical

Terminology courses

1993 Glenmont Job Corp - General Education Diploma (Double major, nursing

and clerical)

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