Customer Service Medical
Resume:
Jameka D. Moore
Montgomery, AL 36117
abirvk@r.postjobfree.com
Objective A self-motivated professional seeking to secure a position, with an
organization which offers both the possibility for growth and opportunity
for future advancement. I easily handle multiple tasks and posses strong
work ethics, possess excellent communication and world class customer
service skills.
Summary of 2006-present Baptist Health, Montgomery, AL
qualifications Scheduler Coordinator & Pre-Authorization Specialist
• Schedule radiology procedures ordered by physicians such as
CT scans, Magnetic Resonance Imaging, and Ultrasounds etc.
Schedule mammographies, Biopsies, and other medical tests &
procedures using various registration data bases (e.g., E-File,
START, etc.). Experience with medical ICD-9 and CPT
procedure coding.
• Perform patient registration; verify patient insurance for various
payers such as Medicare, Medicaid, Commercial and HMO
payers. Discuss patient co-payments and deductible amounts
with the customers, process physician orders, perform ICD-9
coding and CPT coding to determine Medical Necessity. Manage
standard reports and answer multi- phone lines. Responsible for
mentoring of new hires.
• Obtain pre-authorizations for patients receiving medical
treatment which involves outpatient & inpatient procedures.
2004 – 2006 Primed Physicians Montgomery, AL
Registered each patient upon, verified eligibility of health insurance
benefits, workers compensation & collection of co-payments from
patients.
Audit all patient charts which includes tracking all errors such as
incorrect diagnosis and CPT codes. Assist patients with medical billing
questions.
Provided excellent customer service. Filed patient charts and answered
multi phone lines.
2003-2004 Rite –Aid Pharmacy Montgomery, AL
Pharmacy Technician
Provided Data Entry support. Multi task job duties to include filing
prescriptions, utlizing scanners, answering phones and providing
customer service to patients.
2001-2003 Kmart Shopping Store Montgomery,
AL
Customer Service Representative
Performed cashiering duties, reconciled cash drawers and responsible
for refunds and exchanges to customers.
Education ( Continued)
1999-2001 Sidney Lanier High School Montgomery, AL
High School Diploma Received
2004-2006 Capps College Montgomery, AL
Medical Administrative Assistant- Associate Degree Received
2008- Present Virginia College Online Montgomery, AL
Healthcare Reimbursement (Auditing) & Medical Billing & Coding
Specialist
COURSES: Medical Terminology, Keyboarding, Anatomy, Medical
Office, Communications, Medical Law & Ethics, Medical Insurance,
Medical Transcription & Terminology, English I & II, Medical Coding :
Internship
CPT, Medical Coding ICD-9, Literature, Medical Coding HCPCS,
Medical Billing and Reimbursement, Anatomy & Physiology,
Advance Billing and Reimbursement, Pathphysiology, and
Microcomputer Fundamentals, & Medical Billing & Coding
Certification Review etc.
03/2010- 06/2010 State of Alabama Medicaid Agency Montgomery,
AL
Third Party Division- Benefit Recovery
Accounts Receivable
Accounts Payable
Disposition third party payments to patients accounts
Verify post dated checks and totals using Microsoft Excel
spreadsheets.
File checks to patients charts
Process and review requests for benefit payments or medical
claims.
Disposition final checks for proper coding
Post invoices and vouchers
Responsible for maintaining subscriber enrollments, premiums,
working with insurance claims, benefits, and eligibility
determinations.
Skills PC skills that include an excellent knowledge of MS Word, Medisoft,
WordPerfect, Excel, PowerPoint, and Cerner upgrade from PHS, Star
Clinical, (Medicaid) Interchange System, Office Hours and Winmed. I
can type 55 wpm or more. I have great customer service skills,
organizational skills that facilitate efficiency in the work environment.
Contact this candidate