Customer Service Insurance

Georgette Thomas

**** ***** ** ( Houston Texas **053

Primary: (713) 729 - 4092 ( Alternate: (832) 552- 8359

****************@*****.***

Objective

To work in an environment that will allow utilization of my administrative

skills to meet and exceed company goals.

Work Experience

Texas Children Pediatrics

Houston, Texas 07/2013- Current

Front Office Specialist 1

. Provide accurate efficient customer service

. Schedule and register new and establish patients

. Verify insurance and advise patients of their financial responsibility

. Collect copays, deductible and co-insurances

. Communicate with referral sources

. Knowledge of HMO's, PPO's, Commercial and Medicaid

. Demonstrate effective and excellent communication skills for heavy

phone contact

. Payroll Support Specialist, Corestaff- United Airlines -Houston, Texas

2012- 2013

. Process wage retrieval for Gallagher Bassett

. Pull requested documents to complete declaration forms for Legal

Department

. Complete social security and disability forms

. Complete workers compensation forms

. Verify employment history and job data

. Process Wage Orders and Garnishment in People soft System

. Process various payroll deductions

. Responsible for updating employee w4's and direct deposit changes in

system.

. Work in mail room and prepare Fed Ex mail.

. Process Holiday payouts.

. Audit and process daily reports.

. Responsible for assisting the Supervisor and Team Leads with special

projects as assigned, work request testing, problem resolution and

research for the department when needed.

. Ensure payroll remains in compliance with all federal, state and local

tax laws.

. Responsible for meeting payroll deadline.

. Kelsey-Seybold Clinic

Houston, Texas 2007-2012

. Patient Account Analyst

. Verify insurance eligibility and interpret medical plans for billing

purposes

. Communicate with clinics and patients regarding benefits and claims,

load insurance correctly registers patients.

. Answered telephone and routed patient calls.

. Entered patient data into computer,

. Performed other job related duties as assigned.

. Ambulatory Services Representative

. Provided excellent customer service and check in-out functions on Epic

system to all customers.

. Charge entry, collected co-pays, deductibles and coinsurance; verified

demographic and insurance.

. Scheduled, rescheduled and cancelled appointments as needed; provided

support for nursing staff.

. Sales Coordinator (Per Diem)

. Entered and updated patient demographics and insurance information

accurately in CRM for new and existing patients.

. Scheduled home visits and community meetings to inform patients of

Medicare Advantage Plans.

. Received and processed applications, researched denied applications,

and complied with all CMS Marketing guidelines.

. Received and routed all inbound calls and mailings from prospects,

directing them to the appropriate sales opportunity.

. Complied with all CMS Medicare Marketing guidelines and represented

the health plan with integrity.

Admin Clerk (Per Diem)

. Assisted the supervisor with arranging and setting up different town hall

meetings.

. Registered patients and entered their information into the database.

Administrative Clerk, Burnett Staffing Agency - Houston, Texas

2006 - 2007

. Handled and transferred confidential medical records and supplies to

different Shell locations

. Created confidential charts, arranging them alpha-numerically; entered

pre-employment data into the computer database.

. Answered incoming telephone calls; filed, faxed, and made copies of

invoices and other confidential documents.

Front Office Assistant, Spherion Temporary Agency - Houston, Texas

2005 - 2006

. Performed patient registration; received and routed incoming telephone

calls and addressed all customer concerns.

. Coordinated meetings, handled travel arrangements and maintained

calendars.

Lead Office Assistant, Travis Jackson & Associates - Houston, Texas

2003 - 2005

. Registered patients and directed them accordingly; obtained

authorizations as needed to process patients for services.

. Explained all required paperwork and forms to patients and ensuring

proper completion of all reports.

. Answered multiple telephone lines in a professional manner and routed

calls to appropriate persons.

. Utilized computer software to keyboard routine letters, memorandums,

reports, presentations and other related materials

. Maintained updated document log to assure timely routing or answering of

correspondence.

. Contacted with legal agents to verify information; acted as a liaison

between patients and third party agencies.

Medical Office Specialist (Externship), Houston Neonatal Physicians -

Houston, Texas 2003 - 2003

. Entered all newborn data accurately in the Patient Management Database

. Performed insurance benefits verification on each patient scheduled for

admission.

. Completed a paper record of all verifications, pre-certifications, and

referral requests.

. Reviewed all physician change of orders and contacted insurance pre-

certification departments

Computer Skills

Epic, IDX, Microsoft Excel, Microsoft

Word, Microsoft Outlook and PeopleSoft

Education and Training

Medical Business Specialist Diploma,

Texas School of Business - Houston, Texas

High School Diploma, Houston CAN!

Academy - Houston, Texas

Contact this candidate