Customer Service Medical
Resume:
SHIRLEY G. COLLINS
Email: abjjfv@r.postjobfree.com
**** ******* ****. *** ** St. Louis, MO 63108 (314) 875--9601 or
PROFESSIONAL
OBJECTIVE___________________________________________________________
Highly motivated individual known for completing job tasks seeks a Customer
Service/Billing position where I can demonstrate my skills and abilities to
become an invaluable asset to a progressive company.
HIGHLIGHTS OF
QUALIFICATIONS_____________________________________________________
Customer Service/Support Detail Oriented
Time Management
Patient consultation Office Management
Ten Key
Needs Assessment
Contract Negotiation Microsoft
Office Suite
Quality Management Troubleshooting
Monthly Reports
Critical/Creative Thinker Exemplary Leadership
Ten key
Vendor Relations Typing
Excellent Communicator
Billing/Collections
Fax Machine High
Energy
Medical Terminology Task Oriented
Internet Explorer
ICD-9 Coding Staff Training & Supervision
Exemplary Leadership
Alternate Medical Resources Out bound/Incoming Calls
Monthly Reports
EXPERIENCE__________________________________________________________________
________
June 2007-December 2009 Planned Parenthood, AccountsReceivable
Specialist
> Ensure proper and timely payments of claims plus
follow-up
> Corresponding with patients regarding outstanding
amounts due
> Mail overdue statements on accounts and respond to
inquires
> Responsible for Missouri Medicaid Insurance,
Healthcare USA
> Harmony Health Ins, GHP, Well Care, Mercy, and ILDPA
> Electronic Claim Submission
Aug. 2005-June 2007 Signature Health Services, Accounts Receivable
Specialist
> Responsible for all medical claims for 10 Insurance
carriers
> Checked status of claims with carriers
> Sent Certificate of medical necessity for DMERC
Equipment
> Ran ageing report and worked from it on accounts 60-
120 days past due
Aug. 2004-Aug. 2005 United Seating & Mobility, Medical Document
Specialist
> Assembled medical documents for prior authorization
> Maintained daily contact with physicians and staff
> Contacted patients families to retrieve medical
information
> Obtained certificates and letters of medical
necessity
Oct 2000-Mar 2004 Express Scripts, Reimbursement Specialist
> Initiated and completed pre-authorization for medical
procedures
> Responsible for insurance billing for prescription
claims
> Verified customers insurance
> Entered payee and client information
July 1999-Oct 2000 Coram Healthcare, Reimbursement Clerk
> Billed for home infusion service
> Applied ICD 9 codes
> Followed up on status of claims
> Checked local pricing rules
EDUCATION___________________________________________________________________
________
Certificate - Medical Assistant, A1-Med Academy, St. Louis, MO
Unit Secretary Training, Barnes-Jewish Hospital, St Louis MO
Business Administration (27 Credit Hours), Forest Park Community College,
St Louis MO
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