Customer Service Medical

ANGEL C. KELLEY

*** *. ******** **., ***. A***

Philadelphia, PA 19119

215-***-**** (home)

215-***-**** (cell)

abjk0o@r.postjobfree.com

SKILLS: Third party billing, medical terminology, icd9, multi-line phone

systems and data entry. Computer literate: working knowledge of Microsoft

Word, Microsoft Excel, MEDISoft, Navinet and CPR+. Perform specimen

collection. Inbound call center experience. Customer Service.

EDUCATION: The Cittone Institute

Plymouth Meeting, PA

Medical Assistant

900 hour program, including theory and practicum in anatomy

and physiology, phlebotomy, clinical aseptic technique,

injections, EKG, OSHA and HPPA, MEDISoft, charting, filing

and patient relations.

Completed Certificate Program - 2005

Metropolitan Career Center

Medical Records Specialist

Completed Certificate Program - 1994

CAREER HISTORY:

6/08 - 10/08 Leprechaun

Philadelphia, PA

Scanning Representative (contract employee)

Gathered Patients chart information from

Doctors Offices, Hospitals, and Insurance companies Medical Records

Department. Scanned Patient information

into computer, saving it as a pdf file, and syncing with home office

on a daily basis, were it was reviewed

audit.

2/08 - 6/08 McGuire AFB

Trenton, NJ

Billing Clerk at 305 Medical Clinic (contract

employee)

Gather Clinic information for Medical

Affirmative Action Claims, Document and submit Bills to Third Party.

Open incoming mail; sort, distribute, and

post checks. List checks on spreadsheet and submit to third party.

Prepare deposits. Scan DD Form 2569 (third

Party Payer) document in Database. Update MEPRS information

(Employee Time) into database.

5/07 - 10/07 NutriSystem, Inc.

Horsham, PA

Counseling Administrative Support

Communicate with customers via inbound phone calls to customize

their food program. Disclose to customers the terms and

conditions of the auto delivery agreement. Maintain knowledge

of all product information; stay informed of trends in weight

management. Promote the food package, program, and other

nutritional products to existing and prospective clients.

Accurately disposition and document each customer contact in the

database; schedule follow-ups with clients as necessary. Meet

performance benchmarks issued by the director or supervisor.

2/07 -5/07 Internal Revenue Service

Philadelphia, PA

Tax Examiner (Seasonal Employee)

Reviewed, coded, and edited hardcopy 1040's, 1040A's, other tax

forms and schedules sent in from tax payers. Corresponded with

tax payers and their representatives via mail for missing or

unfinished return information. Corresponded with other revenue

departments regarding tax payers forms and information.

8/06 -2/07 CoramRx

Malvern, PA

Patient Care Coordinator (Contract

Employee)

Create new patient charts. Verify patient insurance.

Enter all referring doctor information, and patient

demographics onto spreadsheet, and CPR+ (pharmacy software).

Inform patient of any co pay, and any other insurance issue.

Coordinate shipment of medications with Pharmacist, and or other

branches. Confirm and document all shipping details. Inform

the reimbursement team of any and all chances in the patient

insurance, or medication profile.

ANGEL KELLEY, Page 2

Career History, Cont'd

4/06 - 8/06 US Bioservices

Sharon Hill, PA

Reimbursement Biller (Contract Employee)

Coded HICFA for nursing and drug charges. Mailed claims forms

to health insurance companies. Entered adjustments into system

and documentation in patient charts. Maintained and edited

patient charts and updated insurance information. Collected

patient co-pays via letters and telephone.

7/05 - 2/06 Andorra Woods Healthcare

Whitemarsh, PA

Business Office Assistant

Processed billing correspondence from doctors, hospitals and

other healthcare facilities/organizations. Responded with

information from patient charts, computer files and reports. Assisted in

authorization of beauty and barber charges. Maintained

reporting for Medicaid residents transferred or discharged from facility to

CAO. Gathered

information for Medicaid applications (PASSRs). Responsible

for resident banking, issuing resident money,

replenishing RFMs and operating funds. Made deposits for RFMs

and operating funds. Provided clerical support

for RNAC office. Processed mail, gather and distributed faxes.

Maintained resident files-completed heavy copying, faxing

and shredding. Provided front desk coverage.

2/00 - 6/00 Internal Revenue Service

Philadelphia, PA

Tax Examiner (Seasonal Employee)

Reviewed, coded, and edited hardcopy 1040's, 1040A's, other tax

forms and schedules sent in from tax payers. Corresponded with

tax payers and their representatives via mail for missing or

unfinished return information. Corresponded with other revenue

departments regarding tax payers forms and information.

10/99 - 2/00 Stapley In Germantown

Philadelphia, PA

Billing Assistant (Contract Employee)

Entered daily billing charges for residents into database.

Posted payments, gathered all ancillary charges and prepared

billing statements on a monthly basis. Kept record of

cash/checks received from various departments

throughout the day, completed daily audit and prepared monies

for deposit. Completed room rate adjustments as needed.

Reconciled 20 - 25 personal residents checking accounts per day.

12/98 - 9/99 Dialysis Clinics, Inc.

Philadelphia, PA

Third Party Billing Clerk

Responsible for completing daily billing charges and running

several reports per week. Made necessary corrections to weekly

error report. Logged on weekly to the FSS, an electronic

billing system for Medicare to view, research and correct

claims. Performed the processing, transmittal and mailing of

all primary and secondary insurance claims. Worked with the

bookkeeper to provide necessary reports, statistical logs and

back-up documentation. Actively participated in the Monthly

Billers A/R meetings to resolve outstanding billing issues. Ran

detailed reports on a monthly, bi-monthly and quarterly basis.

Assisted in coordinating transient patient visits. Set-up and

maintained patient charts.

3/96 - 2/98 Prudential - Group Medical Services

Horsham, PA

Patient Care Management Representative

Received incoming calls from physicians' offices, hospital

admission departments, and patients requesting pre-certification

information. Set up new database files for hospitalization,

durable medical equipment, out-patient testing and home care.

Directed files to team nurse for utilization review. Requested

authorization for length of hospital stays. Input additional

patient information onto existing database files. Supplied

patients and their healthcare providers with plan information

and responded to basic billing inquiries.

8/95 - 1/96 Morgan Chiropractic Center

Philadelphia, PA

Billing Clerk/Receptionist

Responsible for electronic patient scheduling. Prepared billing

statements, posted payments. Prepared charts for new patients,

maintained existing charts. Scheduled out-patient testing

(i.e., MRI's CT-scans and basic x-rays) at local hospitals and

MRI centers. Completed insurance verifications.

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