Customer Service Data Entry
Resume:
Crystal J. Wachtel Akron, OH ***14
Phone 330-***-****
Cell phone: 330-472-
6150
******@***.***
• Summary of Qualifications
I am a dedicated college graduate with a passion for learning and helping others. I have excellent phone skills for
outstanding customer service. I am familiar with Microsoft Word, Excel, Access, Outlook, Power Point, QuickBooks and
Amisys. With over seven years of experience in health insurance and the healthcare industry, I have a working
knowledge of CPT codes, ICD-9 codes, modifiers, HCFA and UB92 claim forms.
• Relevant professional experience
Office Administrator Paul Kroh Therapy, Inc. North Canton,
OH
August 2010 – Present
Correspond with clients to answer inquiries and resolve issues. Communicate with therapists and clients to coordinate
care. Organize office operations and procedures, flow of correspondence, filing, requisition of supplies, and other clerical
services. Coordinate activities of various workers within the office. Evaluate office production, revise procedures, or devise
new forms to improve efficiency of workflow. Establish uniform correspondence procedures and style practices. Assist
planning of office layouts to improve flow and efficiency. Review clerical records to ensure completeness, accuracy, and
timeliness.
Health Information Coordinator Senior Independence Akron, Ohio
November 2008 – August 2010
Review/coordinate clinical data entry of client health information and service documentation (assessments, medications,
diagnosis, problems, goals and interventions, and payers) into the clinical-financial computer system. Audit Medicare
clinical and billing records. Assure accurate data entry to create an accurate client bill. Work with employees and
contracted staff to coordinate patient services as ordered by physician. Send written orders for physician signature and
follow up on orders not returned in a timely manner.
Optometry Office Assistant Advanced EyeCare Canal Fulton, Ohio
January 2008-November 2008
All aspects of customer service: greet patients, schedule appointments, and answer multiple phone lines. Assist in frame
selection, fit, repair and adjust glasses. Administer visual field tests; teach proper contact use and care. Back office
responsibilities: cut lenses, verify insurance coverage and submit insurance claims online and on HCFA claim forms.
Place orders for lenses and contact lenses online. Invoicing, billing, accounts receivable, and filing.
Claims Processor Health Design Plus Hudson, Ohio
April 2006-June 2007
Data entry and review of medical, hospital and dental insurance claims from HCFA and UB92 claim forms. Research and
respond to customer service inquiries regarding status of claims.
Configuration Specialist/Claims Adjudicator SummaCare Akron, Ohio
May 2000-December 2005
Review and interpret health insurance Schedule of Benefits in order to modify or implement new configurations within the
Amisys system. Use CPT, ICD-9 and HCPCS codes to determine appropriate benefits and payment. Create and
implement test plans; process test claims; research and resolve pended claims in a timely and accurate manner. Review
and respond to claims and benefit inquiries through Macess. As a claims adjudicator: Process all HCFA and UB-92 claims
meeting or exceeding quality and production standards.
• Education
Bachelor of Science in Elementary Education University of Akron Akron, Ohio
1988-1993
Additional experience and references available upon request.
Contact this candidate