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Customer Service Insurance

Location:
1844
Posted:
September 22, 2010

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Resume:

Kaitlyn M. Kalkanajian

** *********** ****

Methuen, MA 01844

978-***-**** home

978-***-**** cell

Summary: Over 8 years of health care and customer service experience.

Dependable individual with excellent interpersonal and

computer skills.

Work Experience:

06/2009-Present Merrimack Valley Hospital, Haverhill, MA

Financial Counselor/Scheduler

. Responsible for collecting, processing, and

documenting all patient bills, co-payments, and

deductibles for inpatient and emergent stays as well as

surgical procedures.

. Assisting patients with applying for health insurance.

. Working in conjunction with all hospital departments,

doctors offices, and insurance companies to ensure

patient satisfaction, obtaining doctors orders,

authorizations, referrals and approvals for admissions.

. Working in conjunction with the OR and Pre-Admission

Testing department to ensure all patients have been

authorized by their insurance, registered for their

procedures and are up to date with unpaid balances

within the hospital.

. Ability to work quickly and efficiently during STAT

situations, with coworkers and management to ensure

appropriate actions are being taken.

. Schedule all patient appointments made within the

hospital by the Meditech computer based scheduling

system.

10/2005 - 06/2009 Caritas Holy Family Hospital, Methuen, MA

Admitting Clerk/Registration Representative

. Obtain all necessary personal and financial information

for all patient types including pre-registration for

outpatient and emergency room departments.

. Greet and direct patients to appropriate departments.

. Verify insurance using NEHEN, POS devices and WEBMD

. Prepare and assemble charts, cards, labels & bracelets

. Communicate effectively with internal & external

customers

. Load/Operate printers, card embosses, photo copiers and

fax machines

. Communicate effectively with supervisory staff when

follow up is needed on all unresolved

inquiries/problems.

. Collection of co-payments and prior balances as well as

payment plans for all patients.

. Fax and communicate with all insurance specific details

to appropriate insurance carriers.

. Ability to work in a fast paced environment to provide

adequate information during emergent situations.

. Running specific reports to verify all eligible patients

will be offered insurance and providing the appropriate

applications and assistance for applying.

6/2004 - 8/2004 Northeast Rehabilitation Hospital, Lowell, MA

Information Specialist (summer position)

Served as a communication and information resource for

patient services at an outpatient rehabilitation hospital

. Received referral information from patients, physicians

and hospitals

. Coordinated patients schedules for therapy

. Registered patients in database

. Documented, communicated and followed up on all patient

registrations and insurance verifications for all 3rd

party payers

1/2000 - 6/2004 Professional Call Management, Methuen, MA

Call Manager

Worked for an answering service which consists of over 300

accounts for medical and health services providers,

property management firms and other businesses.

. Represented the company in a professional and courteous

manner at all times when working with customers.

. Ability to deal with difficult callers in a calm and

matter of fact manner

. Input messages using automated and manual systems

. Delivered and dispatch messages

. Updated client accounts in computer system

. Trained and assist new hires

Clinical Experience:

9/2006 -Present Tewksbury State Hospital, Tewksbury, MA

Town & Country Nursing Home, Lowell, MA

Lawrence General Hospital, Lawrence, MA

Lowell General Hospital, Lowell, MA

Provide patient care on med-surge, pediatrics, long -term

care units. This includes, ADLs, injections, post mortem

care, endoscopy & operating room experiences, dressing

changes, wound care, wound vac, medication administration,

G-tube feedings, catheters, ostomy care, nasoesophageal

suctioning, IV maintenance with pump and gravity drip, IV

heplock, patient education provided when necessary and

responsible for discharging patients.

Kaitlyn M. Kalkanajian Page 2

2/2006 - 5/2006 Women's Health Care, Newburyport, MA

. Prepare patients for physician's exams

. Take vital signs (blood pressure, pulse and respiration)

for patients

. Take glucose tolerance testing, urinalysis and rapid

strep test

. Log specimens and biopsies for testing

. Demonstrate ability to maintain composure and work

effectively in a busy environment while preserving

strict confidentiality

. Accurately document patients chief complaints and

systems

. Assist with gynecological exams and triage

. Prepare nebulizer machine for patient usage

Education: Northern Essex Community College, Haverhill, MA

Licensed Practical Nursing Program

Graduation Date: July 2007 - Class Co-President

Associate Degree-Liberal Arts, May 2006

Medical Assistant certificate program. May 2006 Dean's List

Volunteer Experience:

Holy Family Hospital, Methuen, MA

A.D.A.P.T program

Computer Skills: Microsoft Word, Microsoft Excel, Microsoft Access,

Microsoft PowerPoint

Other: C.P.R. certified

References: Furnished Upon Request



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