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Medical Customer Service

Location:
Harvey, IL, 60429
Posted:
January 18, 2013

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Resume:

Anita Million

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

Hazel Crest, IL 60429

216-***-****

OBJECTIVE: Seeking a challenging opportunity that will utilize my work

experience while furthering my knowledge, experience and growth.

EXPERIENCE

02/2012-08/2012 Rally's Restaurant, Assistant Manager, Indianapolis, IN

Effectively and efficiently manages a restaurant within the policies and

guidelines of the Company to ensure guest satisfaction, profit maximization

and development of high performing work teams consisting of assistant

managers, shift managers and crewmembers

02/2011 - 10/2011 UH Hospital of Cleveland, Patient Service Representative,

Cleveland, OH

Answering phones, scheduling patients appointments also back-up for

scheduling coordinators, Check-in/out pts, pre-registration in Radiology

Department and Seidman Cancer Center

Patient check in/out, verifying varies insurances Medicare/Medicaid rules

including the MSPQ, Code Correct, EMR, IDXRAD, Imagecast and Soarian,

Centricity

01/2010-02/2011 Academy of Court Reporting & Technology, Teacher

Assistant/Student, Cleveland, OH

Assistant the Medical Director with grading papers and makes study lessons

for the students. Make copies, faxes, for all Medical Instructors. Teachers

Assistant to all Medical Instructors

07/2009 -09/2009 US Health Works, Medical Coder, Alpharetta, GA

Workers' Compensation, PPO, HMO, Medicaid, Medicare process claims

Log all daily coded batches, code all primary care and physical therapy

charged tickets

Select levels of E/M services in accordance with the Official Medical Fee

Schedule

Ensure patient DX is updated in accordance with standard ICD- DX coding

12/2007-07/2008 Res Care, Inc. Staffing Coordinator, Atlanta, GA

Responsible for effective delivery of home and community based support

services to clients

Responsible for selecting and scheduling appropriate direct care staff to

provide service

Ensures customer/client satisfaction through communication with all parties

including the client, direct, care staff, family members, case managers,

and other who may participate in the support of the client, communication

Customer Service, functions well under pressure, make decisions quickly.

9/2007-12/2007 Argyle Solutions, Insurance Follow-up, Kennesaw, GA

Call inquire debts to insurance companies that are past due

Call inquire debts to insurance companies that have been denied for

payments

Processed both electronic and hard copy insurance claims

Maintained daily reports, processed overpayment and insurance take-backs

8/2004-10/2005, Community Assessment Treatment Services, Medical Biller,

Cleveland, OH

Performed intake assessment on all new patients

Assisted in facilitating group sessions to help clients deal with issues

Advocated, researched and referred clients to appropriate resources

12/2003-3/2004 Receivable Process Management, LLC (Cleveland Clinic),

Cleveland, OH Clerical Clerk (Temp

Agency)

Entered new provider information and updates to provider

Created and copied file for all patient accounts

Compiled, sorted and verified accuracy of data to be entered

2/2001-6/2003 Cigna Healthcare, Medical Claim Specialist,

Independence, OH

Reviewed records and corresponded with individuals to execute proper

recommendations for resolutions processed both electronic and hard copy

insurance claims

Maintained daily reports, processed overpayment and insurance take-backs

5/1997-12/2001 QualChoice Insurance, Mayfield Hts, OH

Intake Coordinator (3/1999-12/2001)

Reviewed and processed all incoming data for customer

Notified client of provider changes

Processed all Medicaid/Medicare applications

Medical Referral Representative (5/1997-3/1999)

Responsible for creating new patient charts and data entry

Reviewed all medical bills for CPT coding

Verification of all insurance coverage and input all referrals and

authorizations

5/1996-5/1997 Patterson Consulting Services, Enrollment Coordinator,

Cleveland, OH

Conducted one on one interview with Medicaid clients

Assisted Medicaid clients in selecting Health Maintenance plans

Performed a variety of clerical tasks

EDUCATION

Lorain Community College June 2007

Certification Medical Coding and Billing /CPC Non-Credit

The Cleveland Institute of Medical/Dental-Assistants, Inc. March 1995

Diploma in Medical Assisting

Jane Addams Business Career Center June 1987

High School Diploma



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