Customer Service Insurance

*** *. **** ******

Chicago, IL *****

(H)224-***-****

(W)773-***-****

*********@*****.***

RONDA S. COOK CPC

Objective To obtain valuable experience in a position which will allow me to

utilize my current organizational, business and hospital skills while

enhancing my future growth potential within in a promising

company. Strong interpersonal skills and customer service skills,

quick learner, collaborative team player, work well in high-pressure

environment and great communications skills. Previous work

experience consists of filing and scanning documentation, resolving

hospital and contract billing issues and managing managed-care and

insurance requirements. Basic knowledge of computers skills;

Microsoft Windows 98, Windows XP, Window Vista, Epic,

Hyperspace Sunquest, Mysis, Lotus Data entry, MS Excel, EMR,

Meditech, Imed, Keene, Cadence.

Experience 2008- Present La Rabida Children’s Hospital Chicago IL,

Registration/Scheduling Coordinator-Case Management

• Obtain accurate demographic and insurance information

• Check in-patient in scheduling system

• Verifies accurate demographic information in EMR

• Print forms and attaches ID bands to patient

• Post E/M codes in Imed system

• Collect co-pays as indicated

• Secures managed care referral/authorization

• Obtain proper consents from patient, guardian or DCFS

• Verifies insurance with insurance company.

• Verifies insurance eligibility through HFS/ECARE online

• Scheduling computerized clinic appointments

• Manages daily schedule, ensuring add-ons are entered into

Meditech (community wide scheduling)

• Prepares preadmissions using Meditech to Outreach facilities

and other departments within the hospital

• Scan completed managed care worksheet in Meditech

• Perform eligibility benefit verification and precertification

2002-2008 Children Memorial Hospital (CMH) Chicago, IL

HLA Registrar - Department of Pathology

• Obtain accurate demographic and insurance information

• Analyze and resolve all CMH hospital billing and contract

billing issues, as well as, serve as main contact personnel for

patient/families, third parties, and Point of Service staff when

resolving insurance denials.

• Register patients and/or service appointments and complete

timely and accurate pre-registration and registrations using

the appropriate software

Perform eligibility benefit verification and precertification

•

for HLA patients

• Identify patients needing financial counseling and refer to

business associates or transplant financial counselor

• Maintain and update Microsoft excel spreadsheets for HLA

database

• Assist in all laboratory duties/responsibilities

• Maintain knowledge of managed-care/insurance

requirements

• Act as liaison between contract institutions and transplant

team at CMH

1998–2002 Children Memorial Hospital Chicago, IL

Lead FSR- Division of Hematology/Oncology

• Serve as resource person and role model for Point of Service

staff during clinic hours

• Mentor and coach staff to ensure competency standards,

internal policies and procedures are met

• Perform all functions for Point of Service activities such as

collect co-payments, enter patient information into database

and greet patients/families in a friendly and courteous

manner

• Schedule test or appointments in cadence systems and ensure

patient has appropriate requisition forms

• Generate bills for physician billing

1996-1998 Children Memorial Hospital Chicago, IL

Appointment Scheduler-Division of Hematology/Oncology

• Responsible for scheduling and confirming all

appointments/exams for Oncology, Radiology, Echo, Audio,

Pulmonary and Neurosurgery patients

• Maintained and updated all bone marrow transplant charts

and Hematology/Oncology patient charts

• Responsible for faxing and mailing all records and radiology

films to the department of Radiation and Oncology at

Northwestern Memorial Hospital

• Duties and responsibilities also included covering phones

and collecting physician billing and generate bills and

information on new Hematology/Oncology patient referrals

• Maintain billing system database and computer system

spreadsheets

1992-1996 Children Memorial Hospital Chicago, IL

Radiology Clerk-Division of Radiology

• Responsibilities and duties included scheduling all radiology

appointments

• Responsible for maintaining and updating patients’ radiology

and neuroradiology records

• Schedule and transport patients for x-ray, CT scan, MRI

angiogram and ultrasound

• Prepared pediatric films on viewers for evaluation and

review by Radiologist

• Prepare and maintain MRI quality control /compliance daily

logs and collect and prepare files for specialty clinics

• Greet patients and patient families in a courteous and

friendly manner

Education 1987 Jean Baptist Point DuSable High School Chicago, IL

High School Diploma

2011 CPC Solution Training Course Madison, IL

Certificate

Interests Reading novels, music, cooking and volunteer tutoring

References Available upon request

Contact this candidate