Customer Service Representative
Resume:
Office Support
Ada. Melendez
Bronx/Riverdale, New York
Email Address: ************@*****.***
Career Overview
Office professional with over 10 years experience in a professional office setting. Personable with the ability to multi-task and prioritize.
Skill Highlights
● Broad-ranging industry experience ● Legal Documents and Forms
includes: healthcare, legal/professional office ● Business correspondence
administrative support, home care services ● Claims appeal procedures
● 10+ years experience in a deadline-driven ● CMS-1500 billing forms
environment ● Filing/Editing patient charts
● Health insurance processing
● HIPAA compliance
● Insurance eligibility verification
● Medical billing
● Online claim submission
Experience:
Multitasking
● Demonstrated proficiencies in telephone, e-mail, fax and front-desk reception within high-volume environment.
Administration
● Performed administration tasks such as filing, faxing reports, photocopying collateral and scanning documents for inter-departmental use. Helped keep office running smoothly.
● Answered multiple phone lines, transferred calls to corresponding departments, filed patient records and billed accordingly.
Payroll Assistance
● Assisted with payroll preparation and entered data into cumulative payroll document.
Billing
● Cooperated with Medicare, Medicaid and private insurance providers to establish relationships and resolve billing issues.
● Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
●
Scheduling
● Corresponded with patients and clients through phone, fax, email and in person to schedule appointments and answer inquiries.
Monthly Reporting
● Organized billing and invoice data for controllers.
Research
● Investigated any necessary information for proper billing for insurance companies,
patients.
Experience
*September 2011 to February 2013
Receptionist/Secretary/Office Manager-Boutique Law Firm; Civil Litigation
Front desk and telephone support, administrative support of two partners, three associates and
two paralegals. Office management and maintenance of supplies, office machines and
keeping the office running smoothly. Established a document filing system to keep legal
documents filed on a current basis. Editing all outgoing correspondence. Keeping track
of current and non-current clients by updating client codes list. Maintain accounts payable receipts
for bookkeeper. Updated case lists in Excel. Calendaring.
*Started job assignment as a Temporary worker from June 2011 until mid-September 2011
October 2006 to June 2009
Secretary- Law Firm; Commercial Real Estate Law
Secretary to Vice President/Real Estate Attorney. Prepared real estate contracts, leases, purchase and sale agreements, real estate closing documents, last will and testament, memorandums and composition of letters using Microsoft Office Word. Edited subcontractor proposals, transmittals and memorandums for organizational support. Supported Vice President/Partner through personal document management, calendar organization and collateral preparation for meetings. Use of Outlook and basic Excel. Travel arrangements for law partners, client contact and set up of appointments. Increased customer loyalty through administrative legal project support and established rapport. Use of Basic QuickBooks program for accounts payable. Directly supported Office Manager in managing operation work flow. Excelled within deadline-intensive environment, ensuring accurate and on-time completion of all projects. Liaised with vendors to order and maintain inventory of office supplies. Assisted in all areas of administrative work including: data entry, receptionist duties, file organization, research and development. Managed daily office operations and maintenance of equipment and maintained accurate records for all business supplies. Served as corporate liaison between finance and IT.
April 1996 to April 2004
Medical Biller-Medical Billing Company
Responsible for setting up accounts receivables from medical insurances companies’ payments. Apply Medics II for posting of charges and payments. Process medical claims electronically and generate reports from N.E.I.C, Empire Medicare/BCBS of New York and NJMedicare. Some claims coding. Successful results with Medicare and private insurance claims inquiries and appeals to insurance companies. Request medical records. Utilized ADS, MSWord and WordPerfect 5.1. Responsible for maintaining office supplies and equipment. Contacted patients regarding unpaid and underpaid accounts, resolving all issues while maintaining a positive and pleasant attitude. Researched aging reports including reimbursements which were 90 days in arrears status. Follow up on open claims from aging report. Contacted insurance providers to verify correct insurance information and get authorization for proper billing codes. Updated patient accounts and information.
April 1993 to October 1995
Personnel Coordinator-Home Care Agency
Responsible for initial interviewing and hiring of home attendants (HA's) and tested their basic skills for class enrollment in the home attendant course. Enrolled skilled candidates in HA course. Placed HA's on job assignments. Accountable for updating personnel files and employee physical exams in compliance with Medicare law. Data entry on Skill Merge system. Started as Payroll Coordinator first year of employment. Prepared and drafted all outgoing correspondence in a timely manner. Prepared and distributed Payroll of more than 100 HA's. Provided efficient and caring customer service to clients.
Education
Bergen Community College
-Computer Coursework
Taylor Business Institute
-Secretarial Studies/Travel and Tourism
Certificate
North Bergen High School
-College Prep/General Studies
Diploma
2nd Honors Junior and Senior Years
Keywords
Medical and general billing, legal forms and documents, type 65WPM, reception, client relations, customer service, front desk, executive assistance, Microsoft Office, Proficient in Microsoft Word, data entry, office supplies, bilingual Spanish.
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