Customer Service Medical

Carl Taylor

Email: abpc8j@r.postjobfree.com

Address:

City: Colorado Springs

State: CO

Zip: 80918

Country: USA

Phone: 719-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

To Find a position as a Patient Service Coordinator experienced at registering patients, scheduling appointments and recording and filing patient medical records. Collecting copays and obtaining referrals. Enters orders and information quickly and accurately.

Educational Background:

High School Dipolma from Virginia Commonwealth University, Richmond VA 1/2001 to 6/1988 (Applied Science)

Job History / Details:

Professional Summary

To Find a position as a Patient Service Coordinator experienced at registering patients, scheduling appointments and recording and filing patient medical records. Collecting copays and obtaining referrals. Enters orders and information quickly and accurately.

Licenses

Skill Highlights

Electronic Medical Record (EMR) software

HIPAA compliance

Strong planning skills

Technical expertise

Patient-focused care

Leadership skills

Multi-tasking

Office support (phones, faxing, filing)

Maintains strict confidentiality

OB-GYN, surgery, gastro, ENT, ortho experience

Billing and collection procedures expert

Records maintenance

professional

Composed and professional demeanor

Adept multi-tasker

Adept multi-tasker

Resourceful and reliable worker

Strong work ethic

Strong attention to detail

Customer service

Excellent verbal communication

Knowledge of HMOs, Medicare and Medi-Cal

Knowledge of anatomy/physiology

Extensive anatomy/physiology knowledge

Resourceful and reliable worker

Professional Experience

December 2008 to Current

Colorado Department Of Corrections Aurora, Colorado

Correctional Officer

As an Armed Transport Specialist my job required me to do alot of traveling through the United States and other Countries. These duties were mostly picking up and returning convicted felons that had either escaped, violated parole or were convicted of new crimes.

October 2002 to December 2008

The Children Hospital Of Aurora Aurora, Colorado

Patient Service Coordinator

Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.Updated patient financial information to guarantee accuracy.Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.Precisely completed appropriate claims paperwork, documentation and system entry.Professionally and courteously verified appointment times with patients.Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).Prepared patient charts, pre-admissions and consent forms as necessary.Determined prior authorizations for medication and outpatient procedures.Pre-certified medical and radiology procedures, surgeries and echocardiograms.Coordinated luncheons with Pharmaceutical Representatives.Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data.Researched questions and concerns from providers and provided detailed responses.Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.Confirmed patient information, collected copays and verified insurance.Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature. Communicated with medical transcriptionists regarding patient medical records.Carefully prepared, reviewed and submitted patient statements.Efficiently performed insurance verification and pre-certification and pre-authorization functions.Adeptly managed a multi-line phone system and pleasantly greeted all patients.Verified patients' eligibility and claims status with insurance agencies.Entered orders into the EMR system efficiently and without errors.Prepared patient charts accurately and neatly for the clinic.Diligently filed and followed up on third party claims. Maintained strict patient and physician confidentiality.Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.

Education and Training

1988 Virginia Commonwealth University Richmond, Virginia

Associate of Arts Applied Science

Certificate in Health Information Administration

References

Brian Bannon

Dept Of Corrections, Coworker

Home # 1-719-***-****

Jeff Espinoza

Dept Of Corrections, Supervisor

Home # 1-719-***-****

James Abeyta, Coworker

Dept Of Corrections

Home # 1-719-***-****

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