Customer Service Medical

Dara A. Brandon

***** ******** **** ? Houston, TX 77053

Home Telephone 832-***-****? Cellular Telephone 713-***-**** ?E

Mail:***********@*****.***

OBJECTIVE

Compute, classify, and record numerical data to keep financial records

complete. Perform any combination of routine calculating, posting, and

verifying duties to obtain primary financial data for use in maintaining

accounting records. May also check the accuracy of figures, calculations,

and postings pertaining to business transactions recorded by other workers.

SUMMARY OF QUALIFICATIONS

Proven ability to add value in the following areas:

Customer Service

Knowledge of principles and processes for providing customer and personal

services. This includes customer needs assessment, meeting quality

standards for services, and evaluation of customer satisfaction.

Answer telephone and direct calls to the appropriate department or person,

and handle calls if knowledgeable on the subject under discussion.

Maintain schedules and make travel arrangements

Promote programs and projects through presentations and media sources.

Medical Office management

Knowledge of administrative and clerical procedures and systems such as

word processing, managing files and records, stenography and transcription,

designing forms, and other office procedures and terminology.

Ability to type 40 words per minute.

Verify insurance information and obtain all necessary pre-authorization and

notification from insurance

Medical insurance billing experience

Coordinate payments

Medical collection experience

Transcribed medical records and notes

Financial Management

Operate computers programmed with accounting software to record, store, and

analyze information.

CHECK FIGURES, POSTINGS, AND DOCUMENTS FOR CORRECT ENTRY, MATHEMATICAL

ACCURACY, AND PROPER CODES.

CLASSIFY, RECORD, AND SUMMARIZE NUMERICAL AND FINANCIAL DATA TO COMPILE AND

KEEP FINANCIAL RECORDS, USING JOURNALS AND LEDGERS OR COMPUTERS.

DEBIT, CREDIT, AND TOTAL ACCOUNTS ON COMPUTER SPREADSHEETS AND DATABASES,

USING SPECIALIZED ACCOUNTING SOFTWARE.

OPERATE 10-KEY CALCULATORS, TYPEWRITERS, AND COPY MACHINES TO PERFORM

CALCULATIONS AND PRODUCE DOCUMENTS.

RECEIVE, RECORD, AND BANK CASH, CHECKS, AND VOUCHERS.

COMPLY WITH FEDERAL, STATE, AND COMPANY POLICIES, PROCEDURES, AND

REGULATIONS.

COMPILE STATISTICAL, FINANCIAL, ACCOUNTING OR AUDITING REPORTS AND TABLES

PERTAINING TO SUCH MATTERS AS CASH RECEIPTS, EXPENDITURES, ACCOUNTS PAYABLE

AND RECEIVABLE, AND PROFITS AND LOSSES.

CODE DOCUMENTS ACCORDING TO COMPANY PROCEDURES.

RECONCILE OR NOTE AND REPORT DISCREPANCIES FOUND IN RECORDS.

1 EMPLOYMENT HISTORY

2009 to Present Tax Preparation Jackson Hewitt

2007 to Present Collector Bad Debt PFS Group

Placing outgoing and receive incoming calls to facilitate collection and

resolution of patient accounts

Communicating with patients to ensure timely resolution of account balances

Resolve issues, set payment expectations, arrange payments, and request

information from patients

Responding to patients, providers, and clients regarding eligibility

verifications for member and providers, explanation of benefits,

coordination of benefits and claim inquire

Training coworker on explanation of benefits, coordination of benefits,

and how verify eligibility.

Assist project managers with various projects

Makes outbound calls to the Insurance Companies to resolve claim issues

Document all worked accounts in accordance with HIPPA compliance

Update account status and mail out patient statements

Ability to utilize and prepare excel spread sheets

Maintain a quota of 60 -80 worked account per day

Obtain CPAT Certificate

2006 to 2007 ? Customer Care Professional ? United Health Care

Provide excellent customer service to both members and providers by:

Quickly /accurately identifying and assessing individual provider/member

needs and taking appropriate action steps to satisfy those needs

Solving problems systematically, using sound business judgment and follow

through on commitments.

Establish rapport over the phone; remain positive and upbeat over a

prolonged period of time by projecting patience, empathy, caring, and

sincerity in voice and tone.

Expressing thoughts and information clearly and succinctly.

Responding to members, providers, and clients regarding eligibility

verifications for member and providers, explanation of benefits,

coordination of benefits and claim inquire

2004 2006 Administrative Assistant

The Men Center

Attend Board Meetings (Recorder of the Minutes)

Type letters, memorandum, and reports

Create and maintain files and records

Assisted in preparation of agenda and related material for Staff Meetings

and Board of Directors Meetings

Full charge Book Keeper

Maintained Inventory and supervised ordering of supplies

Liaison between the company and community based organizations and local

political officials

Worked closely with fund raising consultants and foundations to develop

funding for a building project

Maintained schedule and arranged travel for the Executive Director

Maintain donor database

EDUCATION

University of Massachusetts ? 60 Semester Hours ? Liberal Arts

Jewish Vocational Services ? Certificate Medical office

Billing.

Houston Community College AAS Degree Accounting

Microsoft Office Application Software

Medical Terminology

Proof Reading

Knowledge of FDCPA, FCRA, HIPAA

1

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