Customer Service Medical
Resume:
Ashley Tyra
Victorville, CA 92395
Cell: 951-***-****
E Mail: abs0xx@r.postjobfree.com
Executive Summary
Entry level manager with years of managerial experience, Strong strategic planning and people management skills. High
performing manager with years of health care experience in hospital and medical office environments. Experienced medical
office manager with strong leadership and relationship building skills. I am a very friendly dedicated & loyal individual
who has an ambition to succeed in any environment. Although I have extensive experience in the medical and health care
field, I love to learn, and I am always up to a challenge no matter what the situation may be. I get along with others very
well while still maintaining excellent work efficiency on my own. I am seeking a position where I can develop and excel all
the while giving my very best to my employer.
Core Qualifications Inventory Control, Budget
development, allocation, and monitoring, Compensation and Benefits administration, Staff development, Strong ability to
execute based on strategic objectives, Big picture focus on company goals, Employee scheduling, Time management,
Vendor negotiations, Trained unit secretary, Certified (Nationally and State) Phlebotomist, PC competent, Fast learner,
Strong Communication skills, Excellent communication skills, Team player, Customer relation skills and strong customer
service skills.
Work History
Optum Rx (United HealthCare)
September 2011 Present
3515 Harbor Blvd Costa Mesa, Ca 92626
Answering incoming calls; assisting customers/pharmacies/physicians with orders and reorders, benefit eligibility questions
and prescription status inquiries, Assists pharmacies and members on all issues related to processing of pharmacy claims.
Processing pharmacy claims, Determining appropriateness of overriding pharmacy claims edits and error messages,
Coordinating internal resolution of claims exceptions and other issues. Direct phone based customer interaction to answer
and resolve a wide variety of inquiries, Making outbound calls on prescriptions withhold orders and payment issues, also
assists with entering new prescription orders into the system, Educating customers on benefits, use of plan, formulary,
premiums and status of orders, claims or inquiries and other duties as assigned.
Medical Partners Plus (July 2005 to October 2010)
Medical Office Manager
Supervision of patient scheduling, registration, financial counseling, medical records, billing and collection, data entry and
processing, and cash posting, Promoting excellent customer service, Develop, implement and maintain office policies and
procedures, Interview, hire and train a productive medical office team and conduct performance reviews, Responsible for
the non clinical aspects of the day to day operations in a medical office environment.
The Pink Taco (Hard Rock Hotel & Casino August 2004 July 2005)
Restaurant Hostess/Guest Services
Monitoring the open dining sections of the restaurant for empty and cleaned tables, estimating wait times for guests,
monitoring the guest waiting list, and ensuring that the needs of the guests are met while they are waiting. Also
responsible for answering the telephone, booking reservations and moving tables together to accommodate large parties as
well as selling merchandise to the customers.
Education
Best American Health Care University
Unit Secretary Course 2012
Secretarial procedures pertinent to health care, from providing customer service to patients to adhering to privacy
regulations, medical terminology, customer service in the healthcare setting since the unit secretary also acts as the medical
receptionist. Medical Accounting course medical insurance coverage currently available to patients and the process for
filing claims. Basic medical billing codes for various procedures. Medical Records Course Maintaining digital and hard
copy patient charts and files is an essential task of a health care secretary. Emphasis on federal privacy regulations, which
make the secure storage of patient medical and financial records a priority. Medical Terminology Course Advanced
medical terms in order to properly transcribe doctor’s orders and understand medical coding.
Penn Foster College (Online) 2009
Medical Administration Assistant
Clerical duties Schedule, coordinate, and monitor scheduling, Schedule inpatient/outpatient procedures and admissions,
Perform medical transcription, Perform procedural and diagnostic coding, Obtain reimbursement through accurate claims
(insurance) submission, Monitor and follow up on third party (insurance) reimbursement, Apply bookkeeping principles,
Document and maintain accounting and banking records, Manage accounts payable, accounts receivables, and payroll,
Professionally manage telephone responsibilities, Receive, organize, prioritize, and transmit written and verbal
communications and information
Mission Career College 2007
Phlebotomy
Phlebotomy License
Professional Training: Phlebotomy. Prepares and maintains necessary equipment and supplies, Performs venipuncture,
arterial puncture, capillary puncture, and other fluid collection. Procedures on patients, and ensures specimens are
appropriately labeled and identified, Assists the patient before, during, and after collection of the specimen, Must maintain
patient confidentiality, keep necessary records, and document results
Paloma Valley High School 2004
High School, High School Diploma, Graduated with a 3.8 G.P.
Affiliations
NCCT (National Center for Competency Testing) NCPT (National Certified Phlebotomy Technicians) NCCA (National
Commission Certifying Agencies) P.A.C.E (The Professional Acknowledgement for Continuing Education) and
ASCLS (American Society for Clinical Laboratory Sciences)
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