Customer Service Medical

Ashley Tyra

***** ******* ** #**

Victorville, CA 92395

Cell: 951-***-****

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

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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