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Medical Customer Service

Location:
Hemet, CA
Posted:
May 15, 2017

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Resume:

Tina R. Upchurch-Williams

**** ********* *****

Hemet, California 92545

Home Phone: 951-***-****

Mobil Phone: 951-***-****

PROFILE: Highly organized and responsible professional with diverse experience in multiple career settings.

EDUCATION:

Master of Arts in Organizational Management

Ashford University US-Clinton, IA 10/2012

Bachelor of Arts in Business Administration

Ashford University US-Clinton, IA 9/2010

PROFESSIONAL SKILLS:

Microsoft Office 2016 (Excel, PowerPoint, Access, Microsoft Word, Outlook, and Publisher), Power Chart, Quick chart, Medical Billing using Altapoint software. Patient Registration Systems used: First Net, Profit, HBOC Clinical, COMM1 Patient Order System. Medical Terminology, Medical Transcription, Medical Office Procedures, Injections, Vital Signs, Medical Assisting, ICD-9 CM coding, CPT Coding, Survey of Human Disease Process, Pharmacology, Business English, Anatomy & Physiology, Computer Information Systems, Accounts Payable/Accounts Receivable, Windows NT 4.0, Adobe Acrobat Reader XI, Vantive Tracking System, ACD phone system, Mafi, and CRT Mainframe, 3M HCMS Datacron and Oasis Tracking, Electronic Patient Record System, IBM 3870 Chais Mainframe patient billing, and Eligibility Verification.

CAREER EXPERIENCE:

American Red Cross – San Bernardino, CA 01/2016 to 9/2016

Administrative Coordinator, II

Coordinate and organize program activities, schedule meetings and maintain agenda. Monitor hours, workload, schedules and progress of the program team. Encourage adherence to deadlines and schedules, Report on issues or lags, assist in budgeting and tracking expenditures. Help raise funds when appropriate. Prepare paperwork and keep updated records. Help build positive relations within the team and with external parties and students.

Amazon -San Bernardino, CA 11/2013 to 12/2015

Trainer/Ambassador

Book Fulfillment Manufacturing Associate

Precept training of new and returning employees in the various processes within the MOD Department according specified standard operating procedures. Member of a team of peers that continually met or exceeded book manufacturing goals. Completed tasks as specified in a daily production schedule while meeting high quality standard. Utilized standards and educated judgments to ensure customer product satisfaction through detail inspection of finished books.

Palomar Medical Center – Escondido, CA 12/2005 to 07/2006

Health Information Specialist

Accurate and timely record processing to include: loose report filing, pick up discharge records, make new patient folder and update old ones, place inpatient and outpatient records in established order, filing charts in alphabetical and terminal digit order, process emergency room records, assist customers via phone and at front desk with basic release of information request. Pull charts for physicians’ completion and validation, combination of duplicate medical records. Collect and input patient demographic information using Cerner,

software to confirm demographic information. Used Kaiser and other databases to verify eligibility of medical coverage and authorizations. Updated patient insurance eligibility upon receiving authorization for treatment, and collect co-payments.

St. Bernadine’s Medical Center - San Bernardino, CA 12/2004 to 5/2005

Admitting/Collections Clerk -Temp

Collect and input patient demographic information using HBOC clinical software, Verify eligibility of medical coverage and authorizations. Update patient insurance eligibility upon receiving authorization for treatment, collect co-payments, and explain medical services available.

Riverside Community Hospital - Riverside, CA 6/2004 to 8/2004

Unit Secretary for Trauma Unit

Transcribe doctors’ orders, input requests for diagnostic procedures, ordered supplies for unit, ordered diet for patients per doctors’ request, document trauma cases, post doctor rotation, and prepare patients for admission to medical floor.

Riverside County Regional Medical Center - Moreno Valley, CA 2/2004 to 5/2004

Admitting/Collections Clerk- Temp

Collect and input patient demographic information, collect co-payments, explain medical services available, arrange transfer of trauma patients for ambulance transport. Count cash drawer and prepare deposit receipts, verify eligibility of medical coverage and authorizations.

Valley Plaza Doctors Hospital - Perris, CA 6/2003 to 11/2003

Unit Secretary for Medical/Surgical Unit

Recognized arrhythmia's or any change in heart rate or rhythm, report changes to RN. Ran telemetry strips every 4 hours and upon admission for all telemetry patients. Compiled charts, maintained current charts, filed reports, transcribed and transmitted doctor’s orders. Clarified orders as needed with RN, responded to telephone and intercom messages. Relayed communicated messages to appropriate persons, performed clerical functions as needed. Prepared and maintained census sheets, dietary requisitions and unit supply requests, assisted nurses with admissions, transfers, and discharge of patients. I demonstrated proficiency in support of hospital mission statement, patient confidentiality, and customer relation. Document care provided in medical record.

Loma Linda Medical Center - Loma Linda, CA 2/2000 to 1/2001

Home Health Department Secretary

Input charge entry and patient registration in 3M HCMS Datacron. Produced visit counts and case management reports. I was responsible for computing mileage and expense reports. I also extracted proper diagnosis from patient record for coding using ICD-9-CM & CPT coding procedures.

Kaiser Permanente Membership Services - Corona, CA 12/1998 to 9/2001

Customer Service Representative

Prepared narrative summaries regarding patient inquires, concerns, Author and revise scripts. Provide information and support to internal and external members regarding benefits. Utilized personal computers and databases to answer member questions, tracked all inquiries, and requests using an automated contact management system. Responded to member questions and concerns and acted as a member advocate for their service needs. Resolve benefits issues at the lowest possible level to assure a smooth transition from purchaser to consumer through implementation of service strategies within the call center. Other duties and tasks included reinstatement, transferring of funds, and demographic changes. I assisted customers in getting refunds and billing resolution.



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