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Customer Service Insurance

Location:
Posted:
June 09, 2017

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

Plaquemine, Louisiana 70764

Phone: 225-***-****

E-mail: ac0rxr@r.postjobfree.com

Objectives

To secure and operate in a full time position utilizing my present and previous work experience with the opportunity for career advancements.

Education

2016 -2017. H.O.P.E Bible Institute. Baton Rouge, LA

Bachelor of Science - Theology & Religious Studies

2010- 2012 Capella University Minneapolis, MN

Bachelor of Science - Business Administration

Magna Cum Laude, Veteran’s Acknowledgment, Dean’s List

1985-1988 Southern University & A&M College Baton Rouge, LA

Major- Business Education

Dean’s List, Honor Society, Future Business Leader’s Association

1984-1984 United States Armed Forces Fort Dix, NJ

Basic Training Diploma

Material Control & Accounting Specialist Diploma

1982-1984 Plaquemine High School Plaquemine, LA

High School Diploma

FBLA, Beta, Summer Enrichment, Talent Search,

Principal & Honor Roll, Student Government

Experience

2016 - Present Amedisys Home Health Services, Inc. Baton Rouge, LA

AR Coordinator

Responds to payor requests for claims and communicates such requests to the agencies.

Generates aging reports and identifies unpaid claims or disputed charges/claims

Initiates requests for payments, resubmits claims, or submits invoice to a secondary payor.

Initiates or responds to calls and other inquiries regarding the status of claims.

Maintains automated and manual systems related to accounts receivable with accurate information.

Attends and actively participates in staff meetings.

Provides other administrative support to the department as needed.

Trains and assists AR Coordinators and Lead AR Coordinators as needed.

2016- Present Ochsner Health Systems - Iberville Complex Plaquemine, LA

Revenue Cycle II – Patient Access

Obtains information to conduct arrivals and registration of emergency room patients.

Updates patient demographic and health insurance information

Verifies insurance eligibility

Discuss and collect co pays and/or insurance deductibles where applicable

Direct and refer self pay patients to Financial Counselor and/or other Community Resources

Provides information to patients regarding Patients Bill of Rights, Medicare Rights and Notice of Privacy Practices per state and federal regulations

Provides Important Letter to Medicare/Tricare for appropriate patients according to HCFA regulations and department policy

Provides Admission Authorization form and receives signatures on all forms as needed

Answers multiple phone lines, takes calls from patients, family members, physicians, other hospital staff and external customers.

Triage phone calls in a timely and professional manner

Maintains bed control functions and assists clinical staff with the discharge function as requested

Copies, faxes, and prints documents

Assists with new employee training as delegated by the Patient Access Manager

2015 –2015 Our Lady of The Lake ER Admissions Baton Rouge, LA

Access Services Representative

Greet patients and visitors

Obtain and enter demographic, clinical and financial information into the computer systems

Interview patients to accurately obtain all opening information required for admissions

Prepare admitting and discharge records to forward to proper departments

Explain a variety of admission forms and policies

Collect signatures and hold discussions on financial responsibility

Carry out insurance verification, consent and notifications

Explain and obtain signatures on admission, clinical and financial forms

Determine expected cost for services being rendered

Identify all insurance payer sources

Verify insurance eligibility and obtain insurance notification and collect any applicable copays

Charge order entry processing

Carry patients to different departments

2014- 2015 Charter Schools USA Plaquemine, LA

Information Technology Support Technician

Set up workstations with computers and necessary peripheral devices (routers, printers etc.)

Check computer hardware (HDD, mouse, keyboards etc.) to ensure functionality

Install and configure appropriate software and functions according to specifications

Develop and maintain local networks in ways that optimize performance

Ensure security and privacy of networks and computer systems

Provide orientation and guidance to users on how to operate new software and computer equipment

Organize and schedule upgrades and maintenance

Perform troubleshooting to diagnose and resolve problems (repair or replace parts, etc.)

Maintain records/logs of repairs and fixes and maintenance schedule

Identify computer or network equipment shortages and place orders

Provides computer support to teachers, students, and administrative staff

Troubleshoot computer software and hardware issues

Assist with Network issues/Active Directory

Install, configure and maintain computers, printers, scanners and other peripherals

Ticket Incident and Help Desk resolutions

Meet the SLA agreement on a daily basis

Assist and coordinate on special projects

1990 –2014 Citizens Bank & Trust Company Plaquemine, LA

Systems Operator – Data Processing & IT Department

Balance Daily Proof of Deposits

Opening and Closing daily procedures

Posting and Issuing of customer’s monthly statements

Merchant and Branch Capture Procedures

Proof Encoder

Data Entry Processer

AS400 System Operator

Advanced Microsoft Office Suites

Microsoft Server

Active Directory/Domain

Assist in Networking Issues

Desktop Troubleshooting

Install/Upgrade software/hardware

Work with outside vendors

End user support

Disaster Recovery Procedures/Daily Backup Tapes

Assist in Bookkeeping Department

NSF’s/Chargebacks/Check Verification

General Ledger/ Bank Reconciliation

Knowledge of Accounts Receivable/Account Payable

Knowledge of GAAP/Financial Statements/Balance Sheets

Ordering/Purchasing/Maintain Inventory Control

2001-2002 Taco Bell Franchise Plaquemine, LA

Night Manager

Responsible for store/ crew members/customers

Supply & Ordering procedures

Count & Maintain nightly inventory

Manage cost control

Follow proper opening and closing procedures

Nightly reporting /Backups

Balance cash drawers & create bank deposit slip

Customer service/customer complaints/crew complaints

Assign & designate crew tasks

Support Manager and crew members

Skills

Possesses a basic understanding of medical terminology and procedures

Insurance billing

Ability to transport patients via wheelchair

Listens well and devotes full attention to patients and medical professionals alike

Compassionate and caring, as the job involves dealing with people who are critically ill or injured

Has the ability to remain calm, even under the most stressful of situations

Is able to switch priorities based upon patient need

Track record of upholding strict patient confidentiality

Computers –Windows XP, Windows Professional, Windows 7, Vista, Mac

Desktop Troubleshooting

Knowledge of Networking

Active Directory

Advanced in Microsoft Office Suites

Knowledgeable in Human Resources

Bookkeeping

Data Entry

HCBS System

ePremis System

Epic & Cerner

Kronos & ADP

Proof Operator/Encoder

Inventory Control

Purchasing & Ordering

Cost Reduction

Increase revenue

Retail Management

Customer Service

Excellent Written & Oral Communication

Ability to work in a fast paced environment

Communicate effectively with others

Ability to work under low supervision

Self-Starter, Motivated, Flexible

Detailed Oriented



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