Customer Service Representative

VURLISA TAYLOR

**** ***** ***** **. ***** Prairie, TX 75052 972-***-**** ********@*****.***

PROFESSIONAL PROFILE

Customer service oriented professional who provides timely and accurate data to ensure reimbursement for patient services. Follows policies, procedures and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality. Accustomed to working in environments where accountability is essential.

Takes initiative to assist others and address issues in a timely manner.

Attention to detail needed to review and correct errors and maintain high levels of accuracy.

Experienced with Microsoft Word, Excel, PowerPoint, and Outlook – Type 34 WPM.

KEY QUALIFICATIONS

Medical Billing Medical Coding ICD-9-CM HCPCS CPT ICD-10-CM Medical Terminology

Electronic Health Records (EHR) Electronic Medical Records (EMR) Greenway

Managed Care (HMO, PPO, and POS) Government Payers Third Party Payers Worker’s Compensation

Centers for Medicare and Medicaid CMS 1500 CMS 1450 (UB-04) Tricare

EOBs Payment Posting Revenue Cycle Management Scheduling

Insurance Verification Insurance Billing Procedures Insurance Claim Processing

Practice Management Medical Office Procedures Anatomy & Physiology HIPAA Compliance

Co-Payments Deductibles Co-Insurance Superbills

Reimbursement Methodologies Fee Schedules Outpatient / Physician Inpatient / Facility Hospital Coding

EDUCATION

Ultimate Medical Academy – Medical Billing and Coding, 2015

Completed an intensive, accredited training program which included:

Surgical Procedures, Disease Processes, Life Cycle of an Insurance Claim, Health Care Settings, Health Care Payers, Procedure and Diagnosis Coding from Medical Records, Reimbursement Systems,

Medical Practice Management Systems.

CERTIFICATIONS

Working towards National CPC-A Certification

PROFESSIONAL EXPERIENCE

Restoration Hardware – Grand Prairie, TX 07/2017 -

Present

Customer Service Associate

Creative and innovative ideas with a focus on delivering results

Strong aptitude for navigating various software applications

High end furniture, design showroom or luxury retail experience preferred

Experience in a call center environment analyzing and solving escalated and intricate situations preferred

Grand Prairie ISD – Grand Prairie, TX 08/2005 – 06/2017

Paraprofessional / Teacher Assistant

Provided extra assistance to students with special needs, such as non-English speaking students or those with physical and mental disabilities.

Tutored and assisted children individually or in small groups, to assist in mastering assignments and to reinforce learning concepts presented by teachers.

Assisted the in-class teacher in adhering to a diverse and enlightening curriculum in strict accordance with state mandates.

Making sure students enjoying learning.

ADDITIONAL EXPERIENCE

Allied Marketing Group, Inc., Dallas, TX – Customer Service Representative / Call Center 05/2001 – 08/2002

Aegis Communication, Irving, TX – Customer Service Representative / Call Center 06/1999 – 05/2001

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