Customer Service Representative Healthcare

PATRICIA ANN RICHARDSON

**-* ****** ******, ******, SC 29150 ● 803-***-**** ● ********.***.**********.**@*****.***

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. Academic Honors Recognition / Honor Roll. Experienced with Microsoft Word, Excel, and Outlook.

KEY QUALIFICATIONS

Medical Billing Medical Administrative Patient Registration Medical Terminology

Medical Records Management Meaningful Use Medical Practice Management Systems Introduction to CPT

ICD-9-CM ICD-10-CM Coding Charge Entry Payment Posting Denials Appeals Referrals

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

Insurance Verification Reimbursement Systems Medical Basics and Healthcare Claim Cycle

Healthcare Payers Managed Care (HMO, PPO, and POS) Medicare / Medicaid Government Payers

Third Party Payers HIPAA Compliance Medical Charts Basic Anatomy & Physiology

EDUCATION

Ultimate Medical Academy

Health Sciences – Medical Office and Billing Specialist / Associate of Science Degree, 2017

Diploma – Medical Office and Billing Specialist, 2016

WORK EXPERIENCE

Nemours Alfred I. DuPont Hospital for Children Wilmington, DE 07/2005 - 10/2005

Medical Records Clerk

Filed medical documents and updated patient information.

Verified insurance and performed data entry.

New Roads Call Center New Castle, DE 10/2001 – 07/2005

Customer Service Representative

Inbound calls with customers for the purpose of resolving routine problems with products or services.

Greeted customers in a friendly, courteous, sympathetic, and professional manner.

Clarified customer requirements and prepared complete and accurate work.

Answered 250 inbound calls per day.

American International Group (AIG) Wilmington, DE 06/1999 – 06/2001

Customer Service Representative

Prepared, sorted, and organized life policy owner services.

Processed paperwork for quick and efficient scanning.

Utilized Microsoft Word, Access, and Excel to complete job duties.

First USA Bank Wilmington, DE 04/1996 – 06/1999

Image Clerk

Scanned applications using a Kodak scanner.

Indexed applications utilizing FileNet software.

Maintained confidentiality of proprietary information.

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