Medical Customer Service

Saleasha Williams

**** **** ****** * ********** Ohio 45212 C: 513-***-**** E: ac239r@r.postjobfree.com

SUMMARY: Exceptional leader talented at Medical Billing, Loan Consumer and Customer Service. A highly motivated Medical Biller with 6 years solid experience on all levels including budgeting and administration. Resourceful, detail-oriented, reliable, and possesses excellent problem-solving skills. A team player with great communication skills successfully interacts with a wide range of coworkers and clients.

Professional Experience

Experience with medical billing and coding, such as ICD-10-CM, CPT, and HCPCS

Strong knowledge of EOBs

Successfully and accurately processed over 400+1500 HCFAs per day

Proficient in Microsoft Office: Word, Excel, PowerPoint

Well-versed in medical terminology, anatomy, and physiology

Ability to work with confidential medical records and documents, such as scanning, filing, and entering data

Ability to meet daily high productivity standards

Experience in answering multi-line phone and as a switchboard operator

Report preparation, billing, insurance

Strong background in customer service, with 18 years of experience

Excellent general office and organizational skills: type 40 wpm

Proven results as a self-starter

Mindlance/ Anthem

Switchboard Operator October 17, 2016 –February 01, 2017

Responsible for receiving calls for Open Enrollment on Clients’s1800 telephone lines

Responds to inquiries and request for assistance

Identifies problem, troubleshoots and provides advice to assist callers

Understands WellPoint structure and how to direct the incoming calls to the appropriate department

Fifth Third Bank/Adecco

Loan Consumer August 28, 2015- August 28, 2016

Reviewing Loan Estimates (LE’s) making sure information on forms are accurate such as Principal Interest Rates, Mortgage Insurance, Escrow, Property tax fee’s, Term and Purpose, Cash to Close, APR ratings, Formatting are applicable, for if loan need Refinancing, Purchasing, FHA, VA or Constructions Loans

Once LE’s (Loan Estimate) goes thru the application process the Borrower then can request Change of Circumstances (COC) if needing pricing changes, appraisal, or change in product. Update that information in the data base within time frame

Closing Disclosures once borrower at the closing table is based on what Cash to Close is granted to borrower making sure all information is entered in data base correctly such as Issued dates, Delivery method of Closing Disclosure, Term, Purpose, Settlement agent details, Borrowers information, Loan Terms, making sure fee’s are accurate, list of Title agents and Settlement agents information is located in correct section, validating all fees are accurate within time frame

Verifying information on Closing Disclosures loans are accurate for disclosing

OfficeTeam

Oncology Hematology Care

Patient Account Specialist

March 11, 2015- August 2015

Following up on various patients accounts working with 1500 HCFA Forms and EOB’s. Contacting various insurance companies on getting claims paid and adjusted off with services such as reason for Denials on claims, Referral’s (Pre-certs), Appeals, Authorizations, Self Pays, Financial Hardships, Commercial Insurances, Medicare, and Medicaid

Posting Insurance Payments and Electronic Remittance Advices

Perform general patient accounting functions which includes collections, zero pays, adjustments and refunds

Government / Commercial billing/ Collections

Insurance follow up /Insurance Verifications

Posting of Payments from third party payers and account guarantors

Adecco Staffing

P&G Ricoh October 2014- January 2015

Administrative Assistance duty consist of Scanning, Coding, Searching Legal Patent Documents Loading into P& G Corporate Data Base

Go thru numerous of Via Emails with Attachments

Documents are name by their Legal Patent Case numbers and Country

Legal Patent Documents consist of Claims, Specifications, Publications, and Appeals etc.

Faxing, Copying, Filling Documents and Scanning

Education-At-Work

Macy’s.com & Bloomingdales.com October 2013-January 2014

Service Recovery handles issues for Macy’s.com and Bloomingdales.com customers that’s placing an order online

Macy and Bloomingdales provides wide range of services for shoppers as an agent have to resolve issue such as, shipping information, tracking packages (UPS) etc., Sale price match, adjusting payments, entering promotional codes, verifying sale prices that’s in store, Credit services, Furniture & Bedding, Gift Cards, Consumer Protection

Check credit card holders account, Internet Order numbers, Bridal Registries, Pass word Reset, Reservation numbers, Payment history, Email notes, Charges, 900 series

Provides outstanding customer services and ensure accuracy for customers that shops online

Ajilon Professional Staffing

US Bank Foreclosures

September 2013- October 2013

Collecting missing documents for US Bank Audit on Foreclosed homes for Soldiers Civil Relief Act

Foreclosed Non Judicial or Judicial documents include, Deeds, Notes, Mortgages, Bankruptcies, Third Party checks, Attorney’s check list, Judgments, Complaints, Answers, DMDC searches, SCRA searches, Power of Attorney’s, Warranties, Recorded Notarized documents and Affidavits

Place calls, via e-mail or fax request, to the borrower Attorney’s office to request missing documents

Foreclosed missing documents are uploaded and save into corporate data base

Randstad

US Bank

December 2012- 2013

Team Lead/Mail Clerk

Sorting batches of 1040 forms along with W2’s, IRS Checks and Vouchers, checking Electronic Identifications Numbers, Tax type’s and Amended year

Batching IRS forms and checks into different payment methods such as Full Payment, No Pays and Partial payments

Sorting and batching checks by their Tax type listed on voucher’s such as 1040 Individual, 1040ES, CP’S, and 941’s

Ajilon Professional Staffing December 2009 - 2011

Claims Analyst

HCFA claims and voucher claims per day for Home Health Care Services and Transportation Services for patients

Identified, notated, posted claimant responsibility / account guarantor

ProScan Imaging August 2007 - January 2009

Charge Entry Specialist

Payment Entry Specialist

Assisted various patients with medical billing services such as, Self Pays, Worker’s Compensations, Attorney’s Account., Financial Hardships, Commercial Insurances, Medicare, and Medicaid

Posting Insurance Payments and Electronic Remittance Advices

Perform general patient accounting functions which includes collections, zero pays, adjustments and refunds

Government / Commercial billing/ Collections

Insurance follow up /Insurance Verifications

Posting of Payments from third party payers and account guarantors

Office Team June 2006 – June 2007

Working front desk at doctors’ offices, filing medical records, and scheduling appointments

Medical Records Department scanning and filing batches into corporate database

Scanning Medical Records of Attorney’s accounts into corporate database

Provider’s Medical Personnel January 2001 – July 2006

Commonwealth of Nursing January, 2001 – March 2006

First Call Medical Services March 1998 - January 2001

Certified Nurse’s Assistant

Attend to the general health and well-being of clients on a daily basis

12 years of experience providing services for: Vitas, University of Cincinnati Hospital, Mercy Hospital Hospice, Good Samaritan Hospital, and various retirement homes

Maintain household of clients

Assist clients with hygiene issues

Travel to various hospitals and nursing facilities throughout the area in order to provide exceptional medical care

Media Education

Ohio Center for Broadcasting 2013

Medical Education

Southwestern College 2006

Medical Coding and Billing Diploma

Dean’s List

Diamond Oaks

Medical Transcriptionist Certificate 2004

Bethesda Tri-Health,

Medical Terminology Certificate 2003

Deaconess Hospital

Nurse Aid Training Program Certification 1998

Computer Skills

Epic, Nextgen, GE Centricity Practice Management, MCO Managed Care Optimizer System, Practice Fusion, Kareo, Med iSOFT, LPS Desk Top, Vendorscape, IP Manager, First To File, Microsoft Word, Excel, Power Point, Final Cut Pro, Adobe Audition, Photoshop, Unifi, Nautilus, Genesys Workspace

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