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Customer Service Medical

Location:
Houston, TX
Posted:
December 26, 2017

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Resume:

Education

oIn progress: Associate Degree, Medical Administration, University of Phoenix (Houston, TX)

o2016: Medical Records & Coding Certificate, University of Phoenix (Houston, TX)

-Knowledge of CPT, ICD-9/10, HPCC and CPC codes and coding guidelines.

-Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.

o1998: Office Assistant Certificate, Texas School of Business (Houston, TX)

-Director’s List (4.0 GPA)

Resume Highlights

oProficient in Epic, GLCDE, Xifin, and People Soft proprietary systems; MS Office applications.

oMedical admissions, registration, scheduling, and bed management experience.

oQuick and adept at gathering and recording patients’ demographic data records management.

oPatient liaison skills. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

oAbility to verifying medical benefits and submit claims for payment.

oEffective management and leadership skills, with the ability to manage 5+ employees, employee time, payroll and attendance management.

Career Journal

oAccounts Receivable, Baylor Genetics 5/2014- Present

-Collects delinquent accounts by establishing payment arrangements with patients; monitoring payments.

-Register patients by entering demographic and insurance information.

-Answer incoming inquiries regarding CPT codes and prices for genetic testing.

-Correct errors in claims to be resubmitted.

-Completed data entry and reviewed codes for accuracy prior to submission.

-Entered billing data and submitted bills to insurance companies’ private payers Medicaid and Medicare.

-Research errors on outgoing claims.

-Train new employees.

oAdmissions Coordinator, Park Manor Senior Living 10/2011 to 10/2012

-Provided customer service by performing nursing assistance duties to ensure cleanliness of the rooms and facility prior to residents’ arrival.

-Managed bed availability and assignment within the facility.

-Screened and scheduled appointments for new residents in a way to ensure optimal efficiency in facility.

-Assisted with verifying insurance and explain benefits to prospective residents.

-Assisted with conducting weekly meeting with staff to discuss census, goals for the company and admission statuses.

-Completed daily census reports; maintained DRR and MPG reports.

-Communicated with various Case Managers from different facilities to arrange resident referrals.

-Discussed financial options with all involved parties.

-Ensured D.O.N screening prior to admission.

-Assisted marketers and liaisons with collecting clinical information within medical facilities.

oAdmissions Coordinator, Northwest Health and Rehabilitation Center 4/2007-8/2011

-Internal promotion position.

-Registered all new resident transfers that were direct admissions.

-Managed bed availability and assignment within the facility.

-Scheduled appointments for quality tours of the facility and rehab department.

-Scheduled residents for all rehab services.

-Communicated with Case Managers and Nurse Liaisons regarding direct admits and prospective residents.

-Collected admission data: demographic and insurance information.

-Completed daily census reports for meetings and management; maintained DRR and MPG reports.

-Made cold calls to medical facilities for referrals.

-Upheld the confidentiality of all patient information.

-Utilized effective customer service skills, answers patient's and family member's questions in person or via phone.

oAdministrative Assistant, Northwest Health and Rehabilitation Center 11/2005-4/2007

-Registered all new resident transfers that were direct admissions.

-Managed bed availability and assignment within the facility.

-Scheduled appointments for quality tours of the facility and rehab department.

-Communicated with Case Managers and Nurse Liaisons regarding direct admits and prospective residents.

-Collected admission data: demographic and insurance information.

-Completed daily census reports for meetings and management; maintained DRR and MPG reports.

-Made cold calls to medical facilities for referrals.

-Upheld the confidentiality of all patient information.

-Utilized effective customer service skills, answers patient's and family member's questions in person or via phone.

oStore Manager, First Cash Advance 10/2002 to 11/2005

oPersonal Banker, Wells Fargo Bank 05/1995 to 02/2001

oConsumer Teller, Bank One 11/1990 to 09/1994



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