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Customer Service Medical

Location:
Downey, California, United States
Posted:
February 12, 2018

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Resume:

Janet J Venegas

**** ********** *****, ******, ** 90240

(C)Tel. 562-***-**** E-mail - ac4f9q@r.postjobfree.com

OBJECTIVE:

Self-directed, self-motivated, multi-tasked, courteous, intelligent, resourceful professional seeking an opportunity in an organization to utilize my expertise in a thriving new atmosphere. Offering exceptional organizational and communicative skills with good judgement and making a positive contribution in a highly stimulating environment.

WORK HISTORY:

Title: Clerk II/Scheduler Location: Downtown Los Angeles, Kaiser Permanente 07/2017-10/2017

Temporary position as coverage for permanent employees out on leave. Reviewed referrals for patients post-op or bed bound in need of home health. Worked closely with multiple outside agencies to place with home care nurses. Processed and closed referrals with assigned agencies after faxing patient’s health information. Created authorizations for completed referrals assigned to agencies. Scheduled urgent/critical referrals with KP nurse’s and physical therapists, worked closely with all KP nurses and therapists. Assisted agencies with updated referral orders for existing cases for patients, directed patients with information in regards to their open referrals and trained new temporary hires.

Title: Billing/Eligibility Location: Lakewood, The Oncology Institute of Hope & Innovation 3/2017-06/2017

Temporary position to process insurance eligibility and verification for patient appointments scheduled in all 18 sites. Review intakes for new patients and create billing selections in electronic charts. Calculate percentage coverage for procedures and visit types, along with notifying patients of change in insurance status or payment changes. Work closely with intake, front office, authorization and management departments. Submit daily productivity reports, verify insurances bi-weekly and review quarterly billings.

Title: Admin Assistant Location: Long Beach, Molina Medical Management 9/2016-12/2016

Temporary positon for a trial project that targeted patients who received pre-natal care with Molina insurance. Phoned California Molina patients post-delivery to schedule in-home appointments with Nurse Practitioners to receive their 6 week post-partum follow-up. Verified patient’s insurance prior to scheduling in-home appointments. Responsible to fill nurse’s schedule for 6 counties, and complete a 10 question survey per patient visit. Mailed notice letters to all unreachable patients by phone after 3 tries each. Directed any patient that missed the 6 week post-partum window to follow-up with PCP or OBGYN to receive their post and preventive care.

Title: Intermediate Typist Clerk Location: LB Mental Health Adult, LA County 9/2010-8/2015

Provide customer service by answering phones, attending the patients in the facility and entering data on a daily basis. Operate office machines such as copy machine, fax machine and computers. Assist doctors with patient translations, assist in the chart room, assist in time keeping, assist in payroll, release of medical records and subpoenas, lab work processing and completion as well as vehicle maintenance and mileage record keeping. Daily data entries consist of doctor appointments, medical claims, prescriptions, patient information and financial information. Complete and organize weekly, monthly and annual reports, file and store away documents monthly and annually. Use of the I.S. and Avatar systems in opening/closing charts, opening and completing financial folders, verifying all proper documents are up to date and accurate. Familiar with financial forms, PFI form and financial agreement forms.

Title: Receptionist/Cahier Location: BG Family Medical Center, FHCCGLA 3/2007-9/2010

Provide customer service as a receptionist/cashier and use calendar functions to schedule appointments. Register patients for membership. Receive payments at cashier window. Responsible for filing confidential medical records and official documents. Review documents for completeness, accuracy and compliance with requirements. Prepare reports for management. Answer inquiries and procedural questions. Responsible for answering phones. Operate office machines and computers such as fax, copy machine, register and computer system. Assist public in answering questions and provide information concerning regulations, procedures and the preparation of legal forms and applications. Check patient financial and medical eligibility in computer system and/or over the phone. Apply patients who are eligible for low income programs such as LAC/PPP and HWLA.

Title: Sales representative Location: Downey Robinsons May, Stonewood Mall 12/4-8/05

Provide customer service to customers. Assist in product inquiries and complete sales transactions. Complete reports on inventory and sales transactions. Open/close register, answer phone calls to provide customer service.

EDUCATION:

Warren High School, Downey, CA Sept. 2001-June 2004 Diploma

Beyond 21st Century Beauty Academy, Santa Fe Springs, CA Feb. 2002-Sept. 2004 Cosmetology License

Downey Adult School Current Financial Course

SKILLS:

Computers: MS windows XP/NT, MAC OS X, Word Perfect, MS Word, MS Excel, MS Office Outlook, I.S system Proficient in Spanish language.

REFERENCES:

NAME OCCUPATION CONTACT

Christina Magallanes Business Owner (C) 562-***-****

Aileen Lopez Mortgage Underwriter (C) 786-***-****

Zulema Jenkins Business Owner (C) 562-***-****



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