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Customer Service Representative

Location:
Hammond, IN
Posted:
March 20, 2018

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Resume:

Nikki Gronski-Harmon

Griffith, IN *****

ac4vlz@r.postjobfree.com - 708-***-****

I am a mom to my miracle baby Dawson. I am looking for a job that allows me to get out of the house and interact with people. I have my own vehicle along with care for my son. I have open availability to work and hope to hear from you.

Authorized to work in the US for any employer

WORK EXPERIENCE

Customer Service Representative

VYTO'S PHARMACY - Hammond, IN -

2016-10 - 2018-03

I managed the front end of the pharmacy from keeping items stocked, pulling and returning expired or damaged medication, placed daily orders, and greeted and assisted every individual that came in to get the care they were needing. In addition to that I processed all of the diabetic shoe orders from start to finish which included: patient intake information, verifying insurance, getting prior authorization as needed, placed orders from reputable distributors, checked all orders coming in and processed order to get ready for pick up or delivery. Once all information obtained, chart was double checked for quality assurance and then scanned into our system where it was then turned over for processing with our billing service. Also monthly we were mandated to take (3) continued education classes along with annual HIPPA Compliance and Fraud Waste & Abuse classes. I also took a 10 week course titled: How to be a Customer Service Guru which has a Certificate stating I completed this course with "High Honors" Office Manager

Coreys Landscaping - Joliet, IL -

2013-06 - 2016-04

Managed all office duties. Accounts payable and receivables, processed payroll for 25 employees, scheduled appointments

Patient Service Representative

Walgreen Medical Supply - Mokena, IL -

2007-05 - 2013-04

Provide customers/patients with courteous, friendly, and efficient service and information

Checking CMNs to make sure diagnosis codes match equipment and payer guidelines

Calling doctor offices for CMNs and documentation required for equipment

Making sure CPT/HCPCS codes are sufficient for DME Read sleep studies to check to see if patient qualifies for equipment. Checking patients compliance on equipment

Coding diagnosis through progress notes or sleep studies Writing adjustments, requesting change of insurance information, calling patients for pickups

Completing billing que problems, to make sure we can bill payor Process incoming orders for DME supplies .

Verify and document eligibility of patients

reimbursement guidelines, and terms of payment.

Gather all documents necessary for dispensing of supplies and billing. Provide patients with information and/or knowledge for the supplies they are receiving

Team leader that trained new/less experienced associates in the daily process of the job requirements

Patient Service Manager

Fairmeadows Home Health - Schererville, IN -

2005 - 2007

Supervised Patient Service Representatives in all aspects of day to day office procedures.

Pre-certified insurance coverage for Durable Medical Equipment Prepared all Medicare and Medicaid reviews and/or fair hearings Posted insurance and patient payments

Daily processing of reports

Confirmation of orders

Account collections follow-up on both insurance and patient payments past due

Transmit Medicare/Medicaid daily through Clearinghouse Accounts payables and receivables

Handle patient/doctors complaints and concerns

Handle claims appeal/review & rejected claims

Office Manager

Larcher Chiropractic - Homewood, IL -

2002 - 2005

Managed the daily operations of the office

Accounts payables and receivables

Training of new employees

Hiring of new employees

Processing of payroll

Daily, weekly & monthly reports

Checking patient insurance benefits

Insurance billing and tracking

Collections

Administering patient therapies & assisting with rehabilitation Prepare business correspondence

Transcribed physicians SOAP notes

EDUCATION

Nursing

Ivy Tech - Valparaiso, IN

2001 - 2002

Associates in Health Insurance Claim Management, Medical Assisting Administration, Medical Billing & Coding

Davenport University - Merrillville, IN

1996 - 1999

Diploma in College Prep

Thornton Fractional South High School - Lansing, IL 1991 - 1995

SKILLS

Team player & leader, Strong customer service experience, Flexible and eager to learn new tasks, Strong interaction with co-workers, team player, Keeping records, Spreadsheets, Mass Mailings, Typing of memorandums, Softmed & Medisoft & BrightTree, Microsoft Excel, Word, Internet Explorer, Copier, Fax Machine, Switchboard, HIPAA Compliance, Medical Terminology, Medical Transcription, ICD-9, CPT

& HCPCS coding, accounts payables & receivables, Multi-task worker, Ability to learn quickly and work independently, Dedicated, loyal worker.

AWARDS

Certificate of Achievement

2017-04

How to be a Customer Service Guru Course with High Honors CERTIFICATIONS/LICENSES

EMT-B

2018

Illinois licensed EMT-B



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