Healthcare Advisor

Catina Malcum

**** **** ***/ ******, ** *****

501-***-******* email: ************@*****.***

Summary of Qualifications

Microsoft Professional Office Suite

QuickBooks

Peachtree

Internet applications

40 wpm typing speed

10-key by touch

Exposure to Patient Accounting Systems

Office equipment including telephones, copiers, scanners, and fax machines

Knowledge and understanding of standardized health care business office procedures and policies

Strong interpersonal skills and strong organizational skills

Assertive communication skills

Attention to detail

Ability to work in a team environment

Employment

02/2012-Present BlueAdvantage National Accounts Customer Service Representative (CSR)

My Responsibilities are to demonstrate a thorough knowledge of claims information, group and individual contract benefits, coordination of benefits, provider contracting and membership criteria, to provide accurate and courteous responses to members, policyholders, providers and employer representatives regarding all types of inquiries received via telephone, written or faxed, and in-person customers, answering customer and provider inquiries,

assists with training of new staff, liaison between all support functions and the member/policyholder, researching the problem, concern or inquiry and providing appropriate responses with correct information to policyholders, providers, vendors and plan personnel.

12/01/2009- 06/01/2011 (Part Time) Toad Suck Public Facility Office Manager

Maintain schedules and appointment calendars for entire office staff

Place orders for office supplies, equipment, and services

Support management and staff and assisted with major projects

Resolve accounting issues regarding invoicing

Perform daily clerical functions: phones, typing, filing, and customer service

Process accounts payable and payroll time sheets

8/2005-08/2011 Complete Care, Incorporated/ Client Services Representative

Resolve client service issues within established guidelines

Asses and document routine computer reports and backups.

Verify services/products have been accurately entered

Accounts payable and receivable for client, patients and contract workers

Review of disputed charges for rectification

Maintain and ensure adherence to compliance with HIPAA laws and regulations

Processing Medical Liens and Deceased Probate Liens when/where applicable

Provide clerical and intake support necessary for the effective provision of our services to our clients

Assist with inter office assignments, as needed, to include switchboard, mail room, customer service lines, community involvement events/volunteerism

9/2004-8/2005 AUXI Health Care Services/ Home Health Administrative Assistant

Performed administrative duties as requested

Performed completion of necessary reports as requested

Provided individual patient advocacy as time permitted or as requested by supervisor

Maintained appropriate interpersonal relationships with physicians, co workers and patients

Updated and maintained patient charts

Assisted with insurance verification for Home Health episodes/services

Military Service

U. S. Regular Army / Full time soldier / 24th MSB/1CD (1st Cavalry Division) 1991-1995

U.S. Army Ready Reserve Field Medic/ Soldier – Camp Robinson 1995-1998

REFERENCES

Personal

Joy L. Stigall /2900 Willow Springs Rd. /Little Rock, AR 72206 / 501-***-****

Norma Fetzer / 5034 Front Royal Dr. / Baton Rouge, LA 70817/ 225-***-****

SFC. Henry Hill, III / 4206 Whispering Oak Dr./ Killeen, TX 76542/ 254-***-****

Professional

Complete Care, Inc. / 8529 Riverwood Park Dr. / Maumelle, AR 72113/ 501-***-****

AUXI Health Care Services/ 1920 Birdcreek Dr. / Temple, TX 76502 / 254-***-****

NEXTEL Communications / 1600 Eberhardt Dr. / Temple, TX 76502/ 254-***-****

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