Sign in

Medical Customer Service

Philadelphia, PA
September 16, 2018

Contact this candidate



*** *. ****** ****** * Philadelphia, PA * 267-***-**** (cell) * CAREER SUMMARY

High performing, strategic thinking professional with several years' experience in various sectors such as education and mental health services. Highly skilled at relationship-building with clients and across organizations and teams; exceptional writing, presenting, and interpersonal communication skills. Excel at generating options and implementing solutions. Known for taking initiative and skilled at meeting challenges and deadlines. EDUCATION

M.A. Human Services, Liberty University Graduate School, Lynchburg, VA 2013 Specialization: Health and Wellness counseling

B.S. Interdisciplinary Studies, New York Institute of Technology, Old Westbury, NY 2010 Specialization: Behavioral Science


● Strong data entry and organizational skills

● Microsoft Office Suite: (Word, Outlook, Excel, Access)

● Needles 4.2, Credible, Avatar, Axapta, Encoder Pro.

● E-Process Case management software

● Completion of HIPPA training ( annually)

● Customer relations management

● CPR & First Aid certifications


Medical Records Expeditor, QTC Management, Philadelphia, PA 08/2017 to Present Responsible for completing all routine medical records correspondences and follow-ups, proactively notify ( QAs) Quality assurance regarding the availability of uploaded diagnostic and signed reports for high priority cases, communicate with regional offices, QTC clinics, local and government agencies, processing of all incoming facsimiles, reviewing of case management systems, scanning, uploading diagnostics results, and expedition of priority claims requests, while building a positive rapport with providers on all levels. Assist in escalating provider issues with supervisor and own sound judgment. Mobile Therapist, NHS Human Services, Philadelphia, PA 03/2017 to 10/2017 Provide individual and family therapy; provide feedback to BSC/treatment team around the needs of the individual and needs of the family. Assist with the development and implementation of treatment plan goals for children and their families. Introduce, practice and review positive coping skills to a variety of children and their families. Model and practice of respectful and assertive communications. Assist family with design and implementation of a proactive crisis plan. Document therapy sessions and participate in treatment plans, review, and update. Behavioral Health Worker,(Contract) Wes Health Systems, Philadelphia, PA 04/2016 - 4/2017 Provided mental health interventions to a range of students. Monitored student's behaviors. Assisted teachers with implementation of behavioral plans. Supervised all activities of child/adolescent in accordance with the behavioral plan with emphasis on prevention rather than intervention. Intervened as needed with problem behaviors that are exhibited to include counseling, removing them from the area, verbal prompts, secured the assistance of clinical staff, assisted clinicians with groups, input outcome data for consumers, attended facility training as required. Adhered to Wes’s code of ethics and complied with State Mental Health Codes.

Customer Service Associate, LC Industries, Durham, NC 06/2015 - 02/2016 Perform daily customer service functions to include: Processing incoming orders, responding to customer requests and/or complaints, maintaining customer database ensuring information is current, track and issue credits for customer returns. File claims for lost/damage products. Enter new customers into system. Research web for descriptions and photos or products we sell. Assist the team with various projects.

Data Collection Specialist, RTI International (temp), Raleigh, NC 11/2014 - 05/2015 Conduct research by identifying point of contact for each doctor, hospital, or medical provider to be contacted. Interact with medical providers to discuss patient eligibility for clinical research, send and confirm receipt of authorization forms to provider before collecting data, extract and enter relevant medical and financial information into a database, abstraction of medical records. Customer Care Specialist, WellPoint Healthcare Raleigh, NC 09/2013 - 11/2014 Handling a flow of over 85 calls per day, providing accurate information about medical insurance and benefit plans adhering to HIPAA guidelines. Medical claims processing, pre-certification and, electronic document retrievals. Providing information regarding submission of clinical documents for claims processing.

Medical Records Coordinator, Lundy Law, LLP, Philadelphia, PA 01/2011-04/2011 Lead communicator between medical facilities for medical records in the pre-litigation department in accordance with HIPAA guidelines, policies, and procedures, proficient in the use of case management software, case reviews, educate clients on legal procedures during process, client lien management, and electronic medical records retrieval from third- party providers.

Contact this candidate