Employee Relations Medical Billing

Josie M. Christ

***** ****** *** ****:916-***-****; 916-***-****

Rancho Cordova, California 95742 E-mail: *****.*.******@*****.***

CAREER OBJECTIVE

A position in which I may utilize my skills and abilities gained throughout my employment history

SKILLS & ABILITIES

Call Center Experience

Problem Solving Skills

Fast Paced Work Environment

Good Public/Employee Relations

Various Office Responsibilities

Answer Multi-line Telephone

Distribute Lab Results

MS Word/Access/Excel/PowerPoint

Data Entry/Retrieval

Generate Spreadsheets/Reports

Provide Customer Service

Meet Performance Standards

EXPERIENCE

Level II Service Associate- Anthem Blue Cross 2-2015 to 6-2015

Communicated directly with provider offices by requesting medical record information and coordinating the exchange of files. Maintained fax equipment and supported the Level I Service Associate and team by performing all required clerical activities within the project requirements. Booked appointments, verified, information, maintained department tracking log, and Abstractor calendars. Understood the Medical record filing system within the department. Assisted abstractors by utilizing research within the company’s claims and medical record systems and locating where member’s received care. Called member’s inquiring about the provider of their care.

Customer Quality Specialist- Coram Specialty Infusion 4-2010 to 4-2014

Verified insurance eligibility of patients. Obtained verbal/written authorization for medical treatment from appropriate sources. Obtained clinical information needed for order processing or reimbursement. Confirmed all patient demographic information to communicate and financial responsibilities and/or additional information necessary for processing the order received; to promote other company product and services, as appropriate. Demonstrated professional etiquette and courtesy when interfacing with customers. Complied and adhered to all regulatory compliance areas, policies and procedures, and “best practices.

Medical Billing Representative- Planned Parenthood/ Manpower Staffing 6-2008 to 8-2008

Collected, posted, and managed account payments. Received accounts for possible assignment and made recommendations to the Billing Supervisor, also prepared information for the collection agency. Entered information into medical billing software. Submitted forms to insurance companies. Tracked claim until it is paid. Adhered to all HIPAA guideline/ regulations.

Customer Service Representative – Sutter Connect, Sacramento, California 10-2005 to 8-2006

Placed outgoing calls in a call center environment; informed patients of lab results and medication dosing instructions along with when to return to the lab for follow-ups; received incoming calls and documented messages; maintained good public and employee relations; handled customer inquiries; contacted labs and physicians to handle discrepancies in dosing instructions; directed patients to the company web site to handle concerns regarding conflicting medication reactions; transitioned into generating spreadsheets, running reports, documenting and pulling patient charts; distributed faxes and reports to correct departments.

EDUCATION & TRAINING

Las Flores High School, Sacramento, California

Diploma

PERSONAL QUALITIES

Dependable Friendly Organized Flexible Motivated Team Player

References Available Upon Request

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