Customer Service Representative

Bibiana Ahumada

** ********* ****, ********* **, Hackensack, NJ 07601

201-***-**** / ***********@*****.***

SUMMARY: Detail-oriented and accurate billing specialist with significant customer service experience. Adept at managing complex billing situations, including government sponsored contracts, Medicaid, hospice and private pay arrangements. Warm and engaging personality, quick learner and supportive team player. Fluent in oral and written English and Spanish.

SKILLS / TRAINING:

MS Word

Medical Terminology

MS Outlook

Medical Office Procedures

MS Excel

Electronic Health Records

MS PowerPoint

Scheduling

MS Windows

Medical, and Home Care Billing

Customer Service

Payroll

EXPERIENCE:

Shiel Medical Laboratories

Rockleigh, NJ 2017 - 2018

Billing Representative/CSR

Handled inbound calls from customers regarding their accounts. Take self pay payments for laboratory services, go to insurances companies’ websites to check patients’ eligibility, bill and re-bill to insurance companies, process credit card payments from the lockbox, entering diagnosis code. Correspond with client’s sales reps, providers, insurance companies or patients to resolve billing issues. Research all available resources to obtain missing billing information as demographics, diagnosis codes, insurance

details, etc. Submit e-mails or fax to the appropriate parties when needed for missing information. Check if the missing information provided by doctors and insurance companies is accurate. Updated system once missing information was obtained.

Spectra Medical Laboratories 2016 Rockleigh,NJ

Customer Service Representative

Handled outbound calls reporting patients’ critical results to Fresenius Dialysis Center in United States and Puerto Rico.

Dial America 2016

Customer Service Representative Mahwah,NJ

Handled phones to make appointments with seniors of Medicare Advantage plan

with Sales Agent

Confirmed appointments from customers and Sales Agents

TD Bank 2015 Mahwah, NJ

Customer Service Representative – Retail Card Services

Handled phone and mail inquiries from customers regarding their accounts with respect to change of address, name, close account request, etc.

Researched history of account transactions to help customers properly

Took payments over the phone from customers on their accounts

Maintained updated dispute-related information in account system as well as obtained customer files and documentation

Performed administrative duties as directed

Bibiana Ahumada Page 2

Loving Care Agency, Inc. 2001 – 2013 Hasbrouck Heights, NJ

Homecare Services Biller Coordinator

Processed billing for private pay, state contracts and Medicaid services

Processed Home Health Aide progress report and verified services with patient’s signature

Sent required Home Health Aide Progress report to contracts

Handled accounts receivable transactions and collections for overdue accounts

Performed administrative responsibilities such as copying, faxing, and filing

Hackensack Health Department 1999 - 2001 Hackensack, NJ

Customer Service Representative

Provided Spanish/English translation services for busy clinic

Advised parents about medical paperwork, scheduled tests and care plan

Shin-Ei Fuji Corporation 1990 - 1995 Fairview, NJ

Administrative Assistant

Handled customer service duties

Assisted payroll manager

Worked with bookkeeper on bank reconciliation

Dr. Francesco D’Alberti, Cardiologist 1986 - 1989 Hoboken, NJ

Administrative Secretary / Customer Service

Answered phone and scheduled patient appointments

Entered patient information into computer and collected co-payments

Call insurance Companies for pre-certification of procedures

Copied, faxed and filed documents

Took patient weight and blood pressure and assisted with EKGs

EDUCATION:

Sullivan and Cogliano Training Centers 2018 Miami, FL

Medical Office Specialist Program, including Medical Coding and Billing

Sullivan and Cogliano Training Centers 2015 - 2016 Miami, FL

Completed classes in Microsoft Office Professional Program with Concentration in Medical Office

Ashworth College Norcross, GA

Psychology, 2012 - 2014

SCS Business and Technical Institute Union City, NJ

Certificate for Computer Proficiency 1987 - 1988

Hudson County Community College 1985 - 1986 West New York, NJ

Coursework in Accounting with ESL

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