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Medical Customer Service

Location:
Frederick, Maryland, United States
Salary:
25.00
Posted:
August 27, 2018

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Resume:

Marica C Taylor

OBJECTIVE

Seeking a office position which will require me to utilize my

administrative skills, customer service abilities and experience in the medical field to ensure the success of the business. EDUCATION

EMPLOYMENT HISTORY

Martinsburg High School

Academic Diploma, GPA: 3.80/4.00

May 1999 Martinsburg, WV

Blue Ridge Community and Technical

College

Nursing/ Medical Assisting, GPA: 4.00/4.00

August 2013 Martinsburg, WV

Blue Ridge CTC

Medical Billing & Coding,

•ICD10

•Insurance Billing

•Manual claim filing

•Use of coding manuals CPT, GEMS mapping and HCPCS

•Completion of Insurance forms

•Tracing of delinquent claims

•Appeal of denied claims

•Basic claims processing for medical insurance and third-party reimbursement

December 2017 Martinsburg, WV

Precyse University

ICD-10 Ancillary and Clinical User, GPA: 4.00/4.00 December 2013 Front Royal, VA

University of Phoenix

Electronic Health Records/Health Info Management,

Phoenix, AZ

Berkeley Medical Center/ UHP

Registration Specialist

July 2017 -

Present

Martinsburg, WV

Ciox Health

Client Service Representative I

October 2016 -

June 2017

Hagerstown, MD

116 Autumn Leaf Dr

Martinsburg, WV 25401

304-***-****

ac6t2r@r.postjobfree.com

RELATED COURSEWORK

Medical Terminology

Keyboarding

Human Body

Human Growth and Development

Intro to Medical Assisting

Intro to Health Care

Medical Office Management

Information Literacy

Fundamentals of Information Systems for Healthcare HIPPA Security Basics for the Healthcare Workforce The Privacy Rule and Healthcare Practice

ICD 9

ICD10

Insurance Billing

Manual claim filing

Use of coding manuals CPT, GEMS mapping and HCPCS

Completion of Insurance forms

Tracing of delinquent claims

Appeal of denied claims

Basic claims processing for medical insurance and third-party reimbursement

EXPERIENCE

• Excelled in the ability to register patients in Outpatient and in the Emergency Department quickly and accurately, while maintaining a very organized workspace. Very personable and friendly.

• Demonstrated proficiencies in telephone and front-desk reception within LHC Group

Financial Intake Coordinator

June 2016 -

October 2016

Frederick, MD

Gastroenterology Associates

Receptionist

June 2014 -

May 2016

Hagerstown, MD

Valley Health

Patient Access Specialist

August 2012 -

May 2014

Winchester, VA

Dr. L. J. DelGiorno

Receptionist

January 2011 -

August 2012

Martinsburg, WV

Home Depot

Outbound Department

January 2010 -

August 2012

Winchester, VA

Work Experience

• Demonstrated proficiencies in telephone and front-desk reception within a high-volume environment. Calmed upset/angry patients, and used various methods to resolve patient/staff conflict.

• Facilitated the Language of Caring for all Valley Health employees. Trained new employees on daily job duties and expectations.

• Collected payments from patients for their copays and bills, by using Virtual Merchant or other tools. Counted the change drawer in my various working areas and kept an accurate account of the monies I was in charge of.

• Called for benefit information for all Inpatients and Observation stays and started the precertification for hospitalization. Updated accounts to appropriately match their status. Obtain any signatures for documents necessary for stay. Worked with personnel in the Utilization Review Department, by corresponding through E-mail, fax and phone.

• Reviewed the schedules for all department appointments to check for authorizations, patient financial responsibility, and made sure orders were on file for appointments. Notified patients prior to appointments of any changes or responsibilities they may have for their appointment such as financial obligations or prior testing, as well as, pre-registered them for appointments for a quick check-in at arrival.

Registered patients in the Outpatient department for lab work, cardiopulmonary, radiology, cath lab, pre-surgical appointments, labor and delivery, and admitted patients as inpatient or observation using the EPIC system in a courteous, proficient manner while keeping a positive and neat working environment.

• Collected payments for copays and co-insurance for patient accounts using EPIC, RevSpring and Passport systems.

• Verified insurance eligibility for all patients during registration and updated all demographics accurately.

• Answered and transferred phone calls in a polite and appropriate form.

• Filed documents correctly and faxed paperwork to various departments.

• Worked independently to complete tasks and handled various situations that would arise on a daily basis.

• Scheduled, rescheduled and pre-registered patients for STAT appointments and/or necessity.

• Communicated with coworkers through email, Lync (an online chat), & phone to have and share very accurate information to ensure quick patient care and smooth patient transition to other departments and staff.

• Interpret physician orders to schedule tests by making sure the CPT and ICD9 codes were accurate, as well as, physician signature, patient name and date of birth, and order date were on all orders.

•ICD10

•Insurance Billing

•Manual claim filing

•Use of coding manuals CPT, GEMS mapping and HCPCS

•Completion of Insurance forms

•Tracing of delinquent claims

•Appeal of denied claims

•Basic claims processing for medical insurance and third-party reimbursement

Loads and unloads trucks. Moves material within the Distribution Center and from the loading platform by carrying, pushing, rolling or operating hand trucks, forklifts, hoists, motorized conveyors, or other material handling equipment.

Places incoming products in assigned storage locations.

Relocates products as required.

Selects products for orders and stages products for loading. Walking and carrying merchandise.

Moving around the building to assist other associates to move merchandise.

Identify and read and interpret operating documents, such as labels and reports.

Recognizing, identifying and using merchandise and necessary labels and reports.

Handling of oversized and heavy product (e.g. 20 ft long or 2+ tons) requires focus

PROFESSIONAL SKILLS

EPIC

Clerical Skills

Multi-Tasking

Patient Care

Physical Therapy

AS400

Microsoft Excel

Microsoft Word

Microsoft Powerpoint

Microsoft Access

Medical Mastermind

GMed

Medstar

Allscripts

Cerner

Centricity

Scheduling/Registration

• Clerical/Administrative

• Customer Service

• Complaint Handling

• Data Entry

• Great telephone etiquette

• Positive Attitude

Warehouse

• Positive Attitude

REFERENCES

Lakeisha Gillespie

304-***-****

Yolanda Wright

304-***-****

Bonnie Hart

540-***-****

Detria Walker

304-***-****

CERTIFICATIONS

Medical Billing and Coding- Completed December 12, 2017

“Family & Friends CPR” Course--Completed August 7, 2018



Contact this candidate