Medical Customer Service
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
******.******@*****.***
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
Yolanda Wright
Bonnie Hart
Detria Walker
CERTIFICATIONS
Medical Billing and Coding- Completed December 12, 2017
“Family & Friends CPR” Course--Completed August 7, 2018
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