Customer Service Administrative Assistant
Resume:
PROFESSIONAL SUMMARY
RONDA BLEDSOE-COLLINS
**********@*****.*** 512-***-**** 15118 Lantern Dr, Pflugerville, Texas 78660 Patient Services Specialist: with accomplished ambitious experience supporting 12 physicians in a busy medical and
Emergency Offices. Expertise includes verifying insurance coverage, patient's demographic, upfront collections, and records
Reviews and schedule appointments and maintenance. Inpatient and outpatient records coding specialist with ICD-9,
ICD-10 and ASC coding expertise. Familiar with commercial and private insurance carriers. Seeks a position of
Increased responsibility and authority. Administrative Assistant experienced at registering patients, scheduling
Appointments, recording and filing patient medical records. Enters orders and information quickly and accurately.
Patient-focused claims assistance skilled at medical billing, coding and office supervisor. Reliable multi-tasking with
Internal medicine and dermatology experience. Ambitious individual seeking an administrative role in a hospital or private
Practice. Knowledge, Enthusiastic Administrative Assistant with excellent people skills and dedicated work ethic. Strong
Attention to detail and extensive Customer Service-oriented Administrative Assistant skilled in greeting patients,
Scheduling appointments and preparing patient charts. Knowledge Customer service- oriented Administrative Assistant
Skilled in greeting patients, scheduling appointments and preparing patient charts. Highly efficient Medical Biller with
Experience in anesthesia, dermatology and neurology. Excellent multi-task's and demonstrated team player with a
Positive attitude. Seeking a position requiring HMS and Med iSOFT billing systems. Patient- focused Medical billing with
Over 20 Years' experience working in a busy medical office and hospital working with diverse populations. Leasing Agent. PR and BLS License. Business-minded Financial Counselor known for successfully managing a high level of patient accounts. A determined employee with over 20 years' experience processing financial forms and obtaining referrals and other health documentation. Able to remain calm and poised in all types of situations. Logical Financial Counselor with an extensive history of speaking with patients, physicians and insurance company representatives. An efficient professional with experience obtaining pre-admission paperwork, counseling patients and developing effective payment plans for healthcare services. Organized individual with the ability to multi-task and liaise between patients, physicians and insurance SKILLS
WORK HISTORY
companies. An astute Financial Counselor offering extensive healthcare insurance knowledge and proficiency in V erification/Collections/Obtaining Demographic. Account management and updating
Positive patient experiences
in vision Citrix
Ecare
AIS Telecommunication skills Adaptive team
player And Active Dash. Healthcare billing
proficiency Telecommunication skills Visual
merchandising
Qualified in proficiency
Critical thinking
Customer service
Data entry
Fire and safety
GeneralDocumentation
Executive management support
Health education
Lotus Notes
practices
High-risk trauma situations.
HIPAACompliance Microsoft Office Suite
Microsoft compliance
Fraud Prevention PowerPoint
Multi-Tasking
and commercial insurance
Cobra Insurance.
Business administration
Patient counseling
Insurance verification
Proficient in Software Info cure
Centricity
Pay Nap
Competency in procedure development
Creative problem solving
Specimen collection/processing. ER
experience
Data collection
Ergonomic issues
First Aid
surgery
Healthcare industry Filing Letters and Memos
Microsoft Excel
1600
Microsoft Outlook
HIPAA Training HMO
Microsoft Word
Organizational Specialist indemnity
Hospital Skills
● Professional relationship building
Sep 2016 - Aug 2018
Financial Counselor
Georgetown Behavioral
Hospital - Georgetown, TX
Meticulously documented all details regarding contact with patients, providers and other individuals in the system using AIS.
●
Contacted insurance providers to obtain key
information regarding patient benefits and to submit documentation for accounts.
●
Identified healthcare resources and programs for
patients who were unable to meet their financial
●
obligations.
Conducted interviews with patients and their family members and answered questions regarding insurance benefits.
●
Maintained friendly and professional customer
interactions. Monitor, Evaluated and followed-up with daily Census, Unverified, Unbilled Report, New
admission/status changes update and reports.
Verified insurance coverage and benefits for all
insurance types and services. Identified financial liability for insured and uninsured patients, Calculated and collected payments from all patients, including prior balances discussed financial assistance and
payment plan. Effectively communicated with Patients and Family face to face informed of estimated
responsibility according to the verification of his or her insurance at point of admission, beside or at
discharge. Provided patients and responsible party with financial responsibility documents/letters,
payment plans, receipt upon collections. Performed complete research as needed to determine
appropriate source of liability/payment. Resolved all system edits, updated and remedy expediently
including work queues and reports. Reviewed/QA
accounts for Accuracy, quality, corrected
demographic, insurance and financial data. Provided registration support, Interaction, feedback to our Intake Team, Social Workers, Case Managers,
Utilization Review, Nursing Staff and Third Party Vendor related to patient financial concerns. Promote and maintain the highest quality level of services for all patients and family members by exhibiting a
welcoming environment. Maintained privacy,
confidentiality, respect, dignity and discretion of each person. Effectively demonstrated Our Mission Values of all regulations mandated by Health Insurance
Portability and Accountable Act (HIPAA).Maintained general knowledge of CMS guidelines third party
payers such as HMOs, PPOs, POS, EPO, Indemnity
Plans, Medicare, Medicaid, Commercial Insurance,
Cobra and County Plans. Performed all duties as
requested accurately, efficiently in a timely manner. Worker well with others of all levels.
●
Sep 2016 - Aug 2017 ● Accurately documented all elements of nursing Patient Access Representative
First Choice ER - Round Rock, TX
assessment, treatments, medications, discharge
instructions, and follow-up care.
Confirmed accurate completion of forms/reports for the admission, transfer and/or discharge of each
resident.
●
Contributed substantially to successful department JCAHO accreditation.
●
Ordered and read lab tests, x-rays, MRIs, Ultrasound's, and EKGs.
●
Collected and processed co-payments and out-of-
pocket charges using C entricity.
●
● Participated in unit-based Quality Assurance Program. Developed and implemented improvements to billing
system to maximize efficiency, reduce delinquency
and increase accuracy.
●
Cooperated and communicated effectively with
physicians to ensure client satisfaction and compliance with set standards.
●
Managed various general office duties such as
answering multiple telephone lines, completing
insurance forms and mailing monthly invoice
statements to patients.
●
Consistently complied with applicable laws and
regulations and ensured facility adhered to Medicare and Medicaid regulations.
●
Jan 2009 - May 2016
Patient Access Representative
Greenville Memorial Hospital -
Greenville, SC
Registration on a daily basis Complied with scripting when greeting guest Registration on a daily basis Complied with Scripting when greeting guest at time of services and phone etiquette obtained and verified patient
demographics,
Insurance and financial information, Verified insurance eligibility and benefits. If needed I covered various departments
Emergency Room, Physical Therapy, Front Desk, Bed
Board and Women's Center, Ensured all notification and Authorizations was completed in a timely matter at time of services. Communicated with Physician, Case
Management
Clinical Staff and Bed Board, Identify and evaluated the appropriate funding programs for patients with insurance. Collected process cash and credit cards payments at time of services, explained all sign document to patient before
Forms was signed. Other duties: Scheduled appointments, Surgery, Pre-OPT, Echo, Labs, Labor & Delivery in- Patient
&
Out-Patient Admission, Patient transfer per Ambulatory, Emergency Room Registrations, Physical Therapy, Exception, ET and DNF reports. Maintained petty cash drawer, Disbursement summary report for Patient
Account, Pharmacy, Gift Shop, and good Health
Commons and Parent Educations. Served as a financial representative,
Participated in patient discharged process, made sure all registration was completed, training with co-workers hand off,
Precisely completed appropriate claims paperwork,
documentation and system entry. Participate in
departmental
Committees and group meetings which focused on
providing quality services. Demonstrated interpersonal Competencies, problem-solving, negotiation and conflict management, Evaluated patient care needs, prioritized Treatment, and maintained patient flow. Managed wide variety of customer service and administrative tasks to resolve
Customer issues quickly and efficiently. Recipient of multiple positive reviews acknowledging dedication to excellent
Customer's services. Achieved collection goals and services performance requirements of $7500 monthly goals through
Patients care and registration, Ensured superior customer experience by addressing customer concerns,
demonstrating
Empathy and resolving problems on the spot.
Jan 2007 - Dec 2009
Scheduler/Insurance
Verification
Texas Oncology-Austin Central -
Austin, TX
Scheduled appointments, registered patients and
distributed sample pharmaceutical as prescribed.
Obtained patient
Demographics, Verified various insurances on daily basis Medicare, Medicaid and commercial insurance every
three
Months. Received, documented updated patients
demographic and insurance information scanned and
filed to medical
Records. Actively maintained working knowledge or CPT and ICD-9 coding principles, government regulation protocol
And third party requirement regarding billing. Obtained copal's, coinsurance, referrals plan type RQI, and encouraged, Authorization, Schedule CT, MRI, and Echoes and Heart screenings obtained medical records at time of services Explained all signed forms to patients before signing and insured they understood what was being signed.
Maintained
And encouraged patient loyalty with the efficient of the billing office. Worked as a team played maintained good working
Relationships with my co-workers, doctors, management and peers. Precisely completed appropriate claims
paperwork,
Documentation and system entry, Cross-trained and
provided back-up for coworkers and service
representatives whenneeded. Managed quality
communication, patient support and product
representation for each Physician. Verified data integrity and accuracy.
Feb 2004 - Nov 2006
Medical Coder/Biller/Insurance
Verification
Adorno Rogers - Austin, TX
Applied official coding conventions and rules from the American Medical Association and the Centers for
Medicare and Medicaid Services to assign diagnostic codes. Applied official coding conventions and rules from the American Medical Association and the Centers for Medicare and Medicaid Services to assign diagnostic codes. Managed various general office duties which included claims submission, production, collection, and customers services
Completed insurance forms, production collections, mailing out monthly invoice statement to patients
answering
Multi-line telephone and overall operation of the billing office. Assisted in establishing a successful structure of a Growing company, always eager to help co-workers in all Areas of the billing and collection department. Billed & coded for
6 Branches for mobility impaired patients, Analyzed monthly balance sheet, delinquent accounts, advised patient of
Suspended accounts for corporate reporting. Consistently recognized by management and peers for production
high
Quality and outstanding work. Accepted increasing
responsibility demonstrating flexibility and the ability to learn quickly
In all areas of the department as a whole modified a comprehensive financial report to management that
reflected
Insurance verification, claims, collection and delinquent accounts. Developed new process for employee
evaluation which
Resulted in marked performance improvement and
training
Jan 2001 - Nov 2003
Claims Assistance/Customer
Services
AmComp Assurance - Austin, TX
Entered details such as payments, account information and call logs into the computer system. Created
boardroom and courtroom multimedia presentations
including video and text- sync' d depositions for
enhanced understanding Copied, logged and scanned
supporting documentation. Analyzed departmental
documents for appropriate distribution and filing. Validated schematic designs working alongside
hardware engineers. Effectively managed workers comp claims, and the responsibility to the injured workers, Reviewed and analyzed
Suspicious and potentially fraudulent worker comp
claims. Provided superior customer services and to ability to meet
Deadlines and reports, Worked as an individual
contributor performing independent task at appropriate times, handling
Claims process, workers comp claims, paying indemnity payments, medical bills for injured workers, spouses, children if
Loved ones passed away due to work injury attorney fees and doctor bills. Investigated work related accident claims by
Examining the injury to the employee, taking pictures, scheduling routine drug screening, watched video
footage and
Pictures of Autopsy. Attended corporate meetings for new and updated information regarding claims of injured workers.
Jan 1996 - Sep 2003
Patient Account
Representative/Front Desk
Operator
Electrification before patient was seen by physician, worked and processed claims, verification, appeals, Medicare all payer inquiries. Reconciled statements with patient records. Prepared reports detailing billing actions, Capital Imaging Assn - Austin, TX flags and other key information. Electronically submitted bills according to compliance guidelines. Posted
payments and processed refunds. Managed claims and billed to all insurances and secondary carriers, pulled patients demographic information for scheduled
Personification before patient was seen by physician, worked and processed claims, verification, appeals, Medicare
Secondary, EOB submission, coded, billed, and collected processed cash, credit card payment to patient\' s accounts. Made
Payment arrangements, collections bankruptcies slow pay accounts for the billing and claims offices. Handled large call
Volume as a customer services, claim representative, switch board operator and billing representative maintain Accuracy, efficiency in a positive and friendly attitude multi tasked always worked well with others at all levels. Made sure
CPT, ICD-9 was billed correctly along with modifiers, resubmitted corrected claims to various insurance
companies.
Provided superior customer services and quality work while demonstration flexibility and problem solving in the Department as a whole, QA calls to make sure accurate information was given to patients.
Jan 1993 - Aug 1996
Customers/Team Lead
Maximus - Austin, TX
Scheduled appointments, registered patients and
distributed sample pharmaceutical as prescribed.
Obtained patient
Demographics, Verified various insurances on daily basis Medicare, Medicaid and commercial insurance every
three
Months. Received, documented updated patients
demographic and insurance information scanned and
filed to medical
Records. Actively maintained working knowledge or CPT and ICD-9 coding principles, government regulation protocol
And third party requirement regarding billing. Obtained co-pays, coinsurance, referrals plan type RQI,
encouraged, Authorization, Schedule CT, MRI Echoes and Heart screenings obtained medical records at time of services Explained all signed forms to patients before signing and EDUCATION
insured they understood what was being signed.
Maintained
And encouraged patient loyalty with the efficient of the billing office. Worked as a team played maintained good working
Relationship with my co-workers, doctors, management and peers. Precisely completed appropriate claims
paperwork,
Documentation and system entry
1986
High School Diploma
Waco High School Waco, TX
Computer Science
TSTC - Waco, TX, USA
Studying Social Services MHBH and Child & Family Services Purdue Global Online
● Majored in Mathematics/History,
● Graduated with 2.0 GPA
● Awarded Most Athletics/Elected Captain of the Track and Volleyball Team
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