Resume

Sign in

Customer Service Medical

Location:
Houston, TX
Posted:
October 10, 2018

Contact this candidate

Resume:

Tamika R. Eason

**** ****** ******** **** *******, TX 77067 832-***-****

ac7chd@r.postjobfree.com

PROFESSIONAL SUMMARY:

Thirteen years of experience with assisting patients and working with administrations, vendors, and healthcare facilities within the medical industry to meet numerous medical service needs. Developed the core necessities of academic aptitude and self-motivation to learn and achieve. Established and developed a strong rapport with colleagues, patients, instructors and healthcare professionals from a variety of cultures and socio-economic situations. Developed and continues strong analytical and problem solving skills with the clinical aptitude and ability to learn new skills in a clinical environment.

TECHNICAL SKILLS:

Microsoft Word

CPR+

ICD -9 Coding

Microsoft Excel

Mesta Med

CPT Coding

Microsoft Outlook

HCPC Coding

PeopleSoft/Oracle

AS400

Data Entry

Brightree

PROFESSIONAL EXPERIENCE:

Customer Service Representative May 2017 – December 2017

AeroCare Home Medical Houston, TX

Re-authorizations for Home Medical Equipment.

Re-supply intake for medical supplies.

Managed multi-line phone system by receiving calls from patients and referrals in need of respiratory medical equipment.

Patient Care Assistant March 2016 – October 2017

Kindred at Home Houston, TX

Assist Client with Administering Medication

Assist Client with Cooking

Assist with IPP’s such as hygiene, bathing, money management, learning medication side effects, amount, etc.

Assist with cleaning

Assist client with meal preparation and understanding the importance of a balance meal

Assist client with socialization skills and the importance of having a normal life style

Clinical documentation that include body check, time tracking that include body elimination functions, etc.

Direct Support Professional March 2015- January 2016

DDMS Houston, TX

Assist Client with Administering Medication

Assist Client with Cooking

Assist with IPP’s such as hygiene, bathing, money management, learning medication side effects, amount, etc.

Assist with cleaning

Assist client with meal preparation and understanding the importance of a balance meal

Assist client with socialization skills and the importance of having a normal life style

Clinical documentation that include body check, time tracking that include body elimination functions, etc.

Create normalization for client(s)

Manage 5-6 clients on a daily basis

Medical Management/SSC March 2014-June 2014

Universal American Houston, TX

Performed data entry of patient information in need of various healthcare service types that include skilled nursing, rehabilitation, in-patient or out-patient hospital needs, etc.

Initiate the Pre-Authorization process and request for providers to provide service to Texan Plus members in need of medical treatment.

Initiate the Denial Letter Notification Process to healthcare providers and members of Texan Plus who did not meet the medical coverage criteria guidelines.

Other clerical office duties as an office assistant that include ordering office supplies, faxes, and correspondence when necessary to physician offices.

Customer Service Representative March 2013- January 2014

Healthcare Services of America Houston, TX

Medical records by scanning documents and loading into the electronic system, obtaining and releasing necessary information needed for claim submissions and requests from referrals within the compliance of release of information by HIPAA requirements.

Answer phones by directing calls when necessary and answering questions.

PAR reports completed daily in order to be consistent with the authorization process guidelines for federal, state, and commercial payers. For home medical equipment and other services.

Payment retention of collecting payments when necessary for services rendered including outstanding balances, etc.

Monthly supply was completed on a daily basis for medical supplies by calling and scheduling appointments with patients, guardians, and/or nurses when necessary.

Patient and referral support by organizing and developing through resolving concerns and assistance with medical needs.

Schedule deliveries for new and existing patients who had medical necessities of various sorts of medical equipment and supplies.

Continued when necessary to support management in all duties required that include upcoming analyses with new tasks in order to meet company mission and vision stated goals, targeting held revenue, assisting management when other projects take priority in order to ensure medical needs were not neglected.

Other clerical duties as requested by management or other staff in order to meet deadlines of company compliance.

Intake/Customer Service Representative May 2012–September 2012

Lincare, Inc dba Linde Houston, TX

Managed multi-line phone system by receiving calls from patients and referrals in need of respiratory medical equipment.

Held responsible for daily data entry of patient information such as demographics and medical documentation such as diagnosis, height, weight, and progress notes.

Insurance and prior authorization verification for respiratory equipment.

Coordinated and verified information for patients in need of respiratory medical devices/home medical equipment for the respiratory team.

Financial assessments discuss with patients and responsible parties to meet the patient medical needs prior to accepting company’s service.

Completed numerous reports on a daily or weekly basis to meet company guidelines.

Intake/Customer Service Representative April 2011 – May 2011

Southside Pharmacy Houston, TX

Reviewed patients' medical history such as vital statistics and information such as test results in medical documentation that was in need of IV medications and durable medical equipment.

Prepared clean room for pharmacist for medication fills and dispensing. Interviewed patients to obtain medical information.

Provided prescribe information to pharmacist to fill prescriptions.

Intake Specialist October 2007- May 2010

Amerita dba Central Line Infusion Houston, TX

Reviewed and coordinated new referrals for home infusion pharmacy for patients in need of TPN, enteral nutrition, antibiotics, IVIG, and other infusion therapies.

ICD-9, CPT, HCPC coding and DRG knowledge.

Coordinated skilled nursing visits to be provided in the home setting.

Delivered and demonstrated infusion enteral therapy products to patients in a hospital setting prior to hospital discharge or home delivery.

Responsible for the “On Call” for emergency situations such as equipment failure and hospital discharges.

Managed weekly meetings to meet company requirements.

Customer Service Team Lead June 2006-September 2007

CareMax Medical Services Houston, TX

Assisted Customer Service Department with intake requests from hospitals and clients who were in need of durable medical equipment and disposable supply needs when other priorities to precedence in order to ensure company processes were not neglected.

Responsible for Medicare, Medicaid, private insurance eligibility requirements before any services could begin.

Responsible for requesting medical documentation and records retentions.

Completed data entry of patient demographics and medical documentation.

Discuss insurance coverage and patients’ responsible party prior to patient acceptance of needed medical services rendered in order to prevent misleading or fraudulent services to the patient or responsible party.

Train new co-workers in various positions to meet company guidelines and expectations.

Quality Assurance Coordinator April 1999- June 2006

Action Care/HomeCare Supply/Praxair Healthcare Services Houston, TX

Coordinated new referrals for HME and DME and long term care products such as respiratory care, mobility, hospital beds, bath aids and other medical supplies to meet patient’s medical needs.

Consistent with data entry of patients' medical history, vital statistics and information on a daily basis to provide accurate and various types equipment such as medications, wheelchairs, crutches, sling types, bath aides, etc.

Verified insurance coverage for equipment and supplies prior to patient acceptance.

Managed all required information to meet accreditation standards.

Scheduled and provided deliveries when necessary for patient acceptance of medical equipment.

Managed on call procedures for emergency home and hospital related situations.

Trained new and existing employees when necessary as company expanded.

EDUCATION

American InterContinental University Present

Bachelor of Business Administration Schaumburg, IL

Specialization in Healthcare Management



Contact this candidate