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Customer Service Medical

Forney, Texas, United States
November 06, 2018

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Sara Huaman


Forney, TX *****


Accomplished and energetic leadership with a solid history of achievement. Motivated leader with strong organizational and prioritization abilities. Areas of expertise include managment, auditing and billing.

Highly trained in employee and corporate managment with strong clinical abilities and a successful career in both Healthcare and corporate managment. Proactive and organized with passionate commitment to first-rate patient care. Licensed in Texas with expertise in medical and personal injury specifically auto/health insurance claims. Dedicated and publicly responsible with 15 years of experience combining management and customer service expertise in healthcare management and marketing centers. Looking for a position as in a fast growth company. Work Experience


Corporate Management - Dallas, TX

August 2007 to October 2017

Design forms for receiving, processing, or tracking data. Process clinical data including receipt, entry, verification, or filing of information. Perform quality control audits to ensure accuracy, completeness, or proper usage of clinical systems and data.

Monitor work productivity or quality to ensure compliance with standard operating procedures.

Supervise the work of data management project staff. Write work instruction manuals, data capture guidelines, or standard operating procedures.

Track the flow of work forms including in-house data flow or electronic forms transfer.

Train staff on technical procedures or software program usage. Evaluate instructor performance and the effectiveness of training programs, providing recommendations for improvement.

Plan, develop, and provide training and staff development programs, using knowledge of the effectiveness of methods such as classroom training, demonstrations, on-the-job training, meetings, conferences, and workshops. Train instructors and supervisors in techniques and skills for training and dealing with employees. Receive payments and post amounts paid to customer accounts. Persuade customers to pay amounts due on credit accounts, damage claims, or nonpayable checks, or to return merchandise.

Locate and monitor overdue accounts, using computers and a variety of automated systems.

Contact insurance companies to check on status of claims payments and write appeal letters for denial on claims.

Negotiate credit extensions when necessary.

Review insurance policy to determine coverage.

Prepare insurance claim forms or related documents and review them for completeness. Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.

Post or attach information to claim file.

Transmit claims for payment or further investigation. Contact insured or other involved persons to obtain missing information. Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.

Negotiate claim settlements and recommend litigation when settlement cannot be negotiated.

Protect the security of medical records to ensure that confidentiality is maintained. Review records for completeness, accuracy, and compliance with regulations. Retrieve patient medical records for physicians, technicians, or other medical personnel.

Release information to persons or agencies according to regulations. Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.

Post medical insurance billings.

Train medical records staff.

Prepare statistical reports, narrative reports, or graphic presentations of information, such as tumor registry data for use by hospital staff, researchers, or other users. Manage the department or supervise clerical workers, directing or controlling activities of personnel in the medical records department. Formulate, direct and coordinate marketing activities and policies to promote products and services, working with advertising and promotion managers. Direct the hiring, training, or performance evaluations of marketing or sales staff and oversee their daily activities.

Evaluate the financial aspects of product development, such as budgets, expenditures, research and development appropriations, or return-on-investment and profit-loss projections.

Compile lists describing product or service offerings. Train, recruit and/or hire all new staff personnel Have extensive knowledge of LOP, 3rd party, personal injury claims, auto and insurance billing and coding

ICD9 and ICD10

HIPPA trained

Human resources, such as payroll with ADP, employee time management Collect and analyze data to detect deficient controls, duplicated effort, extravagance, fraud, or non-compliance with laws, regulations, and management policies.

Prepare detailed reports on audit findings.

Inspect account books and accounting systems for efficiency, effectiveness, and use of accepted accounting procedures to record transactions.

Examine records and interview workers to ensure recording of transactions and compliance with laws and regulations.

Examine and evaluate financial and information systems, recommending controls to ensure system reliability and data integrity.

Word, Excel, Powerpoint, Outlook

Audit payroll and personnel records to determine unemployment insurance premiums, workers' compensation coverage, liabilities, and compliance with tax laws. Examine inventory to verify journal and ledger entries. Locate and notify customers of delinquent accounts by mail, telephone, or personal visits to solicit payment.

Receive payments and post amounts paid to customer accounts. Persuade customers to pay amounts due on credit accounts, damage claims, or nonpayable checks, or to return merchandise.

Locate and monitor overdue accounts, using computers and a variety of automated systems.

Answer customer questions regarding problems with their accounts. Record information about financial status of customers and status of collection efforts.

Office Manager/physician Assistant

Heritage chiropractic - Dallas, TX

January 2005 to July 2007

Record patients' medical history, vital statistics, or information such as test results in medical records. Prepare treatment rooms for patient examinations, keeping the rooms neat and clean. Clean and sterilize instruments and dispose of contaminated supplies. Explain treatment procedures, medications, diets, or physicians' instructions to patients. Help physicians examine and treat patients, handing them instruments or materials or performing such tasks as giving injections or removing sutures.

Perform general office duties, such as answering telephones, taking dictation, or completing insurance forms.

Greet and log in patients arriving at office or clinic. Schedule appointments for patients.

Inventory and order medical, lab, or office supplies or equipment. Keep financial records or perform other bookkeeping duties, such as handling credit or collections or mailing monthly statements to patients.

Use computers for various applications, such as database management or word processing.

Answer telephones and give information to callers, take messages, or transfer calls to appropriate individuals.

Create, maintain, and enter information into databases. Set up and manage paper or electronic filing systems, recording information, updating paperwork, or maintaining documents, such as attendance records, correspondence, or other material.

Operate office equipment, such as fax machines, copiers, or phone systems and arrange for repairs when equipment malfunctions.

Greet visitors or callers and handle their inquiries or direct them to the appropriate persons according to their needs.

Complete forms in accordance with company procedures. Schedule and confirm appointments for clients, customers, or supervisors. Establish work procedures or schedules and keep track of the daily work of clerical staff.

Manage projects or contribute to committee or team work. Order and dispense supplies.

Supervise other clerical staff and provide training and orientation to new staff. Train and assist staff with computer usage.

Receptionist/Accountant Assistant

Qscl Law Firm - Dallas, TX

June 2004 to January 2005

Operate telephone switchboard to answer, screen, or forward calls, providing information, taking messages, or scheduling appointments. Greet persons entering establishment, determine nature and purpose of visit, and direct or escort them to specific destinations.

Transmit information or documents to customers, using computer, mail, or facsimile machine.

File and maintain records.

Provide information about establishment, such as location of departments or offices, employees within the organization, or services provided. Collect, sort, distribute, or prepare mail, messages, or courier deliveries. Collect, count, and disburse money, do basic bookkeeping, and complete banking transactions.


Arizona State University - Tempe, AZ

2004 to 2005

High School Diploma in TVCC Terrell Campus

Forney High School - Forney, TX

May 2004




Time Management Proven Leadership

Computers and Electronics Administration and Management Critical Thinking Judgment and Decision Making

Social Perceptiveness Personnel and Human Resources Management of Personnel Complex Problem Solving

Resources Education and Training

Negotiation Quality Control Analysis

Operations Analysis Operation and Control

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