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Customer Service Medical Billing

Pawtucket, Rhode Island, United States
December 10, 2018

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Kelly M. Archer

**** ****** ****

Lafayette, CO *0026


Work History

November 2017 – November 2018

Screening, Diagnostic and Follow-Up Data Coordinator Specialist – RI Cancer Registry – Providence, RI

Currently managing a statewide research study for the Rhode Island Cancer Registry. Evaluating screening and diagnostic protocols for breast and cervical cancer, as well as prevention for diverse populations. Data from electronic health records is evaluated, condensed and presented from hospitals, physicians, and radiation facilities.

March 2016 – November 2017

Customer Support Specialist – Health Services Administrators – Rumford, RI

Supported two salespeople who sold affordable health insurance to small businesses in Rhode Island. This included client contact, insurance carrier communication and customer service. Took in-bound calls and assisted clients with enrollment, explanation of benefits, confirming effective dates, payments, plan summaries and invoices. Collection calls and late payment were managed. Monitored technical issues with insurance carriers relating to enrollment, termination, and effective dates of employees and groups.

March 2015 - October 2015

Data Integrity Clerk – University Emergency Medicine Foundation – Providence, RI

Processed and collected demographic information electronically and manually into the practice management system (EPIC). Researched and verified Workers Compensation insurance and followed throughout the reimbursement and payment process. Researched motor vehicle insurance and entered data into the billing program to assure reimbursement. Sent medical records to carriers.

January 2014 – March 2015

Customer Engagement Specialist – Health Source RI – Providence, RI

Enrolled individual and families in affordable healthcare. Consulted with clients so enrollment in a health insurance plan would best suit their needs and budget. Ensured payments were properly posted to client accounts. Adhered to HIPAA regulations. Accepted and acted upon quality control feedback from supervisors to ensure high quality of customer service. Researched current health care laws.


November 2018 to Present Clinical Research Coordinator Certificate, University of Chicago, Chicago, Illinois

September 2017 to Present Medical Billing & Coding Certificate, Fisher College, Boston, Massachusetts

May 1993 Paralegal Certificate, Bentley University, Waltham, Massachusetts

May 1988 Bachelor of Science, Consumer Affairs, University of Rhode Island, Kingston, Rhode Island

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