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Customer Service Medical

Location:
United States
Posted:
January 26, 2019

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Resume:

Virginia Causey

*****************@*****.***

** *. *********, *** ***, Memphis, TN 38104

901-***-****

PROFESSIONAL SUMMARY

A highly creative, goal oriented, performance driven, friendly, outgoing individual focused on providing and maintaining a high level of customer service. Motivated and eager to get the job done and to always be a dependable team player who strives daily to reach every daily goal and to succeed in all new projects as given. Flexible and very versatile in learning to grow both personally and professionally in any work environment.

EDUCATION

Psychology, University of Memphis, Memphis, TN 08/1987 to 05/1989

Psychology, Tougaloo College, Tougaloo, MS 08/1984 to 05/1987

Diploma, General Educational Studies, Coldwater High School, Coldwater, MS 1981 to 1984

TECHNICAL SKILLS/QUALIFICATIONS

Good Organization and Time Management skills

Excellent Written and Verbal Communication skills

Critical Thinking/Social Perceptiveness

Knowledge of Medical Terminology

Knowledge of Medical Insurance claims

5+ years of Medical Records clerk experience

Proficient: E-Clinical, Cerna, Molli, Nexgen, Customer Focus, ERMA, Benefits Focus, Back Office and Diamond)

Proficient: Microsoft Word, Excel, Outlook, Internet and Intranet

C.P.R. certified

Medical Terminology

PROFESSIONAL EXPERIENCE

YOUTH VILLAGES, Memphis, TN May 2017 - Present

HR Benefits Assistant - Responsible for providing administrative support to staff by coordinating various projects.

Prepare and maintain confidential records and files for 3,000+ employees across the U.S.

Assist in maintaining electronic filing system.

Update employee’s demographic information on an ongoing basis.

Assist employees with their benefits enrollment during new hire orientation as well as during open enrollment time.

Copy forms and other pertinent material as directed for new hire orientation.

Assist the Benefit Coordinator with the various orientation materials. Also assist with the various scheduled new hire orientations during the year via in-person or conference-call.

Present employee Benefit information to new hires in place of Benefit Coordinator during new hire orientation as needed.

Assist in terminating employees in the HRIS system.

Enter Worker Compensation claims into PMA system.

Assist with Tuition reimbursement processing.

Oversee the management of the front desk/receptionist area.

METHODIST HEATHCARE, Memphis, TN July 2015 – February 2017

Office Assistant – Provided administrative support to staff by coordinating various office projects.

Prepared and maintained confidential records and files of physicians, managements and associates.

Collected and compiled data pertaining to credentialing and job experience. Scanned and copied documents.

Gathered and entered information into the hospital’s database concerning health clearance for associates, management and physicians.

Received and registered patients, verified demographics, referrals, pre-certifications and authorizations.

Collected co-pays from responsible parties.

Answered the phone, triaged patient’s calls and handled the preparation of charts.

CORRECTCARE, Memphis, TN March 2010 – December 2013

Medical Records Clerk – Overall responsibilities included filing and retrieving medical records.

Scanned loose documentation.

Scheduled patient’s appointments.

Prepared and typed reports and correspondences.

Maintained monthly statistical reports.

Assisted provider relation department with credentialing issues.

Conducted training for new employees concerning customer service etiquette issues.

Performed claims review.

Verified eligibility and explain available benefits.

Maintained a test of formulary drugs.

Data Entry

REFERENCES

References available upon request.



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