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Customer Service Administrative Assistant

Location:
Forest Park, GA
Posted:
March 04, 2019

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Resume:

Wilgens Almonor

https://www.linkedin.com/in/wilgens-almonor-74293a125/

**** ******* ***** 678-***-****

Morrow, Georgia 30260 **************@*****.***

OBJECTIVE

Healthcare Administrator

EDUCATION

Walden University Columbia, MD

Master of Healthcare Administration Expected graduation 2020

Clayton State University Morrow, GA

Bachelor of Science in Healthcare Management Graduated May 2018

GPA 3.6

Dalton State College Dalton, GA

Associate of Science- Pre-nursing August 2013-May 2016

GPA 3.4

CERTIFICATION

Heart saver First Aid CPR AED Basic Life Support

RELEVANT COURSES

Applied Research Healthcare Economics Healthcare Finance Ethical Issues in HealthCare Healthcare Information Technology Healthcare Policy Legal Issues in Healthcare Administrative of Managed Care Human Resources Mgmt. in Healthcare Delivery Primary/Long-term Care

RELATED EXPERIENCE

Hexaware Technologies Atlanta, GA

Consultant; Denial Management & RCM Specialists; Professional Billing June 2018-Present

Use EPIC software to check existing claims

Review, monitor, and complete hospital claims for all elements of the UB-04 billing according to specific payer guidelines

Categorize denials to assign tasks or personally work to overturn denials

Transmit hospital claims to third-party payers both electronically and manually when necessary.

Research rejections included in EOBs for resolution and file appropriately

American Red Cross Atlanta, GA

Administrative, Casework, & Fiscal Review Intern December 2017-May 2018

To assure direct client financial assistance

Verify primary client’s identity

Check for activity that may be considered suspicious

Answering telephones and direct to different department

Recruiting new volunteers

Georgia Healthcare Services Jonesboro, GA

Healthcare Manager Intern December 2017-May 2018

Calling insurance companies to verify patients’ eligibilities prior to their office visits

Calling patients to remind them about their appointment for the next day

Make sure the superbill and treatment plans are accurate

Collecting co-payments from patients

Verify all BIRP notes on patients’ files

Verify staff files for credentialing purposes

Family Bridge Healthcare Services Jonesboro, GA

Administrative Assistant May 2016-August 2017

Organize and schedule appointments

Answer and direct phone calls

Greet and assist visitor/client to the office

Administrative duties such as filing, typing, scanning, etc...

Maintain electronic and hard copy filing system

OTHER EXPERIENCE

Walmart Fayetteville, GA

Sales Associate March 2013-December 2015

Improve engagement with merchandise

Providing outstanding customer services

Responding to questions from customers

Winn-Dixie Fort Lauderdale, FL

Customer Service Associate October 2009-June 2011

Provide continuous attention to customer needs

Greet, assist, and thank customers in a friendly manner

Address customer issues/complaints and resolve to full satisfaction

Maintain confidentiality of information

SKILLS

File Management Customer Service Medical Terminology Microsoft PowerPoint Microsoft Word Microsoft Excel Bilingual (Creole & French)

HONORS AND ACTIVITIES

Dean’s list seven semesters; Clayton State University wellness program; Protecting Human Research Participants Certificate

AVAILABILITY

Immediately



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