Customer Service Representative

Nicole Davis

Cell: 602-***-**** *********.*****@*****.*** Phoenix, AZ 85029

SUMMARY

Trained and dedicated medical billing and coding specialist seeking full-time position with an established medical provider. Trained in ICD-10, HER/EMR software, medical terminology, data management, data entry, conducting billing practices, and other administrative tasks. Familiar with electronic health records and various computerized coding programs.

SKILLS & QUALIFICATIONS

CPT Coding/ICD-10 Coding/HCPCS Workers Compensation/Disability Practice Mgmt. Software/EHR

Front Office Procedures Checking Claim Status/Collections Insurance Verification

Commercial Insurance Medical Terminology Microsoft Office Suite

Government Programs Patient Scheduling Patient Statements

Claims Follow-Up Verifying Benefits Customer Service

CMS 1500, UB-04 Post Payments Charge Entry

EDUCATION

Brookline College Phoenix, AZ Graduation 2019

Diploma – Medical Insurance Billing and Coding

PROFESSIONAL EXPERIENCE

Physicians Capital Recovery Phoenix, AZ 4/2019-6/2019

Medical Billing Specialist

Processed medical insurance claims for providers

Applied basic practices in the patients chart/account

Credit and collections in processing claims

Defined insurance billing guidelines

Researched local coverage determinations and completed primary and secondary claims

Calculated reimbursement amounts for participating providers

Explained Medicaid & Medicare eligibility guidelines, differentiated between the two, described how

payments are processed and completed Medicaid primary, secondary, and SCHIP claims for Physicians

Described Medicare enrollment process and differentiated among Medicare Part A, B, C and Part D

coverage to subscribers

Describe the purpose and use of the ICD-10-CM and ICD-10-PCS coding

Used electronic health record (EHR) or electronic medical record (EMR) software

T-TECH Phoenix, AZ 10/2017-03/2018

Customer Service Representative

Customer Service Representative for inbound and outbound phone calls

Handled 100+ calls a day

Searched for products in online catalogs for account holders

Placed orders for account holders

Tracked orders for account holders

Tiffany Dupre Phoenix, AZ 02/2013- 03/2018

Nanny

Chompie’s Phoenix, AZ Seasonal 2012

Customer Service Representative/ Sales Merchandiser

Sylvia’s Busy Bees Commercial and Residential Cleaning Glendale, AZ 01/2008-04/2012

Receptionist

Responsible for incoming and outgoing phone calls

Filing of employee and client and business reporting

Made weekly bank deposits

Recorded weekly employee work schedules and

Business profits in Excel

Record keeping of employee work schedules

Ordered Supplies

Contact this candidate