Medical Customer Service

**** ****** ****** ** 210-***-****

San Antonio Tx 78242 aca81b@r.postjobfree.com

Griselda Botello

Qualified Medical Administrative Assistant in fast paced and high volume patient

Summary

clinic and call center environments. Personable and

professional under pressure.

Over 12 years of billing and coding, patient charting, insurance claims,

appointment scheduling, organizing Medical Records, insurance verification, and processing

authorizations. With the ability to readily

adapt to changing environments and demands. a busy medical office setting.

Qualifications Strong client relations HIPAA compliance

International Classification of Diseases (ICD.9CM)

Patient scheduling

Quality assurance

Word processing

Accurate and detailed

Professional and mature

Maintains confidentiality

Works well under pressure

Schedule management

Insurance eligibility

Understands insurance benefits

Ambulance coding familiarity

Office management professional

Resourceful and reliable worker

Office support (phones, faxing, filing)

Excellent verbal communication

Proficient in cash management

Local/state health laws knowledge

Medical terminology knowledge

Exceptional communication skills

Critical thinking

Physician billing

HCFA Common Procedure Coding Systems

(HCPCS)

GED: Cosmotology, 1996

Education

South West High School - 11960 Dragon Lane. San Antonio, Texas 78252 Professional

National Institute of Technology - 3622 Fredricksberg Rd San Antonio Tx 78229

Medical Administrative, 2002

Office Administration coursework

Coursework in Healthcare Management

Certificate in Health Information Administration

Coursework in Healthcare Administration

Coursework in Medical Front Office Assisting

Coursework in Business, Accounting and Healthcare Administration

Office Administration coursework

Coursework in Healthcare Management

Certificate in Health Information Administration

Coursework in Healthcare Administration

Coursework in Medical Front Office Assisting

Coursework in Business, Accounting and Healthcare Administration

Experience OPCSR, 12/2006 to 04/2013

University Health System – 701 S Zarzamora

Answered an average of 40 calls per day by addressing customer inquiries, solving problems and

providing new

patient information. Coordinated 15 physician schedules

Patient registration quickly and accurately

Entering daily charges

Politely assisted customers in person and via telephone.

Communicated with vendors regarding back order availability, future inventory and special

orders.

co-pay collections

Authorizations for procedures and office visits

Organizing Busy Dr templates For Renal and Dermatology

Performed accounts receivable duties including invoicing, researching chargebacks,

discrepancies and

reconciliations.

Audited new customer files to verify medical necessity and satisfaction of coverage criteria.

Performed monthly inventory and maintained office and medical supply counts.

Patient Customer Service Represenative, 10/2002 to 12/2006

University Physicians Group – 701 S Zazamora

Greeted customers entering ascertain what each customer wanted or needed.

Precisely completed appropriate claims paperwork, documentation and system entry.

Scheduled appointments, registered patients.

Professionally and courteously verified appointment times with patients.

Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op

Reports, test results,

home care forms).

Adeptly managed a multi-line phone system and pleasantly greeted all patients.

Verified patients' eligibility and claims status with insurance agencies.

Entered orders into the EMR system efficiently and without errors.

Compiled necessary documents for surgical billing packages.

Assigned appropriate medical codes with a number percent accuracy rate.

Determined prior authorizations for office visits and outpatient procedures.

Maintained strict patient and physician confidentiality.

Languages Spanish

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