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Customer Service Quality Assurance

Location:
Red Lion, PA
Salary:
18.00 hr
Posted:
December 04, 2013

Contact this candidate

Resume:

Nolita Mcfall-Long

*** **** ***** *** *** A

Cockeysville, MD 21030

443-***-****

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

Objective

To obtain a full-time position in the field of Information Technology, with an emphasis on technology integration and/or

healthcare industry; technical Support and/or Help Desk role. Quickly learn and master new technology; equally successful

in both team and self-directed settings; and proficient in a range of computer systems, languages, tools and testing

methodologies

Experience

08/2013

Community College of Baltimore Essex, MD

County

C ollege Studies/Student Help desk Technician

Provide networking/desktop support and perform mainframe and account maintenance task with troubleshooting

and support.

Computer Networks

Network Hardware, Topologies and Technologies, LAN & WAN

Network Media, Protocols, OS

Sever Management & Administration, & Security

1/2012-current

Johns Hopkins Hospital Baltimore, MD

Medical Billing & Collections Specialist

Applied payments and adjustment to patient accounts, processed deposits and maintained accurate records of all

cash received in a timely manner and in accordance with company policy

Assisted with quality assurance to ensured patient satisfaction

Complied with the system of internal controls to ensured proper handling of cash receipts, including billing

system data entry

Obtained accurate insurance information

Conducted patient follow-up and coordinated communications with payers to ensured accurate billing practices,

enhanced reimbursement, achieved cash collection targets and reduced or maintained A/R over 120 days

Ensured the privacy and security of Protected Health Information per HIPPA requirements

2/2007-12/2011

Verizon Telecommunication Silver Spring, MD

Maintenance Administrator

Served as the point of contract for customer inquiries related to Buried Service Wire Installation

Receives trouble reports via phone,chat, or other means of communication

Provides support for telephone, computer,email, and other products Verizon offer

Answering customer with order inquiry and/or trouble reports.

Negotiating dates, times and access arrangements

Dispatching trouble reports and service orders to appropriate outside installation and repair technicians

Using knowledge of computers, networks and internet concepts to work with customers on the telephone and to

isolate/resolve problems with the equipment installed in customer homes.

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4/2004-2/2007

Sleep Services of America Glen Burnie, MD

Patient Account Rep

Ability to understand Medicare guidelines and well informed about changes in insurance arena

Perform routine follow-up on delinquent claims and private pay accounts

Collected and restored patient data to well retrieving old accounts to close out acct

Billing secondary claims BC Choice, FEP, primary submission electrically all claims

Submitting BC unpaid claims for appeal, follow up and understanding of payor

3/2001-3/2004

Landmark Medical Severna Park, MD

Medical Collector

Answer all patient account questions

Assist Sales Rep in obtaining important information

Call doctor’s office for letter of Medical Necessity forms

Review and maintain patient billing accounts and questions

Submit all paper claims to correct insurance

Follow up on rejected or under paid claims

Remain current and knowledgeable regarding all insurers and regulatory changes including those related to

HMO, PPO, Medicare and BCBS carriers

Also strong customer service skills, Word, Excel, Power Point

2/1998-2/2001

Blue Cross of Maryland Owings Mills, MD

Patient Account Rep

Understanding the Medicare products as well as the RX plan

Conducts internal & external research to determine and request the data needed to handle inquires from

subscribers, beneficiaries accounts or providers.

Analyzes and provide services with various BCBS product lines

May assist less experience reps and handle unusual or complex inquiries including irate calls etc

Provide excellent customer service

Community College of Baltimore Essex, MD

County

A.S. Information Security System Technology

References

References are available on request.

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