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Customer Service Administrative Assistant

Location:
South San Francisco, CA
Posted:
December 13, 2013

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Resume:

Samehesha S. Brooks

** ******** ******

Daly City, CA. 94015

Phone: 510-***-****

Email: ***********@*****.***

"Administrative, Customer Service, Billing"

Over 12 years' experience performing general office procedures, where an in

depth knowledge of office management principles and considerable experience

in bookkeeping were obtained. Effectively managed office operations,

utilizing the following skills sets:

. Computer Proficiency: knowledge of Microsoft Office software.

. Ability to learn new software applications.

. Communicate with staff/executives, verbal/written.

. Attention to detail, excellent planning, organization and time management

skills.

. Customer-service orientation.

. Reliability.

Objective Statement

Administrative Assistant

Experience/Background

Help Pain Management, LLC. 1900 O'Farrell St. Suite 250, San Mateo CA.

94403

Administrative Assistant/Billing & Collections

05/13-08/13

Contract

. Billing, Reimbursement, Collections and Insurance Coding

. Act as a liaison between medical facilities and insurance carriers

. Read and interpret EOBs, and face sheets from medical facilities

. Setting up new patients accounts

. Posting payments

. Correct denial claims with correct information and re-submit claims

. Submit electronic claims through e-MDs, and paper claims (primary

insurance or secondary insurance) by mailing in, UB92.

. Follow up on unpaid claims as well as old claims

. Reviews of non-payment and/or incorrect payment for possible appeal

. Adjudicates electronic claim edits (EDI clearinghouse and payer) to

accuracy and completeness of all required information to ensure

submission of clean claims to the payers

. Validates and batches paper claims for manual data entry

. Post insurance payments, utilizing correct denial codes for proper

account management

. For proper filing, prepared all new charts with alphabetical and name

labels

. Perform various Mail Center Activities (sorting mail, metering,

folding, inserting, courier delivery, etc.)

. Maintain copier equipment

. Orders and maintains departmental office supplies

. Other duties as assigned

Kaiser Permanente, 1200 El Camino Real, So. San Francisco CA. 94080

03/13-05/13

Internship

. Assist members in their selection of personal care physicians (PCP) by

phone calls, in person, or e-mails.

. Provide specific facility information brochures when needed.

. Assists and empanels new KP Members in the selection of personal care

physician.

. Maintain accurate medical background information of our

physicians/providers for our members.

. Assists non-English speaking members in their needs for facility

integration and PCP linkage.

Pathways Home Health and Hospice, 395 Oyster Point Blvd Suite 128, So. San

Francisco CA. 94080

01/13-present

Volunteer

. Communicating with the Social Worker

. Providing the necessary assistance in everyday tasks of the patients

. Monitor health and behavior of the patients and reporting any abnormality

to the Social Worker.

. Spending time in a SNF/Home Health setting with the patients and

providing them emotional support and mental peace.

. Ambulating, turning and repositioning patients.

VWR International, LLC. Brisbane, CA. 94080

Customer Care Expert

03/00-08/12

. Review, analyze, and process customer requisition data.

. Process and read electronic faxes

. Process purchase orders. Resolve invoice discrepancies; duplicate

shipments, incorrect quantity, and pricing related to Purchase Orders.

File and maintain Purchase Orders for reference.

. Resolve receiving and product defect/return issues.

. Take between 60-85 calls daily.

. Conduct invoice review. Run reports, i.e. Backorder reports

Kaiser Permanente, 2425 Geary Boulevard, San Francisco, CA. 94115

06/04-09/04

Externship

. Welcomed patients by greeting them, in person or on the telephone;

answering or referring inquiries.

. Prepare patients for the health care visit by directing and/or

accompanying them to the examining room; providing examination gowns and

drapes; helping them to position themselves for the examination and/or

treatment; arranging examining room instruments, supplies, and equipment.

. Verify patient information by interviewing patient; reviewing and/or

recording medical history; taking vital signs; confirming purpose of

visit or treatment.

. Complete records by recording patient examination, treatment, and test

results

Education/Training

Regional Occupation Program, 1800 Rollins Road, Burlingame, CA. 94010

Certified Medical Administrative Assistant

01/13-05/13

. Medical Terminology

. Documentation Formats

. Medical Ethics, Law, and Compliance

. Office Communications

. HIPAA

. Scheduling

. Professional Telephone Etiquette

. Electronic Health Records

. Billing, Reimbursement, Collections and Insurance Coding

Regional Occupation Program, 1800 Rollins Road, Burlingame, CA. 94010

Business Office Careers

08/12-12/12

. General Office Skills

. Create documents using word processing concepts and techniques

. Create, demonstrate and apply graphic presentation techniques and

application

. Create database business applications, tables basics, design and

modifications

. Computer files management and organization.

Customer Service Training-VWR International

05/10-10/10

Five 4-hour modules of customer service training, given certificate of

completion.

Boston Reed

01/03-06/04

Clinical Medical Assistant

El Camino High, SSF CA.

Graduated



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