Customer Service Insurance

Bee Driver

**** ******** ***. #*

Riverside, CA *2504

951-***-****

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

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PROFILE

My goal is to further my professional skills in a manner suitable for

service and future advancement. Through the utilization of an excellent and

effective combination of communication skills and business office

experience, I am able to deliver A+ customer service in vast variety of

office settings, while making a positive and immediate contribution to the

success of an already established team of industry professionals.

SKILLS

. Quality Customer Service

. ICD-9

. CPT-4/HCPCS Coding

. CMS-1500/UB-04 Claim Forms

. Scheduling

. Computerized Statements

. Billing

. Payment Posting

. Medical Records Management

. Credit/Collections

. Medisoft

. Microsoft

. Medical Terminology

. Data Entry

. Typing (61 wpm)

. Ten Key (126 wpm)

PROFESSIONAL EXPERIENCE

2007 - 2013 (Billing Specialist)

Central Occupational Medicine Providers

. Bill 3600 CMS-1500 forms with 98% accuracy

. Maintained effective communication with physicians, subordinates,

office manager, patients, and insurance personnel.

. Ensured and verified collection of correct and adequate patient and

insurance information

. Prepare and submit appeals from EOR/EOB from Insurance Companies.

. Verified, updated and corrected source documents.

. Entered data into designated database and form.

. Checked printouts and performed statistical checks for accuracy.

. Prepared and submitted reports.

2007 - 2011 (Administrator Assistant)

Kaplan College

. Proctor potential students.

. Coordinated with Program Director; student schedules, class work and

homework.

. Assist clientele as they enter office and via phone.

. Performed clerical duties such as scheduling appointments, typing,

filing, and photocopying.

2009 - 2010 (Medical Insurance, Coding and Billing Instructor)

Glen Oaks College

. Assessed student performance throughout the term.

. Organized cooperative learning activities.

. Implemented portfolio grading system in MICB class.

. Incorporated new texts into standard curriculum.

1998 - 2006 (Property Services Representative)

NWP Services Corporation

. Responsible for facilitating new hire training, developing incentive

programs for employee morale and building on employee/employer

relations.

. Responsible for maintaining billing process, billing 300 property

management accounts, while resolving of all billing discrepancies and

disputes.

. Served as part of the team which created short and long term

departmental objectives in accordance with company goals.

1997 - 1998 (Payroll Specialist)

CoreStaff Temporary Service

. Managed payroll for 2200 plus employees per week.

. Responsible for maintaining time sheets, auditing hours, balancing the

payroll, and running over 9000 plus checks

. Resolve several hundred discrepancies in employees pay and benefits,

assist corporate accountants in processing W2 Forms.

1996 - 1997 (Cashier)

Farm Fresh

. Operate cash register and adding machine in order to manage cash for

sold items.

. Assist customers with buying decisions when required.

. Balance all transactions at the end of the day for reconciliation.

1995 - 1996 (Reservationist)

Value Jet

. Book reservations when customers have chosen flights.

. Take customers' name, telephone number, and credit card information

for booking.

. Proven ability to work with same efficiency even in stress situations.

DIPLOMAS/CERTIFICATIONS

National Certified Medical Coding Insurance Specialist - (NAHCA)

Medical Coding and Billing - Diploma (Maric College)

Business Operations - Diploma (Kee Business College)

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REFERENCES UPON REQUEST

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