Customer Service Representative

Linda Green

*** ** *****

Queens, NY *****

***- ***-****

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

Temp positions

Methodist Hospital – September/2013 to December/2013

Receptionist - Orthopedic Rheumatology Clinic – Responsibilities included processing follow up appointments,

and

Updating medical records.

Account Representative: Processed outpatient claims, follow up on denials/appeals, confirm diagnostic codes

In IAR system and review EOB statement.

Physical Therapy Practice – January/2013 to March/2013

Patient Service Coordinator; Ensured referrals and pre-certifications

Kings County Hospital – June/2012 to September/2012

Unit Secretary; Registrar ER patient’s into inpatient unit and establish new medical records

Woodhull Hospital –January/2012 to April/2012

Unit Secretary; Process patient’s discharge, follow up appointments and updated census.

Computer Skills / IDX, Eagle, Medent, Word & Excel

ST. LUKE’S – ROOSEVELT HOSPITAL / NEW YORK, NY 3/07-3/11

Patient Service Representative / Child & Family Psychiatry Out-Patient Clinic

• Managed a medical front desk in areas of scheduling, insurance verification and multi-line phone

• Verified Patients Medicaid Manage Care and Medicare Status in Eagle.

• Monitored managed care authorization, tracked number of authorized visits and

Confirmed patient’s treatment plan and coverage with HMO’s.

Registered intake patient’s initial visits into eagle assigned new M/R numbers and required HIPPA

forms.

Maintained and updated medical records prior to scanning into IDX system.

Monitored provider’s schedules and patients overview in IDX.

Scheduled recurrence, link and document no-shows appointments.

Process co-pays and petty cash vouchers accounts for patient service

New York PRESBYTERIAN WEILL CORNELL HOSPITAL / NEW YORK, NY 9/05-5/06

Unit Clerk / Nursing Dept. / Floater

• Coordinated patient’s admission in various units and perform transfers within and to outside facilities.

• Maintained correspondence with departments, related to patients care and policies.

• Order blood products for patients from blood bank and process urine analysis and blood cultures slips.

• Follow up on patients medical procedures and discharges.

• Registered new patients, scheduled appointments and assisted in bed board assignments.

• Monitored physician deadlines clinical appointments and filled prescription orders under direction.

• Updated charts, maintain medical records and updated patients census.

• Overhead physicians and administrative on phone / pager and initiate code calls for emergency services.

LOCAL 32 BJ- Union / NEW YORK, NY

Member Service Representative / Call Center / Employee Benefit Dept 6/03 – 10/04

• Strong one on one customer service relations with members in assisted with problems concerning benefits

administered by the Union.

• Determined eligibility process for Empire Blue Cross / Blue Shield benefits.

• Accurate knowledge of Health, Pension, Dental, Optical, Compensation and Medical claim.

• Provided benefit eligibility requirements for Health, prospective pensioners, beneficiary and

Process enrollment forms.Utilized professional communication and problem solving skills with

members.

Education: INTERBORO COLLEGE-New York, NY/ Accounting/ Business Administration

Attended – ICD-9 and CPT-4 1199 Course

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