Customer Service Medical
Resume:
Marvin Molden
Mobile Phone: 404-***-**** • Email: aceku5@r.postjobfree.com
BUSINESS OBJECTIVE
To utilize and enhance my knowledge of health-related information/systems with the development of the
company’s business; assuring success while privileged in a critical role within the healthcare industry.
SUMMARY OF QUALIFICATIONS
Over 12 years experience as a medical billing and coding professional dealing with medical
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records, insurance claims, and medical office related business administration work.
Extensive knowledge of medical terminology, anatomy, and physiology.
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Experience in all aspects of insurance: Medicare, Medicaid, and third-party payers.
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Highly skilled in translating codes into insurance company’ preferred coding systems.
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Strong proficiency of physician coding, in and outpatient coding as well as facility coding
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Experience conversing with insurance companies and government agencies managing medical
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records, a fast-paced front desk, while providing quality customer service.
BILLING AND CODING EXPERTISE
• ICD-9 Coding • CPT-4 Coding • Regulations • Outpatient/Inpatient Facility Coding
CAREER PATH
Georgia Department of Public Health/Vital Records 07/13-
Present AppleOne Staffing Agency
Atlanta, GA.
Call Center Operator
Answers a minimum of 100 handled calls daily and have a record number of 163 completed calls
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in an 8 hour shift with no escalations to immediate supervisor.
Knowledge with intermediate use of the state program State Electronic Notifiable Disease
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Surveillance Systems (SendSS).
Providing superb customer service when answering calls in a professional and courteous manner
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giving accurate information to assist the request for calling.
Update new/existing customer information with the use of the tracking system SendSS, as well as
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research and verify customer status.
Identify and resolve escalated issues with urgency by probing questions and listening while
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recommending solutions to satisfy the customer’s issue.
Document information with every call as a standard procedure leaving comments accordingly for
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review with the next agent on the next call.
Provide proper instructions to customer on how to order a certified certificate through the mail, via
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online, or to take advantage of walk-in services for immediate turn around on their request.
Lorna Hospice LLC 01/10 – 07/13
Office Coordinator Atlanta, GA.
Provide assistance in verifying correct customer information managing Medicaid/Medicare,
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pharmacy related calls, healthcare providers, and HMO/PPO insurance plans.
Primarily responsible using accurate data entry for patient registration, scheduling, and completing
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correspondences via email.
Highly experienced in posting deposits / collecting payments and reconciling accounts with a high
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degree of accuracy utilizing the company’s billing system.
Delivering factual information to customers regarding their claim processing and procedures.
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In depth knowledge to perform charge review, claim submission, claim follow-up, payment
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posting and patient statements.
Count petty cash and run the batch report for the credit card machine daily and report the finalized
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amount for deposit.
Able to note primary information about claims processed as documentation to reference back up in
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the associated history of each customer.
Center for Medicine of Endo Diabetes 05/05 – 01/10
Sr.Medical Records Specialist/Medical Front Receptionist
Provide assistance in verifying correct customer information managing Medicaid/Medicare,
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pharmacy related calls, healthcare providers, and HMO/PPO insurance plans.
Primarily responsible using accurate data entry for patient registration, scheduling, and completing
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correspondences via email.check-in/out patients collect copay
Highly experienced in posting deposits / collecting payments and reconciling accounts with a high
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degree of accuracy utilizing the company’s billing system.
Delivering factual information to customers regarding their claim processing and procedures.
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In depth knowledge to perform charge review, claim submission, claim follow-up, payment
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posting and patient statements. Filing,pulling charts for patients appointments faxing an scanning
records,for requesting records to lawyers,patients,referrals (EMR),eClinical software
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Count petty cash and run the batch report for the credit card machine daily and report the finalized
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amount for deposit.
Able to note primary information about claims processed as documentation to reference back up in
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the associated history of each customer.
Atlanta Medical Center 06/02 – 05/05
Patient Access Representative Specialist Atlanta, GA.
Performed day to day functions associated with coding, abstracting and revenue cycle.
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Capable to interpret a medical procedure and convert it to the correct codes for the final billing
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statement.
Data entry of patient information into computer, scheduling/confirming appointments two days in
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advance, calling in prescriptions in to the pharmacy, and confirming insurance eligibility.
Knowledgeable of insurance plans relating to Medicaid/Medicare, Pharmacy, healthcare provider,
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and HMO/PPO insurance plans.
Competent to collect and process codes and payments to ensure accurate financial reimbursement.
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Responsible for performing functions in any of the following PAS modalities: Front Desk,
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Registration, Scheduling, Financial Counseling, Bed Control, Cashier, Insurance, and Document
Imaging Scanning and copies.
E D U C AT I O N
Georgia Medical Institute School Atlanta, GA.
Certified Medical Insurance Billing & Coding Specialist 03/03 - 12/03
Fredrick Douglas High School Atlanta, GA.
High School Diploma 06/1988
2
JOB REFERENCES
AppleOne Staffing Agency Yosheca Lipscomb 404-***-****
Lorna Hospice LLC Dandre Green 404-***-****
Center For Medicine of Endo an Diabetes Felicia Rosenberge 404-***-****
Atlanta Medical Center Tammy Cox 404-***-****
Contact this candidate