Customer Service Medical
Resume:
Marvin Molden
Mobile Phone: 404-***-**** • Email: ************@*****.***
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
•
records, insurance claims, and medical office related business administration work.
Extensive knowledge of medical terminology, anatomy, and physiology.
•
Experience in all aspects of insurance: Medicare, Medicaid, and third-party payers.
•
Highly skilled in translating codes into insurance company’ preferred coding systems.
•
Strong proficiency of physician coding, in and outpatient coding as well as facility coding
•
Experience conversing with insurance companies and government agencies managing medical
•
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
•
in an 8 hour shift with no escalations to immediate supervisor.
Knowledge with intermediate use of the state program State Electronic Notifiable Disease
•
Surveillance Systems (SendSS).
Providing superb customer service when answering calls in a professional and courteous manner
•
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
•
research and verify customer status.
Identify and resolve escalated issues with urgency by probing questions and listening while
•
recommending solutions to satisfy the customer’s issue.
Document information with every call as a standard procedure leaving comments accordingly for
•
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
•
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,
•
pharmacy related calls, healthcare providers, and HMO/PPO insurance plans.
Primarily responsible using accurate data entry for patient registration, scheduling, and completing
•
correspondences via email.
Highly experienced in posting deposits / collecting payments and reconciling accounts with a high
•
degree of accuracy utilizing the company’s billing system.
Delivering factual information to customers regarding their claim processing and procedures.
•
In depth knowledge to perform charge review, claim submission, claim follow-up, payment
•
posting and patient statements.
Count petty cash and run the batch report for the credit card machine daily and report the finalized
•
amount for deposit.
Able to note primary information about claims processed as documentation to reference back up in
•
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,
•
pharmacy related calls, healthcare providers, and HMO/PPO insurance plans.
Primarily responsible using accurate data entry for patient registration, scheduling, and completing
•
correspondences via email.check-in/out patients collect copay
Highly experienced in posting deposits / collecting payments and reconciling accounts with a high
•
degree of accuracy utilizing the company’s billing system.
Delivering factual information to customers regarding their claim processing and procedures.
•
In depth knowledge to perform charge review, claim submission, claim follow-up, payment
•
posting and patient statements. Filing,pulling charts for patients appointments faxing an scanning
records,for requesting records to lawyers,patients,referrals (EMR),eClinical software
•
Count petty cash and run the batch report for the credit card machine daily and report the finalized
•
amount for deposit.
Able to note primary information about claims processed as documentation to reference back up in
•
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.
•
Capable to interpret a medical procedure and convert it to the correct codes for the final billing
•
statement.
Data entry of patient information into computer, scheduling/confirming appointments two days in
•
advance, calling in prescriptions in to the pharmacy, and confirming insurance eligibility.
Knowledgeable of insurance plans relating to Medicaid/Medicare, Pharmacy, healthcare provider,
•
and HMO/PPO insurance plans.
Competent to collect and process codes and payments to ensure accurate financial reimbursement.
•
Responsible for performing functions in any of the following PAS modalities: Front Desk,
•
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