Customer Service Insurance

Lori A. Sousa

* ***** *****

Warren, RI *****

Home: 401-***-****

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

PROFILE

Twenty plus years experience in the medical field; proven leadership skills; expertise in responding to customer

needs; pleasant telephone manner; committed to customer service and satisfaction; able to work well with

others in routine environment.

SKILLS

• Exposure to IBM/PC Computers

• Experience in all office procedures

• Experience in assisting radiologists

• Bilingual: English/Portuguese

• Experience with medical terminology

EXPERIENCE

RI Medical Imaging, East Providence, RI

Patient Financial Services/Billing Specialist

July 2003-present

• Verification of patient insurances prior to exam date pre-authorization from major insurance carriers and workers

compensation.

• Verifying patients deductibles and co-pays prior to exam.

• Obtaining retro-authorizations for exams.

• Price quotes for Radiology exam.

• Knowledge of ICD-9,CPT codes.

• customer services calls

• follow up denials

• aging report

• daily mail

• credit balance

RI Medical Imaging, East Providence, RI

Lead Patient Scheduler

• Oversee computerized scheduling department for a fast paced imaging company.

• Process a high volume of calls from patients and referring doctors to schedule imaging exams.

• Intake of a large volume of referral slips that need to contacted and entered into database.

• Verification of patient insurance prior to exam date Pre-authorization from major insurance carriers and

workers compensation.

• Train new personnel in all aspects of computerized scheduling and insurance verification

RI MRI Network, East Providence, RI

Patient Scheduler

September 1998 – November 2002

• Working in a fast paced environment to screen and schedule patients for exams

• confirming appointments for next day schedule

• filing

• faxing next day schedules to MRI technicians

• entering all doctor’s outpatient orders into the computer.

Charlton Memorial Hospital, Fall River, MA

Clerk Receptionist/Technician Aid

October 1988 – August 1998

• Was responsible for obtaining patient history processing films

• assisting Radiologist during upper GI series

• setting up rooms for Radiology procedures

• transporting patients

• stocking x-ray rooms

• prepping room for Barium Enema and Video Barium Swallow and Fluoroscopy exams

• translating during procedures due to language barrier

• providing receptionist duties filing; data entry; organizing and scheduling patient appointments.

Education

Bristol Community College, Fall River MA

Courses included various pre-requisite courses

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