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Customer Service Medical

Location:
Sunnyvale, CA
Posted:
September 17, 2014

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Resume:

Ramandeep Kaur

Cell: 510-***-****, ***********@*****.*** 4564 Cerritos Ave, Fremont CA 94536

OBJECTIVE:

My objective is to obtain a position where I can implement my academic knowledge and also provide myself with an opportunity to perform well

and hone my skills. I have six plus years of experience working in a customer facing environment that has contributed to the success of

organizations. My experience as a student and pharmacy technician, has trained me to work in a highly productive manner as both team member

and team leader.

CORE PROFESSIONAL STRENGTHS:

Leadership/ Project Management ICD-9 Medical Codes Marketing

Medicare & Medicaid Policies & Procedures HIPAA Confidentiality Regulations

Medical Billing Time management Medical Records Management

Customer Service Verbal& Written Communication Medical Coding

Data Entry Problem Analysis/Resolution Medical Documentation Evaluation

Medical Billing Procedure/Terminology Team Building Electronic Health Records

Staff Training and Development Strategic Planning & Organization Detail Oriented

EDUCATION:

Bachelor of Science, Health Administration and Management: CSUEB- Hayward, CA 3.5 GPA

Associate in Arts, Human Development Studies with Honors: Ohlone College- Fremont, CA, 3.5 GPA

Pharmacy Technician Program: Unitek College- Fremont, CA, 4.0 GPA

Nursing Assistant Program: Mission Valley Regional Occupational Program- Fremont, CA

CERTIFICATIONS

CPhT-Pharmacy Technician Certification Board, California State Pharmacy Registration, Tyco/Kendall Chemo Check

TECHNICAL SKILLS:

Computer Tools: Microsoft Word, Microsoft PowerPoint, Microsoft Excel, and Microsoft Access

Operating Systems: Mac OS, Windows OS, Linux

Medical Tools: Intercom Plus, Electronic Health Records, Amerisource Bergen Cardinal

Network Protocols: TCP/IP, HTTP, IPv4, IPv6, and SMTP

PROFESSIONAL EXPERIENCE:

Walgreens-Fremont, CA Pharmacy Technician October 2010- Present

Assist the Pharmacist in reviewing, processing, preparing, filling, labeling and dispensing of medications and supplies.

Gained advanced knowledge of electronic billing for Medicare, Medicaid, workers compensation carriers, Hospice, Tricare and third party payers such as

Cigna, United Healthcare, Wellpoint, Humana, Aetna, Coventry Group, Blue Cross Blue Shield, Health Net, Wellcare, amongst many others.

Obtained extensive knowledge of Medicare and Medicaid.

Recognize co-pays and provider limitations as needed.

Initiate and follow up with prior authorization claims for third party.

Document activities properly in progress notes.

Maintain and manage Patient medical records.

Responsible for ensuring insurance claims are accurately prepared and are free of discrepancies.

Enter all demographics prior to billing to ensure insurance verification for accurate billing.

Accountable for documentation and verification of patient diagnoses and procedures with the physicians.

Assist patients, carriers, and other concerned parties in areas of insurance payment issues.

Thorough knowledge of claims for rejections and corrections.

Worked effectively to attain revenue goals.

Train new interns and new employees.

Contribute to team efforts by supporting coworkers to accomplishing team goals.

Perform other related duties as assigned or required.

Environment: Windows, intercom plus, Amerisource Bergen, Cardinal Services, Electronic Health Records

Taco Bell-Cashier Fremont, CA November 2007- October 2010

Take customer orders, operate credit card machines and registers to take payments .

Resolve customer complaints, take steps to solve food or service issues and provide quality customer service .

Follow company guidelines, policies and procedures in the best manner.

Communicate with customers, team staff and management.

Accept coaching from management team, work with coworkers and provide training and assistance to new joined employees.

Milpitas Care Center-CNA Intern Milpitas April 2009-May2009

Provide patient’s with personal hygiene by giving bedpans, urinals, baths, backrubs, shampoos, and shaves; assisting with travel to the bathroom; helping

with showers and baths

Provide activities of daily living by assisting with serving meals, feeding patients as necessary; ambulating, turning, and positioning patients; providing fresh

water and nourishment between meals.

Provide patient comfort by utilizing resources and materials; transporting patients; answering patients' call lights and requests; reporting observations of the

patient to nursing supervisor.



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