Medical Customer Service

QUALIFICATION SUMMARY:

I have extensive training and experience as a Medical

Administrative Assistant, Medical Front Office and Clinical Assistant.

I am proficient in all Microsoft Office software and type 45 wpm.

Proficient in all office equipment, including scanners, printers and 10-key touch.

Resourceful with a strong work ethic; ability to multi-task and meet firm deadlines.

EXPERIENCE:

Retention Specialist

Nexxlinx Austin

06/2014 – Current

Basic computer/keyboarding skills and a capacity for listening, dealing with

confrontation, and overcoming objections. Analyze customer transaction history,

assessing acceptance behavior trends, providing interchange education regarding

issues impacting transactions (downgrades, user errors, fees, industry programs,

equipment, etc.), and monitoring all phases of the review life-cycle. They will work

closely with merchants to identify and maximize opportunities to up-sell on products,

services, and programs. Knowledge of merchant services and/or payments to include

but not limited to credit and debit cards processing. Effectively communicate to

management and merchant, the basis of decisions - from both a business and revenue

perspective. Notate in each customer account of the call and out come from the

services provided or removed.

EMR Document Quality Specialist

LeadingEdge Personnel

11/2013 - 02/2014

Compile, verify and record patient records and medical history

Review electronic medical records to ensure correctness and completeness.

Retrieve and deliver medical records requested by facility professionals

Compile data such as demographic information and treatments administered

Code records and manage laboratory tests posting to records. Highly motivated

Electronic Medical Records Clerk with experience of retrieving and pulling medical

records for hospital units; filing, trouble shooting and processing transcriptions. Highly

skilled in preparation and maintenance of medical and statistical reports in line with the

medical and institutional re-quirements. Detailed oriented, able to work independently

and have thorough computer knowledge. Sound knowledge of medical terminology. I

am also responsible for organizing hand-written notes, X-rays, medical scans, test

results and audio-visual material related to a patient's health history.

Johnies Liquor Store

Sales Manager

04/2013 - 11-2013

Cashier for retail sales, receives payments via credit card, checks, cash and give

change

as needed. Check proper identification to sell liquor, beer, wine and cigarettes.

Provide customer service, including but not limited to: finding items on shelves,

recommending and selling merchandise to customers, and carrying merchandise to

vehicles. Stocks, arranges and rotates liquor merchandise on shelves, stocks coolers

and sets up

displays. Stocking shelves may involve carrying large quantities of beer, liquor and

wine. Performs general cleaning maintenance at the liquor store, including but not

limited to:

setting up and dismantling displays; dusting shelves, displays, etc.; vacuuming and

sweeping floors; removing snow from walkways; removing trash from store; cleaning

store and cooler windows; washing shelves and bottles; and cleaning restrooms.

May occasionally open and close the liquor store, and operate alarm system.

Loss prevention responsibilities. Perform all other related duties and responsibilities as

apparent or as assigned.

Self Employed

Personal Care Aide

03/2012 - 2/28/2013

Prepare food, Grocery shopping

Feed patient Provide fresh drinking water and food

Assist with bed pan, urinal and commodes empty urine collection bags.

Assist with colostomy care, give enemas if and when needed.

Observe feces and urine, Monitor intake and output. Check and record vital signs.

Observe patient response to care, Measure intake and output, Report and record

observations of patient's conditions.

Collect specimens. Turn and position patient, provide range of motion exercises

Transfer patient to wheelchair/stretcher Assist with ambulation. Bathe patient, provide

nail and hair care

Give oral hygiene, provide denture care Assist with dressing and undressing. Protect

patient privacy and maintain confidentiality. Answer call signal promptly, Provide

orientation to other visitors and patients

Assist patient with communication, Protect personal possessions. Make bed, clean and

care for equipment.

Carry out isolation precautions. Practice and carry out infection control and standard

precautions.

Visiting Physicians of Austin,TX

Medical Assistant

1/30/2011 - 2/20/2012

Order Labs, X-Rays, CTs, MRI's for patients living in Home settings or assistant living

facilities. Vital signs, EKG, Urine Analysis,Ordering medical and Office supplies,

Insurance Verification, Updating patient charts, Telephone(multi-line) and reception

techniques, Managing/filing patient records, Treatment authorization referrals, Patient

Billing( electronic and manual), CMS-1500, UB-92 claim forms, Knowledge of insurance

programs: HMOs, PPOs, IPA/IPOs, Workers' Compensation plans, TRICAE,

CHAMPVA, Blue Plans, Medicare, Medicaid, Medi-Medi, Order Labs, X-Rays, CTs,

MRIs, and EKGs, UAs, PKUs, Occult Blood, Centrifuge, Venipuncture, Use of PDR

(Physician's Desk Reference), Treatment authorization referrals, Appointment

scheduling, Correspondence, Patient exams, Charting pt. ADLs, Filing and Managing pt.

Medical records.

Prior Authorization Specialist (DME)

Express Professionals - Austin, TX

08/2010 - 08/2011

Assist with Medical Management Processes. Responsible for collection and entry of

demographic and service requests information from providers/members into the

electronic record. Verify eligibility, enrollment history and demographics of members. Act

as point of contact providing medical management assistance to providers and

members by maintaining communication through a telephonic and electronic and

education/assistance in prior authorization requests. Handled all incoming telephone

calls from physician offices, hospitals and patients. Accurately enter required

information (non-clinical and structured clinical data) into computer data base. Review

structured clinical data matching it against specified medical terms and diagnosis or

procedure codes and follow established procedures for authorizing request or referring

for further review. Attach incoming information to ICare database and follow established

procedures for distributing information for further review. Call back providers with

precertification numbers as needed and filed completed precertification request. Refer

callers to benefits departments of correct claims administrators when requesting

benefits information. Print and send form letters from system as directed. Maintain

patient confidentiality as defined by state, federal and company regulations. Actively

support departmental and corporate strategic plans and ensure successful

implementations.

Brackenridge Hospital, Austin, Texas

Clinical Assistant II

02/2004 - 06/2008

Assisted nursing staff with non-medical procedures including catheter removal and

insertion, art

line, chest tube and tracheotomy setups, decubitus ulcer care stage 1 & 2; collected

urine and blood

samples, blood pressure, pulse and respiration; prepared patient transfers, dietary

trays, admissions

and discharge charts; handled patient unit room set-up and log census books; arranged

MRIs, CTs,

x-rays and other lab work. Cranial, Art Line, Chest Tube, and Tracheotomy care and

procedure set ups. Patient Unit room set up. Patient transfer, discharge/admit in

computer and Log Census Book, Data Entry, Cleaning and Maintaining equipment in

the unit. Order Labs, X-Rays, CTs, MRIs, and Diet trays for ICU Patients. EKGs, UAs,

PKUs, Occult Blood, Centrifuge, Venipuncture, Dosage Calculations, Pharmacology,

Phlebotomy, Injections. Assist w/Surgical aseptic/sterile procedures, Removal of Foley

catheters, Specimen collection, labeling Basic wound care (non-medical) Decubitus

Care stage l and 2, Removal of IV catheter, Orthopedic Splinting, Nasopharyngeal

Suctioning, Order medical and unit supplies, Verification, Updating patient charts,

Telephone(multi-line) and reception techniques, Managing/filing patient records,

Treatment authorization referrals, Medical law & ethics. Use of PDR (Physician's Desk

Reference), OSHA standards and Universal precautions, Vital signs, Patient billing

(electronic, manual) CMS-1500, UB-92 claim forms Coding: CPT, ICD-9, HCPCS,

DRGs, preparing patients for, and assisting with, procedures. In some cases and under

the direct supervision of a physician, RN or LVN. Perform personal care for patients,

such as bathing, dressing, grooming, oral care and feeding. Changing linens, cleaning

patient rooms and assisting with routine patient treatments, such as physical or

occupational therapies.

SKILLS AND SPECIALTIES:

Applicant Tracking Systems, Recruiting, Microsoft Excel, Access, Spreadsheets,

Microsoft Word, OnBase, Epic, Microsoft Office, Office Management, Software

Documentation, Accounts Payable, Process Scheduler, Onboarding, Accounts

Receivable, PowerPoint.

Clinical Skills

Assisted nursing staff with non-medical procedures including catheter removal and

insertion; art line, chest tube and tracheotomy setups.

Performed decubitus ulcer care stage 1 and 2; cleaning, sterilizing and re-bandaging.

Collected urine and blood samples; submitted to lab for admissions and discharge.

Administered blood pressure, pulse, temperature, and respiration readings, preparing

patients for intake and transfers.

Arranged patient lab work including X-rays, MRI's, CT's, and performed EKG's.

Maintained medical and unit supplies for 60 bed Intensive & Medical Care Unit.

EDUCATION:

Anderson High School, Austin, Texas

High School Diploma

1994 - 1998

Everest Medical College, Austin, Texas

Medical Administrative Assistant Diploma

10/2006 - 08/2007

Job Training Institute, Austin, Texas

Medical Front Office Diploma & Certification

01/2011 - 06/2011

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