Customer Service Data Entry
Resume:
Mrs. Lucinda M. Graham
**** *. ******** **** #***-124
Pasadena, CA 91107
Email: ***.*******@*******.***
Cell: 626-***-****
Home: 626-***-****
Objective: I am a hard worker, but most of all I love a challenge: I always strive to give my all. I enjoy learning new
things, I am a self-starter, and able to jump in with minimal training. I can manage a constant workload while
improving efficiencies and reporting to multiple department, Detail oriented and able to analyze and identify the
situation. Clerical experience in Healthcare organization, Upholds Policies & Procedures Principles of
Responsibilities applicable State and Federal & Local Laws.
Experience:
03/2014-10/2014
Careers Strategies - Los Angeles, Ca
Contract Agency Employment
Cedars Sinai Medical Center –Coordinator, Cash Posting/Research/Medical Records Team
Familiar with CMS regulations PQRS program,Heavy data entry, Strong communication and follow-up skills, processed zero balance
accounts, merged accounts, researched checks and EBO’s for proper batching and scanning, follow-up calls for missing EOB’s and
checks. Answer all Medical Records phone calls, Distribute incoming faxes every morning. Pick up incoming documents at varies
station, Scan loose papers/forms in log as needed daily logs, ability to prioritize, resolve conflicts, Scan Medical Records into (EMR)
database, process subpoena's for release of medical records and urgent request from Private Doctors and patients, assist in other areas as
needed.
10/2013 -03/2014
Robert Half/Office Team-Pasadena, Ca
Contract Agency Employment
Providence Health Care- Payment Poster
Reconciled Patient Accounts, Lock box batch payments posting, Credit Card, Medical & Medicare Insurance payments, Identify trends
and root causes of undistributed payments and recommends solutions to PFS management, Review patient overpayment; apply credits to
clear bad debt accounts. Reviewed accounts to verify true credits, experienced with NextGen,, Answer telephones, perform other
administrative duties, Strong communication and follow-up skills,ability to prioritize, resolve conflicts with-in.
01/2011 – 06/2013
Healthcare Resource Group, - Westminster, CA
Contract Agency Employment
Kaiser – ASU Credit Processor/Coordinator Team / Payment poster Team
Familiar with CMS regulations PQRS program, Heavy in and outbound patient calls, Reconciled patient account, reconciled patents
benefits, refunds, Self- pay, billing errors, accounts receivable account experience analyzing both hospital and professional patient
accounts, knowledge of patient debit balances, procedure codes, refund procedures, cash transactions and experience reconciling
accounts to a zero balance, review KP health connect workques and reports to determine proper course of action for credit balance
resolution by preparing or reversing adjustments imitating refund request, reversing charges and requesting transfers, if applicable, Lock
box batch payment posting, Identify trends and root causes in undistributed payments and recommends solutions to PFS management,
NCAL and SCAL revenue cycle management, review of EOB’s for any payment errors, for recall patients account placed in bad debt in
(HB) and (PB) due to billing error, or patient overpayment, apply credits to clear bad debt accounts first. Worked accounts that had
buckets issues that off set or made a credit. Reviewed accounts to verify true credits. Worked with other Kaiser facilities and outside
collection agency on bad debt accounts. Answer telephones, Strong communication and follow-up skills,, ability to prioritize, resolve
conflicts with-in, perform other administrative duties
6/2007 – 12/2010
Healthcare Resource Group, - Westminster, CA
Contract Agency Employment
Kaiser – PBSCCC Research Team, ASU Credit Resolution Processor/ Payment poster
Heavy in and outbound patient calls, Reconciled patient account, reconciled patents benefits, refunds, billing errors, Recall patient’s
account placed in bad debt in (HB) & (PB) due to billing error or incorrect guarantor, payment adjustments, payment transferred;
communicate with other Kaiser facility’s as well as outside collection agencies, Guarantor issues, Undistributed payment, resolve credits,
adjust payments transfer payments, Performed other related duties as assigned, including but not limited to special projects. Good
working knowledge of computers, systems and Microsoft Office Programs, Answer telephones, and perform other Administrative duties
Maintains timely billing data entry productivity & quality standards. Perform periodic audits, Identify additional reviews and possible
credits or refunds, Lock box self-pay, insurance payments for payment posting, EOB review for payment errors.
10/05/2005-06/01/2007
Staffing for Hire –Encino, CA
Contract Agency Employment
Tenet Health care-Medical Records-, Patient information, correspondence legal documentations, and Research record for scanning.
Distribute faxes every morning. Take all medical record phone calls, Pick up incoming documents at varies locations, Scan loose
papers/forms in log as needed daily logs, Scan Medical Records into (EMR) database, process Subpoena's for release of medical records
daily and log, Maintains confidential information regarding patient and work related matters Maintain/ Process Patients' records in an
efficient and timely manner, Handle patient information with utmost respect and confidentiality. Support the quality care and patient
satisfaction; Pull records as needed, perform other administrative duties as needed
Kaiser, RaBS Department, - Payment Poster, Clerical duties, workers comp, credit cards, self-pay, payments, heavy data entry, and
research account for posting.
Kaiser, SRU Department, - (Special Recovery Unit) Heavy data entry, correspondence, clerical duties, followed up with secondary
insurance, verified members, heavy volume of outgoing calls to insurance companies, review EOB’s with insurance agency for proper
payment. Assist to others as needed.
04/02 – 08/05
B.M.I.C Int. – Azusa, CA
Log in daily activity, data entry, handled all correspondence, clerical duties, bank deposits, internet updates, verified all contacts, verified
information at set up, heavy customer service, 6 line phone system, extend a high degree of customer service.
Hospital Experience:
*Arcadia Methods Hospital - Medical Records Department
*Huntington Memorial Hospital – Medical Records Department, Admitting, Day Surgery/ Recovery
Unit, Pre-Op Testing.
*San Gabriel Valley Medical Center – Admitting Department and Director of Nurses
*St. Luke Medical Center – Admitting-Emergency Room- Medical Records
Education:
Continental Academy High School - Miramar, FL 800-***-****
Sawyers Business College (Trade School) - Pasadena, CA
Other Skills: Computer systems knowledge,Window 95, 98 and 2000, Internet, email, Coral Draw, Fax, 10 key Machine, Micro Fiche,
Elite billing system, NextGen, Medi-soft, Postage machine, Vi-Web program, Ace Program, Arbis program, Epic, Health connect,
Mainframe, Claim Logic OnBase, Papers Validation, Bypass reports program, Good working knowledge of computers, systems and
Microsoft Office Programs
References: Upon Request.
Contact this candidate