Customer Service Medical

Toyia Broady

*** ******* ** *********, ***** ****6 972-***-**** *****.******@*****.***

Career Objective: The opportunity to join a growing organization which has the need for an individual

with diverse skills, and a very efficient individual for reviewing and analyzing the correct information

needed for the mission of your organization. I have 6 years of experience with quality customer service,

electronic medical records, and CPT, ICD-9 codes. I am very detailed and meeting deadlines is a very

sensitive attribute for the continuing growth of an organization.

Work Experience:

09/08/2014- Present, Humana, RightSource, Las Colinas, Texas

RightSource Customer Care Specialist

• Receive, document and resolve customer inquiries by using established best

practices while taking inbound calls.

• Build lasting relationships with Humana’s customers

• Educate customers, providers and employers about Humana’s pharmacy products

and services over the telephone.

05/01/2014 – 09/05/2014, CoWorx Staffing Services, Las Colinas, Texas

Patient Access Representative

• Delivered

exceptional customer service to patients, families and internal/external customers.

• Assisted

patients with scheduling, insurance authorization, and pre-certification of benefits.

• Verified enrollment and co-payment of HMO members.

• Updated insurance information when appropriate.

• Accurately completed computer data entry.

• Works in an organized, efficient manner so as to keep a smooth and

orderly flow of patients moving in and out of the medical office.

• Distributed incoming faxes to appropriate personnel.

• Complied with HIPPA confidentiality standards when accessing or

communicating with patient information.

08/2012 -09/2012 DFW Internal Medicine Clinic, Arlington, Texas

Health Information Technology 079.167-014

• Verified 3rd party billing using CPT codes and ICD-9 codes; corrected any

incorrect codes for analysis and operational purposes.

• Processed Medical Records request according to HIPAA regulation and guidelines.

• Verified patients insurance according to diagnoses for intake process using eClinicWorks

• Entered new patient’s information into eClinicWorks according to patient’s

medical records and created patients accounts for the patient portal for their Personal

Health Records.

04/2006 -04/2010 Orchid Cellmark, Dallas, Texas

Toyia Broady 972-***-****

Administrative Associate

• Verified demographic information for forensic case files

• Processed forensic evidence into Laboratory Information Management

Systems (LIMS) for the forensic analyst

• Provided quality Customer Service for 25 clients a day by following

quality assurance guidelines

• Collected electronic data for clients court cases

• Reviewed case files according to HIPAA rules and regulations for clients DNA results

05/2005 -04/2006 North Texas Lung Institute, Garland, Texas

Office Representative II 079.362-014

• Organized and prepared patients charts according to the guidelines of the Institution

• Processed patients medical records request following the HIPAA guidelines

• Verified patients insurance according to diagnoses for intake process

• Entered new patients information into the system according to patients medical

records Admitted Patients

05/2001 -04/2005 Arrow Truck Sales, Dallas, Texas

Administrative Assistant/Receptionist

• Account Payables/Receivable for vendors and customers

• Managed Petty Cash

• Assisted in the hiring process

• Arranged business meetings

• Interacted with Vendors

Education:

2013 -Present Kaplan University, Fort Lauderdale, FL

Bachelor of Science in Health Care Administration GPA 3.25

2010 -2012 Kaplan University, Fort Lauderdale, FL

Associate of Applied Science in Health Information Technology GPA 3.25

Dean’s List, Internship

Technical Skills:

• RX Nova

• Empower

• Mentor

• Guidance Care Portal (GCP)

• International Classification of Diseases Ninth Edition (ICD-9)

• Current Procedural Terminology (CPT)

• Laboratory Information Management Systems (LIMS) 3.0

• Electronic Medical Records (EMR)

• eClinicWorks

• Citrix

• Soarian

• Data Entry

Toyia Broady 972-***-****

• Centricity EMR

• PowerCharts

Training:

• National Institutes of Health (NIH) “Protecting Human Research Participants”

Date of completion: 04/08/2014

Certification Number: 1445747

Toyia Broady 972-***-****

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