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Customer Service Medical

Location:
Nashville, TN
Posted:
March 17, 2015

Contact this candidate

Resume:

Margaret Tate Contact

Tel : 615-***-**** or

615-***-****

e-mail :

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

Address

**** ********* ** *********, ** 37207

Profile

Career Objective

Self-motivated Medical Office Specialist seeking an opportunity to enhance office

operations in a fast and patient-orientated medical environment.

Availability

From October, 2011

Key Skills

Knowledge in Microsoft Office, Windows XP, Outlook, Microsoft Word, Excel,

PowerPoint, Filing and Charting, Billing, and Coding, Medical Transcription, HIPAA

Training, and CPR Certification :

Education

Jan 2009 to September 2009

9 month specialized diploma in medical office specialist (September 2009)

Kaplan Career Institute, Nashville TN

Classes taken in:

Allied Health Industry & Fundamentals

Allied Health Careers & Communication

Medical Office Management

Health Care Administration

Health Information Management

Health Care Claims Management

Medical Office Transcription

Work Experience

DCI Dialysis Clinic

Present

Primary Billing

Essential Duties and Responsibilities:

Monthly creation of billing charges for designated patients

Monthly claims billing; follow-up, re-billing, secondary billing and correction

billing of claims

Collection process for account balances

Updating patients file records

Complete adjustment transaction forms

Maintain good communication link with each patient's home-clinic personnel

Account aging balances; insurance verifications, referrals and authorization

Aging balances must be kept within acceptable collection standards.

Health spring

Enrollment Specialist

September 2011-May 2014

The Enrollment Specialist is responsible for enrolling, disenrollment, and

maintaining membership files. Essential Functions:

Maintains all membership files

Researches monthly reports

Membership fulfillment

Member correspondence

Maintains Spreadsheet reports

Some phones

Address maintenance

Handle rejects/duplicate applications

Pcp changes

Above and Beyond

Quality Assurance Specialist

February, 2011 to September, 2011

Establish objectives and processes required to deliver the desired results.

Do: Implement the process developed.

Check: monitor and evaluate the implemented process by testing the results against

the predetermined objectives.

Act: Apply actions necessary for improvement if the results require change.

Mid-Town Urology

Medical Office Specialist

December, 2009 to December, 2010

Responsible for checking patients in/out, answered phones in a fast-paced office

environment.

Scheduled surgeries, referrals, and followed-up appointments for 2 Physicians.

Pulled, organized, and filed medical records, updated patient demographics in

computer.

Verified patient has insurance, obtained pre-authorizations for surgeries and

procedures.

Collected patient co-pays, faxed pharmacy for prescriptions and stocked

medications.

Wal-Mart

Customer Service Manager

July, 2005 to December, 2008

Supervised a team of 25 cashiers, prepared weekly schedules and managed all cash

drawers on a daily basis.

Handled large amounts of cash, ensured all monetary transactions were reconciled

on a daily basis.

Oversaw customer service meetings, cleaned register area, stocked bags and special

packing.

Resolved team issues fairly and quickly, interviewed potential employees,

evaluated performance of 10 cashier's weekly and resolved customer's complaints in

a diplomatic fashion.

Metro Nashville Public Schools

August, 2004 to April, 2006

General Cafeteria Worker

Inventoried food, followed guideline for preparing food and washing dishes.

Prepared food for 400 children and staff.

Responsible for running the dishwasher and cleaning the cafeteria.

Managed cash register, and maintained accurate cash balance.

H & R Block

January, 1998 to March, 2004

Receptionist

Answered multi-line telephones, scheduled appointments and checked clients in and

out.

Organized files, copied documents for clients, collected payments for tax

preparations services, and resolved complaints.

References: Will be provided upon request



Contact this candidate