Customer Service Medical

Cicely L. Lester

**** ********* ***** *******, ** 30032 770-***-****

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

Career Profile:

A highly accomplished, talented and professional health care administrator

with 5 years of diverse experience in the hospital. My aim as an

experienced healthcare professional would be to develop and manage an

organization that would be involved in providing healthcare facilities at

all levels and to every group of people.

Professional Strengths:

. Familiar with medical terminology and clinical procedures

. Possess excellent oral and written communication skills

. Possess good analytical and organizational skills

. Familiar with basic operating systems like Microsoft Excel, Word,

PowerPoint, Excel and the Internet

Professional Experience:

Patient Navigator

Southside Medical Center / Grady Memorial Hospital, Atlanta, GA Oct

2012-Jan 2014

Provide guidance to patients with health care needs through and around the

healthcare system. Help each patient locate a medical home so they can

receive timely diagnosis and treatment.

. Maintained and updated patient database.

. Help patients identify and utilize appropriate social services

. Navigated through NEXTGEN and EPIC to schedule appointments and

follow up with patients.

. Connected patients to community health centers in order to continue

their treatment.

. Assisted with updating electronic medical records.

. Submitted monthly reports for current grant's that are in place.

. Updated the medical billing system by inputting bad debt

Revenue Cycle Analyst

Grady Memorial Hospital Atlanta, GA Jan 2010-

Oct 2012

Thorough knowledge of Medicare, Medicaid, and payors billing standards and

policies. Skilled in coding using devices such as ICD-9 and CPT. Excellent

knowledge of healthcare revenue cycle, medical billing and collection

practices. Good understanding of medical terminology and HIPAA guidelines

and regulations.

. Reviewed medical charts to confirm diagnosis and subsequent

procedures.

. Developed day-to-day work plans to meet service standards and

deadlines.

. Recognized conditions and procedures to be coded.

. Ensured that all medical claims and documents fall within state and

federal regulations

. Collected information from patients and information companies using

all standard communication methods.

Patient Access Representative

Spalding Regional Medical Center Griffin, GA June 2009-

January 2010

Providing assistance to patients registrations in the Emergency Room.

Conducts patient/guarantor interviews, explains hospital policies,

financial responsibilities, privacy practices and patient bill of rights.

Ensures that pre-certification and/or authorization are obtained, patient

liabilities are collected and appropriate bed assignments.

. Maintained collaborative relationships with both internal and

external Clients that lead to more effective communication and a

higher level of productivity and accuracy

. Ability to receive and express detailed information through oral and

written communications

. Customer service skills and experience

. Used proper negotiation techniques to professionally collect money

owed by our Patients/Guarantors

Education:

Bachelor of Science in Healthcare Administration

June 2008

University of Phoenix, Sandy Springs Campus

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