Customer Service Medical
Resume:
Ana Caseres
Houston, Texas 77063
**********@*****.***
OBJECTIVE: To secure a full time or part-time position as an administrative assistant discipline
that will leverage my bilingual (Spanish/English) skills. In the way I could learn new skills and
grow with the company for a long term.
SUMMARY: Computer proficient. Type 50 wpm. Determined. High energy. Professional.
Outgoing personality. Motivated. Multi-tasker. Customer Service focused. Detail oriented.
Dependable. Team player. Very organized. Hard-working.
OFFICE SKILLS: ICD-9/CPT/HCPCS Coding; Medi-soft Software Office; Medical Manager
Software; HCFA/CMS 1500 Form; 1450 Form; 10-Key; Explanation of Benefits; HIPAA;
Microsoft Office, Medical Terminology, Medical Insurance and Billing, Medicare/Tricare
Reimbursement Lab, Billing Administration, Medicare Reimbursement. E-Clinicals Works .
HIGHLIGHT OF QUALIFICATIONS:
Knowledge of working in a business office while using the skills to manage the front and back
office.
Customer service oriented skills and able to communicate with a diverse group.
Prepare and review insurance claim forms and related documents for completeness.
Abstract and analyze documentation and its use in accurate coding procedures.
Explain insurance benefits to patients and answer all questions.
Confidentiality used pertaining to clients and patients.
WORK EXPERIENCE:
Foot Ankle Care – Office Management/Collections 03-
13 - 12-13
Check in and out patients.
Answer multi-line phone system and schedule appointments.
Verify eligibility and benefits for different payors.
Work on Aging Reports. Explaining patients balances in their account.
Collections and obtaining claim status for denial claims and correcting claims and resubmitting.
Creating new claims and performing billing and coding and submitting to Navicure
clearinghouse.
Working on ERA's for Medicare.
Post EOB charges from different payors daily.
Also process payroll with ADP and Paychex.
Cardon Outreach - Patient Advocate 03-12 –
03-13
Screening hospital patients for medical assistance program eligibility.
Facilitating application processes and securing necessary documentation.
If patient eligible, completing and submitting forms and additional documents to appropriate
agencies.
Performing assertive and thorough follow up.
Monitoring status of each case while communicating effectively with patients and families,
governmental agencies, insurance companies. Rotating between client facilities as needed.
Dr. Trang Trinh - Mason Park Medical Clinic 2009 -
2012
Front Desk / Biller/Referral Coordinator
Greet patients, check in & out, and verify insurance and eligibility benefits.
Data entry of medical charges of super bills. Perform Referrals for HMO Insurance.
EDUCATION: Westwood College – Medical Insurance, Coding and Billing Diploma
2008 - 2009
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