Customer Service Medical
Resume:
Tracy A. Ventura
Lincoln, RI **865-4612
******@*****.***
PROFILE: Motivated and detail oriented with proven track
record of excellent Customer Service skills in handling and
strategizing best practices to help organizations ensure
accurate and successful monetary transactions as well as a
great experience. Seeking a challenging position in a
professional organization with avenues for growth utilizing my
education and professional experience.
EDUCATION:
2011 MEDICAL BILLING & CODING Certificate, SANFORD-BROWN INSTITUTE
Cranston, RI
2002 BACHELOR OF SCIENCE - FINANCE and MANAGEMENT, BRYANT UNIVERSITY
Smithfield, RI
1996 ASSOCIATE IN ARTS - Liberal Arts, COMMUNITY COLLEGE OF RI
Lincoln, RI
EXPERIENCE:
02/15- 04/15 ROBERT HALF STAFFING- CONTRACTED TO COX
COMMUNICATIONS West Warwick, RI
1. Inbound call center environment dealing with Businesses
throughout the US.
2. Apply payments and credits to customers' accounts.
1. Research complex customer issues involving billing disputes
or payment issues and follows up with the client via phone
and/or email.
2. Provide a positive customer experience to internal and
external clients.
3. Answer and address all incoming calls for customers requiring
assistance with their accounts.
04/12-11/13 MEDICAL BILLING & CODING, RI
HOSPITAL
Providence, RI
1. Insure medical necessity; getting correct diagnosis using
ICD9-CPT & HCPCS
2. Request Clinicals to obtain pre-authorizations / referrals.
3. Work with primary, secondary, and third party billing
including worker's comp., ACI patients, Medicare, etc.
4. Validate patients insurance; obtain referrals and pre-
authorizations before patient scheduled surgery and
diagnostic testing.
02/11-11/12 MEDICAL SECRETARY - Private
Practice - Neurology
Johnston, RI
1. Scheduled patients (Check in /Check Out).
1. Maintained and filed medical records.
2. Billing and Coding plus all data entry.
1. Insurance verification, referrals, authorizations.
04/04- PRESIDENT/OWNER, T.A.V.
CONSULTING North
Providence, RI
1. Accounts receivable and accounts payable.
2. Established companies with brokerage firms to get set up for
audit purposes.
1. Helped individuals with short sales, loan modifications,
refinancing, and property purchases.
11/93-03/05 THIRD PARTY BILLING/PHARMACY
TECHNICIAN/SCHEDULER, BROOKS PHARMACY Warwick, RI
1. Handled third party billing and rejected claims; trained and
supervised pharmacy staff in the District's forty stores.
2. Filled prescriptions, worked with customers and various
insurances.
3. Assisted in new pharmacy openings and pharmacy acquisitions.
4. Scheduled and managed over seventy Pharmacists for the
district's forty stores pertaining to vacations, sick calls,
etc.
5. Worked with District Manager to maximize pharmacy
productivity; staffing ideas and changes to ensure stores
opened on time and were staffed appropriately.
11/98 - 11/00 ADMINISTRATIVE ASSISTANT / EXECUTIVE
SECRETARY, MERRILL LYNCH New
Bedford, MA
1. Opened satellite office in New Bedford from Providence.
1. Assisted four financial consultants in addition to Branch
Manager.
2. Customer service calls, opened various accounts
including personal, business, trusts, etc.
3. Coordinated office meetings and seminars, made reservations
and set up luncheons and dinner appointments.
COMPUTER SKILLS:
MS Office Products, Excel, Word, Power Point, Medisoft, SMS, Siemens,
Syngo, Document Imaging, eCw, Novius, Medsolutions, Navinet, 3M, Passport,
INAV, ICOMS, BID, TOMS, etc.
Contact this candidate