Customer Service Pharmacy Technician
Resume:
KRIS BALSHAN
Tewksbury, MA *****
Phone: 714-***-****
Email: *********@*****.***
OBJECTIVE Experienced Medical Bill Review Specialist with analytical skills and a desire to learn. A team oriented individual to contribute to the success of your organization through skills gained in providing exceptional customer service.
SPECIAL SKILLS
Knowledge of multiple fee schedules
Knowledge of PPO networks
Varied knowledge and experience in multi-disciplinary healthcare settings
Award-winning customer service skills
Typing evaluations, progress and discharge summaries through WordPerfect
10 key by touch
WORK EXPERIENCE
2008 – 2014 Client Support Specialist Strata Care, Irvine, CA
Point of contact for clients to ensure accuracy of reviewed Worker's Comp medical bills
Knowledge of fee schedules, PPO networks, client specifics and company software
Ability to work independently and efficiently with multiple clients
Resolved issues with time-sensitive claims
2000 – 2008 Medical Claims Analyst/Provider Relations Specialist Fair, Isaac Inc. Irvine, CA
Knowledge of multiple state fee schedules, PPO networks and client specifics in order to review and re-evaluate Worker's Compensation bills while using Comp Advisor and Innovent systems
Promoted from Bill Review Specialist to Provider Relations Representative to Product Support Representative to Lien Trials Representative
Provided customer service to providers, claimants and insurance carrier examiners regarding bill reviews, and assist in re-evaluation of bills when necessary
Possess excellent verbal and written skills, as well as teamwork skills
1997 – 1999 Medical billing/collections A-Med Healthcare Center Huntington Beach, CA
Billing and collections from Medicare, Medicaid, HMO’s and private insurance in over 20 states
Extensive verbal communications with insurance carriers and customers as well as research of proper billing forms, insurance updates, and coordination of insurance to bring in revenue for this DME company
Created lien documentation packets for lien trials specifically for Medicare
1996 – 1996 Physical Therapy Aide/ Rehab Aide Team Rehab at Rose Villa Bellflower, CA
Assisted Physical & Occupational Therapists in the treatment of patients as well as various departmental tasks
1993 – 1995 Pharmacy Technician CVS Pharmacy Tewksbury, MA
Assisted pharmacists with processing prescriptions, patient record maintenance
Customer service of monetary transactions and phone support
1991 – 1993 Physical Therapy Aide/ Back Office Supervisor Advanced Health Sports Medicine Center Orange, CA
Assisted Physical Therapist in treating patients with modalities such as hot & cold packs, massage and therapeutic exercises, Interferential & Phonophoresis
Back office supervision and coordination of other back office personnel, purchasing supplies, payroll and scheduling employee hours
1990 – 1991 Physical Therapy Aide Orange Grove Rehabilitation Hospital Garden Grove, CA
Rehabilitated patients under the supervision of a RPT with the use of whirlpool treatments, gait training, therapeutic exercises, bed mobility, and transfer training
EDUCATION
2009 Lincoln Institute School of Massage completed 100 hours
2008 Mesa Academy School for Massage completed 425 hours
2006 - 2007 Esthetician training and certification through R.O.P CA Licensed
1996 ROP Medical Assisting Program Santa Anna, CA
ROP – Computerized Medical Insurance Billing Garden Grove, CA
1985 – 1987 Santa Monica College
Pre-Med, General Education
1981 – 1984 Tewksbury Memorial High School Tewksbury, MA
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