Customer Service Medical

w Professional Profile

Experienced Medical Professional seeking a position within a healthcare organization where I can utilize my education and experience to further the success of the organization. Key qualifications include:

10 + years in Medical Field with positions including Office Manager, Assistant and Unit Clerk

Thorough understanding of insurance products, contracts, policies, and procedures

Accustomed to heavy telephone usage including scheduling and confirming appointments

Skilled in office administration, records and file management, and interoffice correspondence

Computer experience with Microsoft Office; Typing skills – 65 WPM

Knowledge of and experience in ICD-9, CPT-4, HCPCS, CMS 1500 and UB 04

OSHA and HIPAA compliance training

Professional Experience

Valley Hospital 2013- 2014

Business Associate (Registration), Paramus, NJ

Front office for Hematology/ Oncology Office

Registered new and returning patients and ensured all information was up-to-date

Billed patients for correct co-pay amounts according to insurance carriers

Insurance reconciliation

Entered correct billing codes for patient billing

Answered multi-line phone system and provided friendly and consistent customer service

Scheduled and confirmed appointments with new and returning patients

Revenue Cycle Support Clerk 2009 - 2012

Health Information Management, East Orange General Hospital, E. Orange, NJ

Reconciled patient list against Emergency Department charts, making notation of missing charts

Reviewed patient charts making sure all necessary forms are attached and making notation of missing forms

Prepared patient charts for coding and entered codes for patient billing

Entered necessary information into computer for in-patient billing

Attached loose sheets to complete any missing charts in preparation for coding

Located charts for audit review, employee health or record request

Office Manager/Staff Assistant 1996 – 2006

Dr. P. Kloser, University of Medicine & Dentistry of NJ, Newark, NJ

Effectively communicated with physicians, nurses and all medical personnel

Provided administrative/clerical support for clinical trials

Coordinated meetings and conferences with hotel and travel arrangements

Created daily correspondence from information given

Ability to solve patient problems and requests

Efficiently processed patient information for billing purposes

Effectively processed credentialing for doctors

Education

Medical Biller/Health Insurance Claims Examiner – Diploma November 2012

Dawn Career Institute Wilmington, DE (Online Program)

B.S. Degree, Secondary Education

Seton Hall University South Orange, NJ

LPN Course (PNU 190 Nursing Concepts)

Union County College Plainfield, NJ

Contact this candidate