Customer Service Medical Billing
Resume:
TAMIKA COLLINS
Humble, Texas *7396
***********@*****.***
Highly motivated, career service oriented individual with a proven record
of quality service. Seeking a professional career in Customer Service,
Medical or Administrative fields that will provide challenges, rewards,
and professional advancement.
PROFILE:
* Diplomatic and tactful team player with the ability to interface at all
levels of management
* Exceptional communication skills along with interpersonal skills and
negotiating abilities
* Impeccable organization along with time management skills
* Very dependable, loyal and trustworthy
* Second to none customer service skills
QUALIFICATIONS:
Hard worker and quick learner that is prompt, loyal and dedicated. Eight
years experience in customer service with team building and problem
solving abilities with strengths in data entry (alpha and numeric), and proficient in Microsoft Word and PowerPoint with very strong PC skills. Experience in Medisoft and EPIC 2012 system.
01/2015- present Baylor College of Medicine
(Scheduling Specialist/Insurance Verification)
• Books, coordinates, and reschedules patient appointments Ophthalmology, Family Medicine and Radiology
• Registers patients in EPIC system.
• Verifies insurance of new and returning patients.
Greets patients in clinic and answers questions.
• Schedules surgeries, outpatient appointments, and admissions as requested
• Maintains and updates current information on physician's schedules ensuring that patients are scheduled properly and appointments are confirmed
• Interviews new patients via telephone prior to scheduling appointment
verify insurance and pre-certification of insurance benefits
08/13-4/14 US Anesthesia Partners
(Medical Billing Data Entry Specialist)
• Alpha/numeric data entry
• Medical Billing for over 15 different Anesthesiologists and 6 different facilities
• Verify all Insurances including Medicaid and Medicare via internet or phone
• Prepares and submits accurate info to claims dept for processing of payments
• Participates in educational activities and attends monthly staff meetings
• Maintains strict confidentiality and adheres to all HIPAA guidelines
• Determines correct Surgeon and Anesthesiologist for each patient by signatures
• Enters patient’s record in alphabetical order
• Knowledge of patient responsibility for all insurances
3/12-08/13 Baylor College of Medicine
(Scheduling Specialist/Insurance Verification)
• Books, coordinates, and reschedules patient appointments for Ophthalmology and Radiology
• Registers patients in EPIC system.
• Verifies insurance of new and returning patients.
Greets patients in clinic and answers questions.
• Schedules surgeries, outpatient appointments, and admissions as requested
• Maintains and updates current information on physician's schedules ensuring that patients are scheduled properly and appointments are confirmed
• Interviews new patients via telephone prior to scheduling appointment
• verify insurance and pre-certification of insurance benefits
8/11- 2/12 Aon Hewitt (Temp Assignment)
(Enrollment Specialist)
• Critique and process customer applications for Medicare and other Health Insurance for seniors
• Submit completed applications to the carriers via web, mail and/or fax
• Follow all steps in preparing to correctly process all applications
• Complete and follow up on all workflows that were created by coworkers for missing information or incomplete applications
06/09- 08/11 Resource Staffing
(Patient Access Representative) LBJ/Ben Taub Hospital
• Registering patients after triage in the emergency center
• Obtained patients demographic, employment, insurance and guarantor information
• Provided excellent customer service to patients in regards to their co-pays
• Verified Medicare/Medicaid benefits through the TMHP website.
10/05- 06/09 Coventry Health Care, Inc. Houston, TX
(Customer Care Associate/Claims Specialist)
• Answered inquiries for Medicare customers via phone,e-mail, web, and electronic mail in regards to claims and benefits.
• Completed billing process accurately
• Examined correct and incorrect claims
03/00- 10/05 Healthworks Rehabilitation and Wellness Houston, TX
(Medical Billing Representative)
• Made outbound calls to insurance companies to follow up on delinquent, unpaid and reprocessed claims
• Resubmitted corrected claims via CMS 1500 or electronically
• Assisted patients with deductible, copay and coinsurance
EDUCATION:
M.B. Smiley HS (GRAD 1999)
Graduate for Medical Billing and Coding at Medvance Institute in
Houston, TX
CPR Certification
Certified Medical Billing and Coding Specialist
Licensed State of Texas Health and Life Insurance Agent
Contact this candidate