Customer Service Medical Assistant

Charles V. James

Work / Software Experience:

Windows, Microsoft and Excel Word, Internet Explorer, Rx Express, Outlook

DaVita Rx- Pharmacy 10/31/2013 – Present Data Entry

Process and update patient profile in a timely matter (150+)

Manage Emails

Communicate with sales / enrollment teammates bout current documents

Manage the inside sale data queues

Effectively communicate with facilities through email regarding the enrollment process

Verify patient insurance and copay cost on medications for inside sales department

Baylor Irving Coppell Surgical-Temp 7/2013- 9/2013 Out Patient Registration and Financial Counselor

Register Patients Admissions for surgery.

Enter Patient information and collect demographics.

Medical Collections.

Arrange payment plans for patients.

Make outbound calls to patients.

software used: Cerner

Lash Group – Pharmacy- Temp 04/2013 - 6/2013 Reimbursement Counselor

Provide all necessary documentation required to settle claims.

Process Pharmacy test claims.

Complete all necessary insurance forms for electronic claims.

Verify and complete 20 to 30 cases a day.

HIPPA Compliant.

Made 20 to 30 outbound calls to Healthcare and Pharmacy insurance companies daily.

Medco Health Solutions -Pharmacy 10/ 2011- 02/2013 Customer Service Representative

Provide customer support and educate patients on Medicare insurance and Benefits and all coverage

Insurance benefits coverage plans. Handle Pharmacy Medicare claims, Adjustments, Drug pricing and Reimbursements.

Strong focus on customer service, quality and accuracy. Receives 70+ inbound calls daily.

monitor payment issues and collections.

AHC 11/ 2010 - 07/2011 Medical Collector

Processing Claims and verified insurance

Working with Hospitals in collecting payments

Educate current and potential customers on specific product, service and rate information.

Handle high volume of calls covering a full range of customer service collections, calling members to inform them of past due payments/ work out payment plans.

Take calls from members concerning problems with accounts (phone calls 85% of the day)

follow proper procedures for accurate and timely documentation of customer concerns and other

Related issues also verified insurance.

HMS – Irving- Temp 05/ 2010 - 11/ 2010 Insurance Verification Representative

Made 100 - 125 outbound calls daily on Medicaid, Medicare, and Primary insurance.

Rowlett Mobile Notary: Rowlett, Texas -part time work 01/2009 – Present Customer Service / Sales and Marketing

Promoting company monthly specials.

Recapping weekly budget

Bill document companies for services

Print Mortgage closing documents

Verifying appointments for mortgage closing.

Patients Choice Family Medical and Rehabilitation: Dallas, Texas 01/ 2009 - 01/ 2011 Physical Therapist Tech / Medical Assistant

Verify patient appointments

Update Patient Charts

Insurance Verification

Chronic Pain and Work Hardening Director

Administer Rehabilitation Exercises

In Charge of Interviewing Medical Assistants for Internships

Filing records

Answer phones.

Medical Records

Phlebotomy

Advanced Multicare Medical Group: Richardson, Texas Supervisor/ Marketing

Rehabilitation Tech / Medical Assistant 05/2005- 01/ 2009

Assist Dr. with injections, patient triage and insurance verifications

Assisted Chiropractor with 20+ patients a day with surgical and minor injuries Therapeutic Modalities and In charge of interviewing medical assistants Maintained Therapeutic Pool and transported patients Updated Patient Charts and entered,retrieved patient information and medical records

Chronic Pain, Work Hardening and 98% customer satisfaction. Along with some Marketing

Albertson Grocery: Lake Highlands, Texas 02/ 2001 – 12/ 2003 Meat Market Supervisor

Make decisions based on projected sales, build retail displays, and maintain sanitary conditions.

Train and delegate co-workers to do tasks such as set-up, clean-up, and close department properly

Prepare daily work schedules for 15 associates to assure adequate coverage with budgeted hours.

Take initiative to solve problems, maintain equipment, and reduce waste

Greatest achievements are a low turnover of employees and broad base of returning customers.

Education:

2005 Remington College - nCertification: Medical Assistant,CPR/AED and OSHA. Honors Deans List and College Honor Roll

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