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Customer Service Medical

Location:
Suncook, NH, 03275
Posted:
January 28, 2016

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Resume:

Elizabeth Pike

** ******** *****

Allenstown, NH 03275

603-***-****

actaxv@r.postjobfree.com

Professional Summary: Elizabeth is an experienced health care professional with other 15 + years of experience working in various settings. She has a wealth of knowledge pertaining to Medicare, Medicaid, billing / coding, prior authorizations, re-certifications, and physician referrals. She possesses excellent communication skills, effectively communicating with physicians, patients, and various allied health professionals. She is proficient working with various computer applications with data entry speeds at 100 wpm. Elizabeth is seeking a challenging role with a growing organization where years of extensive knowledge and experience will be fully utilized.

Professional Experience:

Elliot Health System

December 2001 – Present

Intake Representative / Elliot OMS Center

January 2012 – Present

Acts as a representative in all areas of clerical support for the department

Assumes responsibility for all facets of telephone operations, including greeting patients over the phone, answering phones queries, scheduling appointments, answering patient’s questions about physician referrals, hospital resources, billing inquiries and community resources

Performing general clerical and other duties as assigned in accordance with JCAHO, NCQA, and government standards, as well as policies and procedures of the hospital

Assist in all areas of customer service, back up for front desk duties, and insurance verification

Set up accounts for new patients

Assist with billing and coding of outpatient and/or inpatient accounts

Assists patient and staff with billing inquiries, charitable care information, and general inquiries

Gather insurance information for Medical and Dental accounts for appropriate sequence of billing accounts

Customer Service Representative/Triage Technician

September 2009 – August 2011

Acts as a representative in all areas of clerical support for the department

Assumes responsibility for all facets of telephone operations, including greeting patients over the phone, answering phones queries, scheduling appointments, answering patient’s questions about physician referrals, hospital resources, and community resources

Performing general clerical and other duties as assigned in accordance with JCAHO, NCQA, and government standards, as well as policies and procedures of the hospital

Answer phone lines for the Visiting Nurse Association during after hours

Answering the telephone for homecare, hospice, and Home Medical calls for patients or family members requiring immediate nursing intervention or equipment assistance

Paging out appropriate doctors or covering providers during the afterhours

Assisting third shift nurse with telephone calls from mental health patients, sick and elderly patients, and general community calls during the night

Assisted with payroll before Kronos was implemented

Assisted with a JCAHO project which entailed proper usage of the Consent for Treatment form and Universal Protocol usage during procedures

Patient Service Representative - Clinical Assistant, Manchester, NH

January 2004 – September 2009

Acts as a representative in all areas of clerical support

Assumes responsibility for all facets of front desk operations, including greeting and registering patients, answering phones, scheduling appointments, entering patient charges, insurance information and demographics

Retrieving and updating medical records, collecting fees and performing general clerical and other duties as assigned in accordance with JCAHO, NCQA, and government standards, as well as policies and procedures of the Physician's Practice Solutions

Schedules referral appointments for patients as well as forward all pertinent data to referral doctors and process insurance information relevant to the specific referral

Acts as primary billing person in office by processing nursing home and hospital visits made by MDs and ARNPs

Setting up marketing tables at various local events promoting the Senior Health Center as well as sitting on various committees within the Hospital environment

Medical Transcriptionist, Manchester, NH

December 2001 – January 2004

Transcribes medical record reports including physician progress notes, dictation by other staff members as needed, Medicare certifications, and recertification

Performs audits, studies or other Quality Management as needed

Participates in Treatment Team as a recorder of information discussed through concurrent typing of information into the computerized treatment plan

Generations Geriatric Mental Health, Manchester, NH

Medical Transcriptionist – part-time

August 2002 – September 2003

Transcribe psychiatric evaluations, office visits, neuropsychological reports, and general correspondence

Concord Orthopedics, Concord, NH

Medical Transcriptionist

October 2000 – December 2001

Orthopedic transcription for 18 orthopedic doctors

Monadnock Community Hospital, Peterborough, NH

Medical Transcriptionist

October 1999 – October 2000

In-house medical transcription in an acute care hospital setting

Typed emergency room reports, operative reports, autopsy reports, OB/GYN reports, admission and discharge summaries, neurology, and neuropsychology reports

Education:

Ultimate Medical Academy, Medical Billing and Coding Diploma – Orlando, FL

The Sawyer School, Business Administration Certificate – Warwick, RI



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