Medical Customer Service

CAROLYN BANKS

**** ******* *****; Sandston, VA **150 / 804-***-**** / actmgs@r.postjobfree.com

Highly motivated professional consistently recognized for superior leadership and work ethic, possesses previous medical records clerk experience and a proven ability to handle all administrative and program-support duties.

Excellent communicator who fosters and maintains solid relationships at all levels of the organization.

Proficient in Microsoft Office Suite, data entry and database management software.

Capable of managing multiple priorities simultaneously, while maintaining a high degree of accuracy.

EDUCATIONAL OVERVIEW / MEDICAL COMPETENCIES

Ultimate Medical Academy / Tampa, FL

Medical Billing and Coding Diploma 2014

- Certifications: CMS 1500; Medicare Fraud & Abuse Prevention, Detection & Reporting and Uniform Billing (UB)-4

Coding Skills ICD-9-CM, HCPCS, CPT, introduction to ICD-10-CM.

Administrative Skills Health insurance claims processing, filing and medical office procedures, including: Scheduling appointments, verifying insurance, collecting co-payments, payment posting, office management, computerized billing and coding, EOB and customer service.

Medical Courses Medical Terminology, Anatomy and Physiology and HIPAA.

Computer Skills Greenway Prime Suite EHR/PMS, Microsoft Office, Word and Excel, data entry and spreadsheets.

Claims Processing Government payers, Medicare, Medicaid, Tricare, third-party payers, UB-04, Worker’s Compensation and managed care including HMO, PPO and POS.

Kaplan University / Chicago, IL

Bachelor of Science in Business Administration 2011

J Sargeant Reynolds Community College / Richmond, VA

Associate of Science in Paralegal Studies 2004

MEDICAL PROFESSIONAL EXPERIENCE

Medi Home Care/Glen Allen, VA 2015-Present

Intake Coordinator/Documentation Specialist

Verify documentation provided by referral sources for DME equipment and oxygen orders.

Confirm sales orders and pickup tickets for billing purposes.

Answer telephone calls from patients in reference to patient’s orders, billing solutions and other inquiries.

VCU Medical Center / Richmond, VA

Medical Records Clerk 1977 – 1980

Played a central role in processing all requests for release of medical records information while strictly adhering to HIPAA regulations.

Provided an exceptional level of service to external and internal clients while completing multiple administrative duties in a timely and efficient manner.

Promoted a welcoming and knowledgeable persona, representing the organization as the initial point of contact with the public via phone and in person.

ADDITIONAL PROFESSIONAL EXPERIENCE

Henrico County Public Schools / Henrico, VA

Substitute Teacher 2012 – 2015

Implement state-approved curriculum/successfully teach lessons by utilizing best educational practices as well as effective verbal and written skills.

Provide direct supervision, guidance, leadership and technical support to help facilitate the learning process.

Department of Motor Vehicles / Richmond, VA

Program Support Technician 1983 – 2012

Recognized by management on multiple occasions for superior industry insight and diligent work ethic.

Acted as the main point of contact for lawyers, judges and other departments, while auditing and reconciling records for revenue discrepancies.

Analyzed and verified data sources in a concise and timely manner to ensure accurate files and records.

Coordinated efforts through effective communication with all company levels.

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