Customer Service Medical

Objective

Medical Insurance Specialist with proven work ethic with over 15 years’ experience offering outstanding customer service. Reliable and competent Medical Insurance Specialist professional with exceptional data entry and customer service skills

Profile

Motivated, personable business professional with some college and a successful 8-year track record of medical billing and patient care coordination. Diplomatic and tactful with professionals and non-professionals at all levels. Accustomed to handling sensitive, confidential records.

Flexible and versatile – able to maintain a sense of humor under pressure. Poised and competent with demonstrated ability to easily transcend cultural differences. Thrive in deadline-driven environments. Excellent team-building skills.

Skills Summary

Problem Resolution

Administrative Support

Written Correspondence

General Office Skills

Certified First Aid/CPR/AED

Computer Savvy

Customer Service

Scheduling

Meets/exceeds goals

Insurance Billing

Insurance Eligibility Verification

Front-Office Operations

Professional Presentations

Professional Experience

SPEC/CUSTOM SOLUTION I

Insurance claim/billing and follow up

Insurance verification

Appeal writing

Written correspondence to patient and other medical clinicians.

Daily Productivity Report

PATIENT CARE COORDINATOR / BILLING SPECIALIST

Daily medical billing

Handling patient calls, medication refills and appointment scheduling

Verifying insurance benefits

Written correspondence to patient and other medical clinicians.

Communicate medical concepts to patients using layman’s terms to facilitate understanding.

CUSTOMER SERVICE/PROBLEM SOLVING

Handling patient billing questions and problems.

Preparing medical charts and paperwork for medical doctors

Contacting patient to schedule and or remind patients of their upcoming appointments:

Following up with insurance companies on medical and mental health claims and authorizations

Employment History

CONIFER HEALTH SOLUTIONS

Spec/Custom Solution I – Traveler, Feburary 2015 to Present

ST. LOUIS BEHAVIORAL MEDICINE INSTITUTE

Pain Management Coordinator / Billing Specialist, 2003 to Feburary 2015

INTERLOCK PHAMACY SYSTEMS

Infusion Reimbursement Assistance, 1994 to 2003

Education

MERAMEC COMMUNITY COLLEGE – ST. LOUIS, MO

NOTRE DAME HIGH SCHOOL – ST. LOUIS, MO

High School Diploma

Relocation – Negotiable

References available upon request.

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