Customer Service Medical
Resume:
Dian D. Fulton
Omaha, NE
Phone: 936-***-****
Email: ***********@*****.***
To Whom It May Concern:
The following page(s) is my resume for your review. I am writing in response to your advertisement. You will find that I am proficient in all qualifications that you are seeking in your advertisement.
I'd be happy to come in at your convenience to discuss your staffing needs and my qualifications. If you are interested in an initial interview, please contact me at 936-***-****) or via -email at ***********@*****.***.
I find that your company and /or organizations are a very good one to work for ... I look forward to hearing from you in the near future.
Thank you for your consideration.
Sincerely,
Dian D. Fulton
Over 25 years of .Administrative and Clerical environment in Customer Service, .Accounts Receivable, and Medical Coding, with eligibility of heath benefits approvals experience.
Proficient in Microsoft 'Word, and Excel, 10 key by touch
Developmental Writing 1982
Child Development 1983
Professional Career Development Institute 1998-2002
Certificate of Completion of Medical Billing and Coding 2006).
Dean's list from Kaplan University In the study of Psychology.
President’s list from Kaplan University In the study of Psychology.
Awarded $500 Dollars and TEAM Player Award 2002
Certificate of Completion CNA/CMA classes LLC for Basic Nursing Assistant
Strong Communication and Organizational skills
Certificate for System Frontline Leadership 1995
EXPERIENCE
Alorica
7171 Mercy Rd
Reimbursement Specialist
06/29/2015 - Current
Nacogdoches Memorial Hospital
04/04/2011 - 02-17-2015
Insurance Verifier 936-***-****
Responsible for verification of insurance and pre-certification of patients within twenty-four hours of admission is priority. Assist clerks as needed with admission of patients into the hospital and/or emergency room during peak times and staffing shortages.
Ability to read and interpret physician orders, resolve problems and provide quick reaction or immediate response in required situations.
Prepare reports of daily activities as requested.
Nebraska Methodist, Omaha, Nebraska 2008-2008
Billing & Follow-Up Representative 402-***-****
Provide administration support for inpatients and clinical manager, which may include gathering access from database necessary for discharges of inpatient care.
Provide compliance support for clients of Facilities to confirm/request admissions, discharges, observation designations and clinical reviews for the various and appropriate programs.
Ensure that information is administered and communicated in accordance with federal and state regulations as well as accurate and" complete.
Communicates provisions of benefits by way of Nurses' guidelines. May conduct research to determine effectiveness of inpatient's admission and discharge policies.
Assists with coordinating employee communication and activity calendar
Maintain files and necessary records
Manage data maintained in the CCS System
Prepares reports and summaries for review as needed
Omnium Worldwide Inc., Omaha, Nebraska 2000-2003
Client Relations Specialist 402-***-****
Provided Administration support fly answering incoming calls and directing the calls to the appropriate person and documenting all inpatient and outpatient medical services
Entered documents of communication and actions in system
Verified members eligibility of health benefit plan and providers status
Released accurate information to providers regarding network
Services
Performed other duties as assigned
Mutual of Omaha, Omaha, Nebraska 2000-2003
Customer Service Representative 800-***-****
Provided Administration support by answering incoming calls and directing the calls to the appropriate person and documenting all inpatient and outpatient medical services
Entered documents of communication and actions in system
Verified members eligibility of hearth benefit plan and providers status
Released accurate Information to providers regarding network services
Performed other duties as assigned
San Antonio State School, San Antonio Texas
Campus Coordinator 10/01-92-04/21/99
Supervise the functioning of the night shift staff
Report to Campus Leader of all activities during the night
Ensure that staff are in position that supports the people we serve
Set priorities to meet the needs of the campus and the patients
Discipline according to the Frontline leadership system and annual evaluation of staff
Center for Healthcare Services, San Antonio, TX
08/01/97 - 02/12/99
Therapist Technician 5-210-***-****
House Supervisor for the home for mentally challenged adults. I supervised eight people
Making schedule for three different shifts to assure that adequate staff was always available to meet the needs of the patients
EDUCATION
Kaplan University 2006 -2013
Psychology Major
New Horizons Computer Learning Center 2006 -2007
Medical Billing & Coding Certification 2001-2002
Professional Career Development Institute
Computer Training 1998-1999
Professional Career Development Institute
Personal References
Latoya Mitchell
Omaha, NE
PH# 402-***-****
Darlene Richardson
Omaha, NE.
PH# 402-***-****
Sheril Galde
Omaha, NE.
PH# 402-***-****
Contact this candidate