To obtain a position as Office Administrative in a Medical Office.
SUMMARY of QUALIFICATIONS
Able to maintain confidentiality (HIPPA)
Able to remain calm and solve problems with irate customers
Verify patient demographics and charges and make necessary corrections
Working knowledge of Medicare Part B
Thorough knowledge and understanding of medical office practices
ICD-9; CPT Coding
3+ year experience as a medical credentialing provider
Medicare part A (FISS) system
GDIT (12/2014-03/2016) Customer Service Rep I Jacksonville, Florida
Provide knowledgeable responses to telephone inquiries in a courteous and professional manner, utilizing pre-scripted responses which they must read verbatim to provide basic general and claims specific information.
Follow established and documented policies and standard operating procedures such as filling out timesheets, adhering to privacy rules and responding to numerous phone inquiries.
Utilize standard technology such as telephone, e-mail, and web browser to perform job duties.
Assist caller with filling out online application and submitting it electronically to plan provider for processing.
Complete basic call log related to the phone inquiries such as clicking radio buttons to confirm which scripts were read by the Customer Service Representative to the caller.
Refer calls as required to Customer Service Representative II.
Maintain up-to-date knowledge of CMS regulations and policies as they apply.
Report problems that occur via the online system so they can be addressed by the appropriate parties.
Respond to telephone inquiries within the set departmental staffing and time parameters.
GC Services (06/2013-01/2014) Collections Specialist Jacksonville, Florida
Arrange for debt repayment or establish repayment schedules, based on customers' financial situations.
Locate and notify customers of delinquent accounts by telephone.
Advise customers of necessary actions and strategies for debt repayment.
Confer with customers by telephone determine reasons for overdue payments and to review the terms of service, or credit contracts.
Locate and monitor overdue accounts, using computers and a variety of automated systems.
Answer customer questions regarding problems with their accounts.
Record information about financial status of customers and status of collection efforts.
Trace delinquent customers to new addresses by inquiring at post offices, telephone companies, credit bureaus, or through the questioning of neighbors.
Jacobson Group/Palmetto GBA
(10/2011-05/2012) Provider Enrollment Specialist Columbus, Ohio
Kelly Services (12/2010-06/2011) Bill Payer Jacksonville, FL
(01/2007-02/2010) Provider Enrollment Specialist Jacksonville, FL
Keying HCFA 1500 claims for payment review
Screened and validated sensitive information provided by providers on the CMS 855 applications.
Daily written and oral contact with providers, billing offices, and attorneys.
Credentialing and re-credentialing of physicians and non-physicians.
Verified provider’s licenses and certification.
Researched and developed for additional information as needed to complete enrollment record.
Demonstrated problem solving skills and decision making skills.
Act as customer service liaison to ensure that complex issues are resolved timely.
Adherence to Federal laws while maximizing credentialing results
Report problematic trends with credentialing providers to supervisor for review
Respond in a timely manner to all provider/attorney correspondence and/or problems to ensure timely reimbursement and/or credentialing providers
Currently attending Saint Johns River Community College Office Admin-Medical Office Jacksonville,FL
Concord e Career Institute Medical Billing and Coding Jacksonville, FL
Virginia College A.S. Degree-Admin Office Man Medical Office Admin & Assisting Birmingham, AL
Microsoft Office: Excel, Word, PowerPoint, Outlook, PECOS, MCS, PETS Knowledge of medical software, IVOS, IFLOW