Resume

Customer Service Representative

Location:

Grand Prairie, TX

Posted:

April 21, 2016

Contact this candidate

Resume:

OBJECTIVE

Execute an active position allowing me to utilize my skills, experiences, as well as my educational interest, to become a support member of a successful corporation.

PROFILE

I am motivated, personable, business professional, flexible, versatile. Thrive in deadline-driven environments, capable of adapting to quick changes. Accustomed to handling time sensitive and confidential information, I am poised and competent with the ability to easily transcend. I demonstrate excellent team-building skills.

SKILLS SUMMARY

Accounting/Collections

Reconciliation

AP/AR

Nebo/E-Care

MediTech

Data Systems Group

California Med Groups

Office365

HIPAA Compliance

Admissions

Customer Service

Scheduling

Client Care

Invision Gold

LIS

Esker

NaviNet

HL7

Insurance Billing

Medicare Compliance

Front-Office Operations

Insurance Eligibility Verification

CareConnect

FileBound/Viewer

TelCor OIS

Availity

PROFESSIONAL EXPERIENCE

MEDICAL BILLING COORDINATOR – PRODIGY PLACEMENTS (TRIDENTUSAHEALTH)

OCT 2015-APRIL 2016

Responsible Account Receivables - Prepare, edit and resubmit accounts billing per client contract and/or payer guidelines within policy of TridentUSAHealth

Prioritizing daily workload, ensuring claims are submitted accurately and timely.

Utilizing online payer portals and facility census

Maintain weekly system records for concerning billing activity and discrepancies

Responsible for Data Systems Group (DSG) Error Claims & Possible Other Payer Queues

Addressed & corresponded with supervisor on discrepancies

PATIENT SERVICE REPRESENTATIVE – ENVISION IMAGING LAS COLINAS

MAY 2015-SEPTEMBER 2015

Manage all daily aspects of Patient Service Representative

Greet, welcome and assist patient.

Gather patients demographics, Insurance, Identification and payments

Identify appropriate exam, medical provider and authorization information and inclusion of medical script and any additional documents pertinent to patients exam chart.

Gather appropriate information for authorizations clerk, when needed, as well as patient eligibility and benefits.

Schedule, reschedule and cancel patient appointments.

Collecting co-pays, co-insurance and deductibles and issuing patient receipts.

Performing administrative tasks such as: Answering phones, Check-in/out scheduled patients, prepare patient charts for medical staff.

End of the day “Daily Task List” includes (not limited too): Schedule Ready, Schedule Attempted Queues, CD/Film imaging courier orders, verifying CD/Film Queue, verifying resubmission of Fax Queue, restock and tidy up front lobby

PATIENT ACCESS SERVICES – TEXAS HEALTH RESOURCES HARRIS METHODIST

MAY 2011-APRIL 2015

Obtain accurate patient demographics and insurance.

Capture information if related with Medicare, worker’s compensation, and/or other information pertinent to filing.

Present and thoroughly explain legal, ethical compliance related documents.

Obtain electronic signatures of patients on appropriate forms based on patient’s service.

Minimize time between patients to maintain a satisfactory wait time to prevent patients from leaving without a completed registration.

Obtain and update verification of benefits using automated Nebo & eCare.

EDUCATION

DALLAS SER – GRAND PRAIRIE, TX

GED, 1995

MOUNTAIN VIEW COLLEGE – DALLAS, TX