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Customer Service Representative

Location:
United States
Posted:
May 04, 2016

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Resume:

Patient Relations & Healthcare Operations Professional

Focused on Compliance Driven By Customer Satisfaction

Versatile in healthcare operations: With a proven track record of maintaining excellent, patient relations and knowledge of healthcare facility. Possesses intrinsic motivation, confidence, while leading others. Effectively coordinates with stakeholders at all levels, including medical personnel, vendors, insurance providers and patients. Prioritizes and executes multiple tasks with ease and delegates when needed for increased efficiency. Diligently manages data in compliance with HIPAA and other regulations, to maintain confidentiality. Highly detail-oriented with excellent interpersonal and conflict-resolution skills. Well-versed in medical terminology.

Planning & Development

Billing & Accounting

Customer Service

Team Performance/Training

Medicaid Statutes & Regulations

HCPCS & Diagnosis Code

MS Office Suite

GECB (billing & acct. mgmt.)

I- Suite (denial mgmt.)

GPR (patient registration)

Power Chart (e-health records)

Health Quest (hospital registration)

EMORY HEALTHCARE, THE EMORY CLINIC, Decatur, GA 2007 – Pres

Patient Account Representative II

+Responsible for the daily supervision in the Patient Financial Services Department/Physician billing including claims, follow-up, denial management, patient access, self-pay collections, customer service and cash posting.

+Monitors in-house accounts to improve revenue and timely payment of claims.

+Assists patients with all questions or issues related to billing and the revenue cycle using exceptional interpersonal and decision-making skills. Received several customer awards for patient relations.

+Experience with UB-04 and HCFA 1500 claim billing and electronic and manual follow-up functions.

+Collects and completes payment arrangements for unpaid balances not covered by third party insurance or those having no coverage.

+Experience developing team performance including performance evaluations, training and coaching.

HERZING UNIVERSITY, Atlanta, GA 2006 – 2007

Lead Tutor

+Supervised and provided team building for staff of 30 plus elementary school students.

+Provided oversight for the execution of the program, which included special projects, homework assistance, test taking strategies and the promotion of higher education.

+Maintained an optimal level of customer service with children and their families.

+Created an electronic filing system for optimal organizational purposes.

BUSTER BROWN, Atlanta, GA 2005 – 2006

Customer Service Representative and Sales Associate

+Managed and executed multiple supply invoices, bookkeeping and daily deposits.

+Performed many administrative duties, including answering the telephones and greeting customers.

+Provided quality customer service for adolescent footwear product lines.

STRAYER UNIVERSITY, Atlanta, GA Dec 2014

Masters of Science (M.S.), Healthcare Administration

Major Courses:

Health Information Systems

Health Services Strategic Marketing

Health Economics

Health Financial Management

Health Care Policy, Law and Ethics

Management in Health Care

Quantitative Methods for Health Services

Health Services Human Resource Management

HERZING UNIVERSITY, Atlanta, GA May 2009

Bachelor of Science (B.S.), Healthcare Management



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