Customer Service Medical

Linda M. Porter

*** ****** ****** *** *** Utica, NY 13501

LAnnwoodland@yahoo 315-***-****

Military Experience

United States Army National Guard March 1994 – 2000

NYS Army National Guard Recruiting Award

NYS Award for Humaritarian Services Army National Guard

US Army/Surgeon General - Combat Medical Graduate 1994

US Army Intelligence School - Military Intelligence Graduate 1996

US Army National Guard - Certificate of Appreciation 1996

US Army National Guard, Fort Sam Houston,Tx Promoted to Female Bks Platoon Sergeant 1994

Education

Le Moyne College, Syracuse, NY – Bachelor’s Degree in Political Science 1986

Syracuse University School of Education- Rehabilitation Counseling Courses 1993-1994

O.C.C. Syr, NY 1998 Courses Prin of Banking, Supervision & Mgmt GPA 3.0

Utica School of Commerce,Utica,NY - Life, Health, Accident Pre-license Course 2015 3.0 GPA

Rescue Mission of Utica, 901 Park Ave, Utica, NY 13502 315-***-**** Dec 4, 2015 - Present

Resident Counselor I; Supervise medications to residents, complete medication audits, monitor blood glucose levels, weight, blood pressure (including manual), pulse, EMD, counsel alcohol/mentally ill residents, teach and promote ADL skills, teach and promote life skills, assess behavior and provide positive outlook, provide christian home environment, keep residents safe, monitor meals, provide meals for working /day care residents, provide safe environment by hourly rounds, check and lock doors, windows, set alarms, monitor 32 camera images, provide snacks to residents, provide pray room opportunity.

Kelly Employment Services, French Rd, New Hartford, NY 315-***-****: Taberg Residential Center for Girls Sept 22, 2015 – Attended Dept of Justice Workplace Violence Seminar/Safety Seminar :6 week assignment :Administrative Assistant responsible for general office duties.

Adecco Temp Employment Service 315-***-****: MetLife Insurance Jan 27, 2014 – Aug 21, 2015 Email Specialist responsible for reviewing/e-filing ongoing email correspondence

Adecco Temp Employment Service 315-***-****: Excellus Blue Cross Blue Shield, Utica, NY 13501 Jan 17-July 26, 2013 Short Group Underwriting Support: Scanned, filed, gathered information for Retrospective Accounts/Chamber of Commerce Businesses for insurance eligibility process/Reviewed /Processed Annual Group Information Forms/Performed General Office duties/Trained other temps for scanning, and review of mandatory fields on AGIF processing and eligibility.

Genesee Orthopedics 1903 Sunset Ave. Utica, NY 13501 315-***-**** Dec.3, 2012- Jan 2, 2013 Medical Receptionist:Schedule/verify medical appointments/Handling Incoming Calls Follow up on incoming faxes/Perform general office duties/Prepare and scan medical charts

Sports Physical Therapy of NY, PC 6319 Fly Rd E. Syr., NY 13057 Insurance Verification Specialist; 315-***-**** May 2011-April 2012

Verify insurances, deductibles, and co-pays/Verify referral requirements

Make outgoing calls to facilities for re-verification updates

Update for re-verifications, new insurance, and Work Compensation/No Fault

Back up for Medical Receptionist/Audit Initial Evaluation Accounts

Syracuse Community Health Center 819 S. Salina St Syr., NY 13202 315-***-**** Contracted Worker April 2009 - December 2010 Enter/Process claims data from UB04,HCFA 1500 & ADA in a timely and accurate mannerAdjudicate System edits/Research and process problem claims/Submit daily production counts

Excellus Blue Cross/Blue Shield 400 S. Salina St Syr., NY 13202 315-***-**** May 2008-March 2009 Trained/Hired/Layoff ‘s (Job Seeking until April 2009)Customer Service for Excellus BC/BS products/Handled incoming calls from customers, medical providers, law offices, and other insurance companies with benefits, deductibles, co-payments, billing and charge off information

Rural Metro Ambulance Service, 488 W. Onondaga St Syracuse, NY 13202 315-***-****

GA Medicaid Billing Specialist; June 2006 – April 2008

Processing GA Medicaid ambulance transport bills, interpreting patient care reports, validating

CPT codes and diagnostic codes/On-line processing via GA Medicaid websites/Financial

Hardship Reviews-ability to determine income vs. expenses within criteria of financial hardship support/N.Y. Secondary Billing-E-billing of secondary medical insurance/N.Y.S. Workers’ Compensation insurance/GA Motor Vehicle insurance-E-billing of MV insurance, place calls to insurance agencies for correct billing address, name of adjusters, phone/fax information, obtain name and address of legal representatives/Return mail via Accurint Software-ability to forward updated mailing to providers and customers/Customer Service Representative-ability to take/place calls to individuals, businesses, law offices and hospitals, maintain high quality assurance and high productivity of accounts

The Hartford Insurance One Park Place Syr., NY 13202 315-***-**** Customer Service Rep/Medical Bill Examiner; May 2000 – June 2006

Manager On the Spot Recognition Award 10 time recipient

Teamwork/Employee to Employee Recognition Award 6 time recipient

Certficate of Achievement Award 7 time recipient

Certificate of Completion Award 3 time recipient

ITT Hartford College of Claim Training History 2001 24 insurance courses completed

Maintained high quality assurance scores in professionalism, terminology and call control

Knowledge of medical billing for all areas, able to resolve customers and medical providers issues in a satisfactory manner/Provided back up work for legal position including making calls to law offices, pre-negotiating agreements, and proper adjustments to billing with correct interest payments/Processed medical claims, interpreted medical reports, in-depth knowledge of workers compensation rules and regulations, and CPT 4 and ICD 9 codes

Additional Awards and Certificates

F.E.M.A. Response to Terrorism - 16 hours (Domestic/International) 1998

Benjamin Rush Psychiatric Center-Pride in Employee Performance Award 1993

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