Customer Service Medical

Location:

Houston, TX

Salary:

Open

Posted:

August 04, 2016

Contact this candidate

Resume:

SHARON DENISE NORRIS

**** ******* • Houston, Texas 77014

281-***-**** • ********@*****.***

ATTENTION: HUMAN RESOURCES

Enclosed is a résumé outlining my qualifications for your review, in consideration for a career opportunity in Pre-Need, Accounts Receivable Management or a related role.

As reflected, I offer specialized training and 17+years of experience, primarily in medical environments. I am a highly dedicated and self-motivated professional with excellent communication, presentation and interpersonal skills.

Areas of particular strength include:

Pre-certification of inpatient / outpatient procedures

Verification of insurance coverage, co-payments and deductibles

Medical billing and coding via ICD-9 and CPT code assignment

Reduction of delinquent accounts through effective collection efforts

Staff supervision and motivation toward goal attainment

Protection of sensitive personal and business information

Currently I am seeking a position where my talents will contribute to the growth of a dynamic organization. I believe that my professional skills and personal integrity will be a valuable addition to your team.

I would appreciate the opportunity to meet with you to further discuss your needs. To arrange for a personal interview, please contact me by e-mail or telephone. Thank you for your time.

Sincerely,

Sharon Sowell

Enclosure: Résumé

SHARON DENISE NORRIS

1714 Newmark • Houston, Texas 77014

281-***-**** • ********@*****.***

PROFESSIONAL PROFILE

Accomplished Medical Administration Professional, offering specialized training, 17+years experience and significant expertise in the following areas:

Proven success with patient pre-certification processes; verify insurance benefits, co-payments and deductibles; register new patients; process information releases; well versed with policies and procedures of Medicare and private insurance

Recognized for reduction of delinquent accounts through effective collection efforts; assign accurate ICD-9 and CPT codes toward prompt insurance payments; research and resolve problems with claims and billing; process employee payroll data

Consistently focus on customer service that ensures satisfaction and retention; protect confidentiality of sensitive personal and business information; superior interpersonal abilities for strong communication with clientele, peers and professional / clinical staff

Skilled in supervising, training and motivating personnel to generate peak performance and achieve goals in team environment; analyze daily operations to ensure accuracy, productivity and profitability; strength in developing presentations and generating reporting

Well organized and multitasking, with record of same-day turnaround of information; prioritize workload; manage complex projects; strong attention to detail; flexible and adaptable; quickly acquire new skill sets

Excellent computer skills include Med-Soft, EZ Cap, Total Benefits Administration, Imaging, Navigator, CS Pro III and Lotus Notes, along with Excel, Word, Access and PowerPoint; operate multi-line telephones, IBR automated phone system and 10-key by touch

CAREER OVERVIEW

BUSINESS OFFICE SPECIALIST

Hospital Corporation of America (HCA) Houston, Texas- 12/2009 to Present

Coordinated financial arrangement with various payers in order to ensure maximum

reimbursement for service provided.

Verified insurance verification and responded to correspondence from patient and insurance

companies according to policy and procedure.

Compassionately communicate with patient or responsible parties concerning billing process and financial responsibilities.

Documented communication with payers, patient, performed new patient registration and updated and log new patient and revenue.

Multi-functioning position

BENEFITS REPRESENTATIVE

Spherion, Houston, Texas – 8/2009 to 12/2009

Provided strong level of service to employees of multiple companies nationwide, for outsourced benefits administration firm, on temporary assignment.

Explained services, benefits, co-payments and costs of medical, dental, vision and life insurance for open enrollment, and entered selections to computer systems.

Acquired solid understanding of HMO, PPO, COBRA and other plans as well as profit sharing, 401k and spending accounts for healthcare and dependent care.

Earned five “WOW” recognitions from callers with high level of satisfaction.

CARE TEAM COORDINATOR

Gentiva Health Services, Houston, Texas – 7/2008 to 2/2009

Organized in-home clinical visits for company providing medical services to patients recovering from debilitating illnesses and injuries. Received patient orders from physicians, and verified benefits with Medicare and private insurance.

Contacted assigned patients to explain treatments and timelines, and scheduled visits by team of nurses and physical, speech and occupational therapists. Served as point of contact throughout care lasting average of 60 days.

Entered completed services with accurate medical codes, generated forms 485, and faxed to physicians. Also entered timesheets and mileage for each team member to Unity and Case Match systems, within specific terms of each contract. Maintained files and records.

ACCOUNTING CLERK – Customer Returns (part-time)

Lowe’s, Houston, Texas – 11/2006 to 6/2009

BILLING SPECIALIST

Interventional Cardiology Associates, Houston, Texas – 5/2006 to 7/2008

Served in lead role for accounts receivable in specialty medical practice, which included researching and resolving wide variety of problems. Reviewed patient referral forms, verified insurance coverage, and received co-payments. Registered new patients.

Entered costs and medical codes for office visits, tests and procedures. Billed patients without insurance and for non-covered costs. Received and posted payments. Followed-up on delinquent accounts, establishing payment plans as required.

Prepared and submitted billing to insurance carriers, ensuring inclusion of all physician charges.

Successfully collected more than $400,000 in two-year period, reducing outstanding receivables to 2%.

PRE-CERTIFICATION REPRESENTATIVE

Cardiovascular Care Providers / Global Healthcare Alliance Inc, Houston, Texas – 1/2004 to 5/2006

Pre-certified inpatient / outpatient medical procedures in support of 10 specialist physicians, for outsourced billing firm. Verified insurance coverage, co-payments and deductibles.

Achieved doubling of quota on three occasions during tenure.

ADMISSIONS CLERK

Magic-Healthcare and Other Staffing Agencies, Houston, Texas – 9/2002 to 2003

Temporary positions included managing medical administration for women’s rehabilitation halfway house, processing patient registrations at area hospital, and assigning medical codes for billing.

Recognized for assuming training role for new hospital computer system.

ADMINISTRATIVE ASSISTANT

Pampered Home, Houston, Texas – 7/2001 to 7/2002

Served in supervisory role over eight customer service professionals for home cleaning service. Evaluated complaint calls, and coached staff to improve customer satisfaction and retention.

BILLING CLERK

North American Medical Management, Houston, Texas – 9/1999 to 3/2000

Entered data to process commercial and hospital claims for several insurance companies.

TRAINING

Continuing training – compliance with confidentiality of medical and insurance information training – CEUs on diverse business topics – time management seminar

Medical Billing and Coding Certificate – Medical Career Training Center – 6/2001

Credentials – Early Childhood Development – Head Start programs – 1995

Certificate – Data Entry – North Harris Community College – 1993

Excellent References Available Upon Request

SHARON DENISE NORRIS

1714 Newmark • Houston, Texas 77014

281-***-**** • ********@*****.***

REFERENCES

CECELIA PHILLIPS

Teacher

Houston ISD

Hockley, Texas