Customer Service Medical

Tamara Windom ** Berkshire Trace, Covington Georgia 30016 770-***-**** *************@*****.***

Skills Highlights

Strong organizational skills Excellent phone etiquette

Excellent communication skills Written and verbal skills

MS Windows, Excel, Outlook, PowerPoint, Word 10, Google Docs Customer service skills

Ability to work independently and in a team environment Typing 45-50 wpm

Excellent time management Energetic work attitude

Peachtree Computerized Accounting Team player

ICD- 9 and CPT Codes Medical Terminology

Data Entry skills HIPPA compliant

Education

Georgia Piedmont Technical School August 2012 to August 2014

Associate Degree Program in Accounting

Graduated with an Associates Degree in Accounting:

Financial Accounting 1 & 2 Computerized Accounting

Payroll Accounting Individual tax Accounting

Managerial Accounting Business tax Accounting

Management Human Resources

Banking and Financing Peachtree Accounting Software

Fraud Accounting Auditing

QuickBooks

Nature of Business and Accounting; general accepted accounting principles, a combination of accounting theories and practical applications including banking activities; income tax preparation; record keeping for partnerships and corporations; data interpretation in planning and controlling businesses; and accounting skills using both manual and computerized systems.

Work Experience

Fesenius Renal Care August 2014 to present

Patient Care Coordinator

Kennesaw, GA

Serves as the primary contact for initial administration of patient referrals, calls and communicating the information regarding patient admissions to the BU clinics (chronic and acute), and home programs. Coordinates with Patient Placement coordinators to establish appropriate placement of patients according to the vacancies of relevant clinics. Communicates with individual clinics to ensure medical record approval and prompt scheduling of patients and forwards necessary documents and records to the appropriate receiving facilities. Collaborate with the facility staff and region management to effectively resolve issues impacting a patient’s admissions process. Immediately communicates to supervisor any admissions denials from clinics or billing groups for further action and communication with the RVP. Provides financial estimates and collects applicable patient financial liability. Other duties are assigned.

MedSide Healthcare December 2014 to June 2015

Billing Specialist

Sandy Springs, GA

Prepares and submits clean claims to various insurance companies by paper

Answers questions from patients, clerical staff and insurance companies

Identifies and resolves billing complaints

Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor.

Responsible for correcting and resubmitting claims to third party players.

Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations

Make applicable changes to rejected claims based on the insurance company's input

Continue to follow-up on claims until they are resolved. Prepares appeals when claims are denied

Keep track of all claims and payments/ Run RAP and RAP Finals

Work with Medicaid, Medicare, Unite Health, Care Improvement Plus, CCSP, Source Atlanta, Blue Shield Blue Cross, Humana, Private Pay and other insurance companies

Pro Staff July 2014 to Sept 2014

Administrative Specialist II

Atlanta, GA

Work in imaging room to process NMSM (orders) for State agencies for Medical insurance for vendors Home Depot, Wal-Mart, Randstad, and Spherion.

Log all mail that comes in on Excel spreadsheet, Reminders, Terminations, Health statements, Orders

Strong Excel skills, spreadsheets, upload information on QMSCO system

Typing and data entry run stamp machine

Strong oral and written communication skills and have the ability to work in fast paced environment

Able to work with time sensitive documents

Scanning documents and inputting the information into the system

Date stamp open mail and distribute to all parties

One Call Medical September 2004 to March 2012

Sr. Care Coordinator

Alpharetta, Georgia

Schedule patients for diagnostic images MRI’s, CT’s EMG’s, scheduled follow up appointments with doctors office for workers compensation

Communicate scheduling information with Nurse Case Managers and Adjusters

Experience with Microsoft Word and Outlook, Excel

Have strong oral and written communication skills and have the ability to work in a fast paced, continually changing environment with demanding turnaround times in a call center environment

Answer calls and respond to emails

Handle customer inquiries both telephonically and by email

Document all call information according to standard operating procedures

Understand the impact of attitude in handling calls professionally

Effectively deal with angry callers, and upset customers

Use the most appropriate way to communicate with different behavior types on the telephone.

Apply the elements of building positive rapport with different types of customers over the phone.

Apply the proper telephone etiquette to satisfy various customer situations.

Family Planning Planned Parenthood March 2000 to June 2004

Rehabilitation Health Specialist

Fairfield, California

Front desk receptionist for medical office

Processed patients in and out, medical terminology, attention to detail, knowledge of ICD codes

Verified insurance, answer telephones, scheduled patients appointments, medical records clerk, filing, ensured safety and well-being of patients, assisted with back office duties, comforted patients

Communicates appropriately and clearly to physicians, staff and administrative team

Organized and functions well under stressful situations

Maintains department cleanliness and safety, HIPPA compliance

Maintain appointments for all new and established patients in the Internal Medicine, OB-GYN

Ensures verifiable information is accurate and complete by requesting the patient bring to the reception desk appropriate copies of pertinent information to include patient’s picture identification, insurance card(s), etc. to protect patient safety and avoid insurance fraud.

Assign appropriate medical record number and select correct patient to ensure patient safety and avoid duplicate medical records and accounts

Answer patient questions regarding routine registration procedures and pertinent policies

Identify patients with inadequate or non-existent insurance coverage by appropriately conducting insurance eligibility search, reducing the incidence of claim denial

Collects any necessary financial obligations at the time of service

Staffing.com April 1984 to February 2000

HR Administration Assistant

Fairfield, California

Performed Administration duties for HR department, typing, answered telephones, input data in computer

Customer service, make new hire files and termination packets, make sure all paper was correct for file

Called employers for references, sorted and distribute mail

Used copier, fax machine, postage machine, ran errands for office supplies and to bank

Coordinate drug screenings for employees

Provide clerical support to department staff

Type memos and correspondence

Schedule appointments, meetings, copy and distribute material

Provide back-up assistance to other staff members

Meet and greet visitors and direct them to the appropriate person or department

Sort, prioritize and distribute incoming mail, faxes and fed-ex packages

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