Customer Service Administrative Assistant

Ron Miller CEHRS

Miller, Ronald (MNPS App #*****)

* ***** ****** ***** #*** 615-***-****

Nashville, TN 37203 Email: ************@*****.***

OBJECTIVE: Pursuing a medical administrative assistant office position which requires the extensive use of my well-rounded health information background, utilizing my communication skills, writing, confidential research and organizational abilities.

Skills and Qualifications:

Excellent communication skills

Detailed oriented

Willing to cross train

Facilitating Experience

Dependable

Self-starter

Team player

Microsoft Office Proficient

Certified Electronic Health Records Specialist CEHRS Certification May 2013

Protected the security of medical records to ensure that confidentiality is maintained.

Reviewed records for completeness, accuracy, and compliance with regulations

Processed and prepared business or government forms.

Released information to persons or agencies according to regulations.

Maintain and update filing, inventory, mailing, and database systems, either manually or using computer software systems.

Communicate with customers, employees, and other individuals to answer questions, disseminate or explain information, take orders, and address complaints – preparing for resolution.

EXPERIENCE:

IT Help Desk State of Tennessee Insurance EDISON Enrollment Security Specialist/ Contractor with MODIS IT Services – 2015 Nashville, TN

Annual Fall Enrollment 2015 / 2016 term utilizing Remedy and HIPAA protocols.

Insurance Collector / Contractor - PASI Brentwood, TN 2014 -2015

Collected commercial lines insurance with customer service call and use of online insurance payer website tools. Inbound patient calls and return payer calls for insurance payment and claim resolution.

Practice Support Specialist- Parallon Business Solutions/HCA Physician Services - Brentwood, TN 2013 – 2014 Assisting practices with software and basic IT support and referrals for IT assistance. Accepting patient payments and negotiating payment plans. Utilizing all software tools including Dameware for support and navigation of practice and remote staff with assistance of claims processing and workflow. Writing Remedy report tickets for practices when incidents appear needing assistance from other departments and posting resolutions. Verifying patient insurance benefit coverage with Passport database.

Kelly Services Government Services Nashville, TN

(Blue Cross Blue Shield SC CIGNA Medicare Services)

Medicare - Medical Records Analyst/ Customer Service 2011 - 2013

Resolved inbound calls with EDI department help desk assisting providers with outbound calls and Tier II inquiries for resolution.

Provided customer service for Medicare Part B providers needing assistance with explanations and assistance for claims processing with CIGNA /CMS 5010 implementation standards and protocols.

Maintained accurate and secure HIPAA records with security login information via spreadsheets and sending secured emails to providers for access to the online Medicare system J-15.Drafting correspondence for department and minute points for staff meetings.

Gene Ford Music Nashville, TN

Music Instructor 2005-2011

Taught music to students of all ages in private lesson format and working towards goals of song performance in solo format and performing with ensembles.

Taught students all aspects of reading, writing and interpretation of music, in conjunction with study of improvisation and ear training.

Metro Medical Supply Inc. Nashville, TN

Administrative Assistant 2005-2008

Provided medical follow-up interviews and patient records

Called patients for medical-therapy compliance and follow up regarding sleep therapy and success or complications with CPAP Sleep equipment.

Assisted Respiratory Therapist by drafting letters and faxed updates to physicians for status on patient health success.

Shipped medical supplies and fitted patients with equipment and sterilized medical equipment per protocol.

Concentra/ Focus Technology Services Franklin, TN

Worker's Compensation Claims Review and Quality Control 2003-2005

Assisted with final claim review and research of workers compensation bills and quality control for clients in Print Post and Match department.

Used Quality Control skills and standards following HIPAA guidelines and 13 point quality checks in scan production environment.

Aided in streamlining mailing procedures and special project with management. Clients included; Delphi, GM Auto and Federated Department Stores.

EDUCATION:

Berklee College of Music Boston, MA

Bachelor of Music, Professional Music

New Horizons Computer Learning Center Nashville, TN Certified Medical Office Assistant and Electronic Health Records Specialist

National Certified Health Information Specialist Certification CEHRS 2013

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