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Customer Service Medical

Nashville, Tennessee, United States
October 12, 2016

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Jessica Chumley

*** ****** ***** ***. ***

Nashville, Tennessee 37228

M: 615-***-****


Summary of Qualifications:

A highly resourceful, energetic and competent medical secretary with over 20 years of experience in providing the highest standard of patient centered administrative support. Possessing a proven ability to deal with all aspects of front office duties and able to handle competing demands professionally and efficiently, as a team player. An excellent communicator and creative in resolving client issues along with effective solutions. Learns emerging rules, in compliance with HIPAA regulations.

Professional Experience:

Superior Orthotic and Prosthetic

Billing Specialist June ‘15 September ‘16

Responsible for in putting patient demographic information into the computer system, verifying insurance eligibility and requesting authorization when needed. Billed claims electronically and mailed out paper claims to various commercial insurance plans. Collect patients payments over the phone and posted them to their account. Counseled patient on what DME they have purchased, Negotiated prices for various third party company’s Vanderbilt University Medical Center

Patient Service Coordinator/Surgery and Referral Scheduler October ‘02 – October ‘14 Responsible for working with the medical team on ad hoc tasks, such as completing forms & making patient appointments, on top of this acting as a liaison between physicians and patients.

● Facilitating effective communication between patients and members the primary health care team.

● Taking telephone appointment bookings and logging calls onto the system.

● Handling repeat prescriptions, checking name and addresses and then giving them to patients.

● Greeting visitors and patients in a professional manner and then directing them.

● Organizing and booking transport and interpreters for patients as required.

● Sending out appointment and general correspondence letters to patients.

● Handle patient complaints in accordance with practice protocols.

● Maintaining and monitoring the practice appointments system. 1

● Perform various specialized, critical administrative function for multiple health care departments.

● Write and deliver correspondence, memos and inter departmental reports.

● Assist in the development of clinical reports and presentations.

● Organize filing systems for mail, letters, correspondence and clinical records.

● Screen phone calls, emails and direct visitors while answering routine questions.

● Provide assistance with research projects and compile statistical data into database.

● Make copies of correspondence, mail letters and file within internal records system.

● Schedule appointments and maintain calendar of events, meetings and conferences.

● Monitor meetings, take minutes, perform dictations and create meeting reports. HCA Patient Account Service

Office Assistant IV Research/Correspondent Customer Service March ‘01 – October ‘02 Performed administrative, secretarial and clerical services in detailed and confidential nature.

● Greet patients and fill in their insurance and demographics in the MIS System. Answer phones for carry out and schedule appointments. Review status of waiting room on a scheduled basis

● Schedule patient for follow up appointment and Communicated with proper employees about patient’s arrival.

● Process formalities and other institutional forms and Provide patient with procedure for requesting medical records.

Vanderbilt University Medical Center

Account Reimbursement Specialist/Assistant September ‘97 – February ‘01 Performed complete and accurate billing and collections to assure policies, guidelines and protocols are being adhered to while obtaining optimum efficiencies in a cost effective manner.

● Ensured that patients' insurance covers their treatments. Reviewed appropriateness of CPT 4/ICD 9 coding and determines if care provided corresponds to the charges submitted. Assisted in identifying fraudulent non plan billing practices and assists the legal department with litigation preparation.

● Analyzed explanation of benefits (EOB's) to detect payment discrepancies and payer trends to determine appropriate follow up i.e., resubmissions, adjustments and or refunds for varies insurance claims, including worker's compensation, ConnectiCare, United Healthcare, Aetna, and Medicare/ Medicaid.


Certificate in Medical Coding

Tennessee Tech, M urfreesboro, TN. 2009


Certificate in Computer Accounting

Branell University, Nashville, TN. 1988 Dean’s List 3.4 G PA ADDITIONAL SKILLS AND CAPABILITIES

• Working knowledge of medical system

• Able to provide compassionate care

• Proven record of ensuring patients’ comfort

• Effective verbal and in written Communication skills REFERENCES Available on request.


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