Resume

Sign in

Customer Service Administrative Assistant

Location:
Pflugerville, Texas, United States
Salary:
Negotiable
Posted:
October 25, 2016

Contact this candidate

Resume:

Ronda Bledsoe

Professional Summary

Patient Services Specialist: with accomplished ambitious experience supporting 12 physicians in a busy medical and Emergency Offices. Expertise includes verifying insurance coverage, patients demographic,upfront collections, records reviews and schedule appointments and maintenance. Inpatient and outpatient records coding specialist with ICD-9, ICD-10 and ASC coding expertise. Familiar with commercial and private insurance carriers. Seeks a position of increased responsibility and authority. Administrative Assistant experienced at registering patients, scheduling appointments and recording and filing patient medical records. Enters orders and information quickly and accurately. Patient-focused claims assistance skilled at medical billing, coding and office supervisor. Reliable multi-tasker with internal medicine and dermatology experience. Ambitious individual seeking an administrative role in a hospital or private practice. Knowledge, Enthusiastic Administrative Assistant with excellent people skills and dedicated work ethic. Strong attention to detail and extensive Customer Service-oriented Administrative Assistant skilled in greeting patients, scheduling appointments and preparing patient charts. Knowledge Customer service-oriented Administrative Assistant skilled in greeting patients, scheduling appointments and preparing patient charts. Highly efficient Medical Biller with experience in anesthesia, dermatology and neurology. Excellent multi-tasker and demonstrated team player with a positive attitude. Seeking a position requiring HMS and Medisoft billing systems. Patient-focused Medical billing with over 20 Years experience working in a busy medical office and hospital working with diverse populations. Leasing Agent.CPR and BLS License.

Skill Highlights

Software Infocure, Invision.Citrix, Centricity, Ecare, PayNav and Active Dash. Healthcare billing proficiency

Competency in procedure development, Qualified in

specimen collection/processing. ER experience,

Ergonomic issues, Fire and safety, First Aid, General surgery, Health education, Healthcare industry best practices,1600, High-risk trauma situations, HIPAA compliance, HIPAA Training HMO, Fraud Prevention

Specialist indemnity, and commercial insurance, Hospital business administration, Hospital medical service.Strong organizational skills. Data entry Energetic work attitude. Reliable

Sales experience

MS Office expert

Multi-line switchboards

Telecommunication skills Adaptive team player

Telecommunication skills Visual merchandising

proficiency, Creative problem solving, Critical thinking, Customer service, Data collection, Data entry,

Documentation, Email, Executive management support, Filing Letters and Memos, Lotus Notes, Microsoft Excel, Microsoft Office Suite, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word, Multi-Tasking,Organizational Skills, Cobra Insurance

Professional Experience

Patient Service Specialist

October 2016

First Choice ER Round Rock, TX

1116 Sweet Leaf Lane, Pflugerville TX 78660

Home: 512-***-**** - Cell: 512-***-**** - acw8em@r.postjobfree.com Registered,Verified Patient Insurance and Demographic information Collect copays,coinsurance and upfront collection scan all sign document and Recorded patients' medical history, vital statistics and test results in medical records. Served as a liaison between patients and physicians to assist patients in understanding their treatment plans. Cleaned and sterilized instruments and disposed of contaminated supplies. Prepared for HIPAA and JCAHO reviews, ensuring required brochures and pamphlets were available to patients in all clinics. Maintained all confidential personnel files, licensing, CPR and BLS Cross-trained and provided back-up for other patient service representatives when needed. Managed quality communication, patient support and compliance records. Successfully established effective systems for record retention by creating database for daily correspondence tracking. Patient Services Specialist

January 2010 to May 2016

Greenview Hospitals Dallas, TX

Registration on a daily basis Complied with scripting when greeting guest Registration on a daily basis Complied with scripting when greeting guest at time of services and phone etiquette obtained and verified patient demographics, insurance and financial information,Verified insurance eligibility and benefits.If needed I covered various departments Emergency Room, Physical Therapy,Front Desk,Bed Board and Women\'s Center, Ensured all notification and authorizations was completed in a timely matter at time of services. Communicated with Physician,Case Management Clinical Staff and Bed Board, Identify and evaluated the appropriate funding programs for patients with insurance . Collected process cash and credit cards payments at time of services,explained all sign document to patient before forms was signed. Other duties: Scheduled appointments, Surgery,Pre-OPT,Echo,Labs,Labor & Delivery In- Patient & Out-Patient Admission,Patient transfer per Ambulatory, Emergency Room Registrations, Physical Therapy,Exception,ET and DNF reports. Maintained petty cash drawer, Disbursement summary report for Patient Account,Pharmacy,Gift Shop, and good Health Commons and Parent Educations. Served as a financial representative, participated in patient discharged process,made sure all registration was completed, training with co-workers hand off, Precisely completed appropriate claims paperwork, documentation and system entry. Participate in departmental committees and group meetings which focused on providing quality services. Demonstrated interpersonal competencies, problem-solving, negotiation and conflict management,Evaluated patient care needs, prioritized treatment, and maintained patient flow. Managed wide variety of customer service and administrative tasks to resolve customer issues quickly and efficiently. Recipient of multiple positive reviews acknowledging dedication to excellent customers services. Achieved collection goals and services performance requirements of $7500 monthly goals through patients care ans registration, Ensured superior customer experience by addressing customer concerns,demonstrating empathy and resolving problems on the spot.

Scheduler/Insurance Verification

January 2007 to December 2009

Texas Onocolgy Austin, TX

Scheduled appointments, registered patients and distributed sample pharmaceutical as prescribed. Obtained patient demographics,Verified various insurances on daily basis Medicare,Medicaid and commercial insurance every three months. Received, documented updated patients demographic and insurance information scanned and filed to medical records. Actively maintained working knowledge or CPT and ICD-9 coding principles, government regulation protocol and third party requirement regarding billing. Obtained co-pays, coinsurance, referrals plan type RQI,sand encouraged, Authorization, Schedule CT.s,MRI,s, Echoes and Heart screenings obtained medical records at time of services explained all signed forms to patients before signing and insured they understood what was being signed. Maintained and encouraged patient loyalty with the efficient of the billing office. Worked as a team played maintained good working relationship with my co-workers,doctors, management and peers.Precisely completed appropriate claims paperwork, documentation and system entry,Cross-trained and provided back-up for coworkers and service representatives when needed. Managed quality communication, patient support and product representation for each Physician. Coder/Biller/Insurance Verifiction

February 2004 to November 2006

Adorno Rogers Austin, TX

Managed various general office duties which included claims submission, production,collection, and customers services completed insurance forms,production collections,mailing out monthly invoice statement to patients answering multi-line telephone and overall operation of the billing office . Assisted in establishing a successful structure of a growing company,always eager to help co-workers in all ares of the billing and collection department. Billed & coded for 6 Branches for mobility impaired patients, Analyzed monthly balance sheet,delinquent accounts, advised patient of suspended accounts for corporate reporting. Consistently recognized by management and peers for production high quality and outstanding work. Accepted increasing responsibility demonstrating flexibility and the ability to learn quickly in all areas of the department as a whole Modified a comprehensive financial report to management that reflected insurance verification,claims, collection and delinquent accounts. Developed new process for employee evaluation which resulted in marked performance improvement and training Claim Assistance/Customer Services

February 2001 to November 2003

AmComp Assurance Austin, TX

Effectively managed workers comp claims,and the responsibility to the injured workers,Reviewed and analyzed suspicious and potentially fraudulent worker comp claims. Provided superior customer services and to ability to meet deadlines and reports, Worked as a individual contributor performing independent task at appropriate times, handling claims process, workers comp claims, paying indemnity payments, medical bills for injured workers, spouses, children if loved ones passed away due to work injury attorney fees and doctor bills. Investigated work related accident claims by examining the injury to the employee, taking pictures,scheduling routine drug screening,and watched video footage and pictures of autopsy. Attended corporate meetings for new and updated information regarding claims of injured workers. Patient Account Representative/Front Desk Operator January 1999 to September 2003

Capital Imaging Assn Austin, TX

Managed claims and billed to all insurances and secondary carriers,pulled pt demographic information for scheduled procedures and x-rays. Pulled medical & x-rays for Radiology Physician, Called to obtained authorization, pre-certification before pt was seen by physician,worked and processed claims, verification,appeals, Medicare secondaries, EOB submission,coded, billed, collected processed cash, credit card payment to patient\'s accounts. Made payment arrangements, collections bankruptcies slow pay accounts for the billing and claims offices. Handled large call volume as a customer services,claim representative, switch board operator and billing representative maintain accuracy,efficiency in a positive and friendly attitude multi tasked always worked well with others at all levels. Made sure CPT, ICD-9 was billed correctly along with modifiers, resubmitted corrected claims to various insurance companies. provided superior customer services and quality work while demonstration flexibility and problem solving in the department as a whole, QA calls to made sure accurate information was given to patients. Customer Services/Team Lead

February 1998 to July 2000

Birch & Davis Austin, TX

Provided accurate and appropriate information in response to customer inquiries. Addressed customer service inquiries in a timely and accurate fashion. Developed effective relationships with all call center departments through clear communication. Worked with upper management to ensure appropriate changes were made to improve customer satisfaction. Built customer loyalty by placing follow-up calls for customers who reported product issues. Formulated and enforced Service Center policies, procedures and quality assurance measures. Achieved customer satisfaction rating of 100% 18 months, exceeding corporate target. Analyzed call volume and average to monitor Customers Services Representative performance and productivity. Took inbound calls and answered question regarding the Chip Program and How to enroll children in the program.Trained and lead new existing employees on the program at hand,Communicated with all peers at all levels.Coordinated relocation of employees in conjunction with the Human Resources Department and setup interviews with new applicants. Customer Services/Team Lead

January 1998 to June 2000

Maximus Austin, TX

Scheduled appointments, registered patients and distributed sample pharmaceutical as prescribed. Obtained patient demographics,Verified various insurances on daily basis Medicare,Medicaid and commercial insurance every three months. Received, documented updated patients demographic and insurance information scanned and filed to medical records. Actively maintained working knowledge or CPT and ICD-9 coding principles, government regulation protocol and third party requirement regarding billing. Obtained co-pays, coinsurance, referrals plan type RQI,sand encouraged, Authorization, Schedule CT.s,MRI,s, Echoes and Heart screenings obtained medical records at time of services explained all signed forms to patients before signing and insured they understood what was being signed. Maintained and encouraged patient loyalty with the efficient of the billing office. Worked as a team played maintained good working relationship with my co-workers,doctors, management and peers.Precisely completed appropriate claims paperwork, documentation and system entry

Administrative Assistance/Customers Services

March 1990 to August 1994

Med-Tech Waco, TX

Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information. Maintained the front desk and reception area in a neat and organized fashion. Served as central point of contact for all outside vendors needing to gain access to the building. Dispersed incoming mail to correct recipients throughout the office. Planned travel arrangements for 15 executives and staff. Ordered supplies,filing,faxing and made copy to distribute to management and staff Facilitated information flow between customer service, account management operations, quality assurance, training and payroll departments to guarantee call center objectives were met. Helped out Department answered call in a fast-paced, high pressured call center, demonstrated flex-ability prioritize multiple task met deadlines and provided quality services. Managed high call volume with tact and professionalism Education

High School Diploma : English/Mathematics/History, 1986 Waco High School Waco, TX, USA

2.0 GPA

Computer Science

TSTC Waco, TX, USA

Associate : Child & Family Services

ACC Austin, Tx, USA

Accomplishments

Assessment

Executed full patient assessments beside registration Labor and Delivery financial assistance upfront collections. Met Monthly cash collection goals.

Fraud Prevention, HIPAA Compliance

Physician Support

Consistently praised by physicians for efficient assistance in patient registration Trauma Services & minor surgical procedures and patient process handling.

Maintained 100% QA score.



Contact this candidate