Customer Service Representative
Resume:
TORI L HARRIS
HOUSTON, TX ***48
************@*****.***
Summary of Qualifications:
** ***** ** ******** ******* Representative, Medical Secretary, and Medical Terminology.
6 years of Claims Benefit Specialist/ Patient Accounts, Bookkeeping, and Account Collections experience
2 years of Hospital Service Tech experience.
Work History:
Randstad Staffing, Houston, Texas
Benefit Specialist Sep. 17, 2012 - Feb. 01. 2013
Answered benefit questions
Assist participants with open enrollment
Made Call backs concerning unanswered questions
Universal Hospital Services, Houston, Texas
Hospital Service Technician Nov 05, 2010 - Sep 16, 2012
Delivered medical equipment, accessories, and disposables to patient rooms. Picked up soiled equipment.
Cleaned and sanitized medical equipment.
Conducted tracking rounds throughout the patient rooms.
Recorded activities by scanning equipment and inventoried.
Kelsey Seybold Clinic, Houston, Texas
Ambulatory Service Representative Jun 01, 2010 - May 31, 2011
Checked in patients.
Verified insurance and scheduled appointments.
Scheduled outpatient surgeries and charged caption.
Mercer, Houston, Texas
Call Center Benefit Representative Oct 13, 2009 - May 30, 2010
Interacted with plan participants over the phone.
Defined the level of service needed, contributions and benefits.
Assisted with health benefits information and coverage on plans.
Patient Account Services, Houston, Texas
Support Representative Aug 20, 2005 - Jun 29, 2009
Collected payments on hospital accounts.
Re-processed rejected insurance claims.
Forwarded rejected claims to other departments.
Convergys, Houston, Texas
Customer Service Agent Jan 21, 2006 - Mar 20, 2007
Answered incoming calls.
Collected payments on accounts.
Answered general account questions and negotiated payment arrangements. Trouble shooted phone
services and
Provided technical support.
Kelsey Seybold Clinic, Houston, Texas
Ambulatory Service Representative May 01, 2005 - Nov 17, 2005
Checked in patients.
Verified insurance and scheduled appointments.
Scheduled outpatient surgeries and charged caption.
Harris County Hospital District, Houston, Texas
Patient Access Representative May 01, 2002 - May 01, 2004
Interviewed patients or patient representative.
Obtained demographic and financial information.
Counseled patients for deposits, co-payments and post transactions to patients accounts.
Scheduled outpatient and day surgeries.
Aetna, Sugarland, Texas
Claims Benefits Specialist Jun 01, 1998 - Mar 01, 2001
Determined accurate payment criteria for clearing pending claims on editing, meeting, productivity goals,
quality standards and aging time frames. Monitored and stopped any claims with inaccurate data and
forwarded to appropriate personnel.
Education:
Texas Southern University, Houston, Texas
2 years college, technical or vocational school
Major: Business Administration
Training: Medical Billing and Coding
The College of Healthcare
Obtained medical terminology, Principles of Insurance, Billing Procedures and Procedures in Coding
Computer Skills:
Typing Speed: 40 wpm
• Accounting Software (Peachtree, QuickBooks, etc)
• Database Software (Oracle, Access, etc)
• Data Entry Terminal (PDT, Mainframe Terminal, etc)
• EMail Software (Outlook, Thunderbird, etc)
• Internet Browser (Internet Explorer, Firefox, etc)
• Peripheral Devices (Scanners, Printers, etc)
• Personal Computers
• Presentation Software (PowerPoint, Flash, etc)
• Spreadsheet Software (Calc, Excel, etc)
• Utility Software (Virus, File Compression, etc)
• Word Processing Software (Word, WordPerfect, etc)
Additional Computer
Skills: Cubs, Epic, bookkeeping
Language Skills
English - Excellent (Read, Write, Speak)
Driver's License
Class C - Standard Driver's License
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