Customer Service Medical
Resume:
MARIA LUISA ANCHISSI
***** ** ***** **. *****, FL 33177
Email: ******************@*******.***
SKILLS & ATTRIBUTES
Interacts well with all levels of personnel and the general public.
Performs equally as well in a team environment or individually.
Completely adaptable within a changing and involving professional environment.
Courteous and efficient customer service practices.
Excels in a fast paced/multi-tasking environment.
Motivated, dependable, reliable and trustworthy.
Bi lingual- English, Spanish.
MS Word, Excel, power point, Internet.
EDUCATION
Everest Institute Miami, FL Major-Medical Billing & Coding.
Medical Terminology
Anatomy and Physiology
Medical Office Management
Medical Records
Physician/Hospital Coding
Insurance Verification
Microcomputer Fundamentals
CMS 1500/UB92 Billing
Automated Claims
Processing Lab.
Collections
ICD9 & CPT-4
CERTIFICATIONS: OSHA HIPAA HIV/AIDS CPR.
EXTERNSHIP
Dr. Samuel Roura Psychiatric Practice Miami, FL Oct 2010.
Pulled and filed medical records.
Performed insurance verification.
Conducted Billing and Coding procedures.
Appointments confirmation and verification.
Collecting to the Patients Copays or deductibles.
MIAMI DADE COMMUNITY COLLEGE
Intensive English level I to VI Completed. 2014
General Studies Psychology I (Associates in Arts) 2013
CHALLENGER AVIATION INSTITUTE
Commercial Aviation Lima -Peru 1990
WORK EXPERIENCE
Community Health of South Florida: CHI 2011-Actually
Human Resources contact: 305-***-**** ext. 4872
Patient Financial Service
Register new clients on Intergy as per guidelines issued by Community health of South Florida.
Research files for previous enrollment in CHI computer system before creating a new medical record number.
Update existing clients profiles as per guidelines of the CHI.
Performs financial screening on active clients.
Attempt collection of past due debts, check in clients for needed Medical Services, check out clients upon receiving medical services.
Process of patient payment review and balance out daily batches, submit cash and copies of daily batches to the accounting department for deposit.
Insurance verification with an extensive knowledge of Medicaid, Medicare and Commercial Insurances, adheres to the confidentiality policies and procedures of HIPAA regulations.
Managed Care Department
Assist the professional staff in Managed Care Department, taking messages for the managed care agents, file confidential documentation, phone calls and verifying the task in the system for the referral process.
Customer Service in a polite and professional manner answering the phone promptly and cordially.
Data entry in excel program with an extensive knowledge of medical terms and knowledge of ICD9 and CPT 4 codes and verifying the fast process of the referrals for the specialists.
Call Center Department
Answer the telephone promptly an in a polite and professional manner, verification of patient’s demographics and schedule appointments.
HEDIS medical records review, follow up to the patients that need annual check up, to follow their treatments, updating information in the demographics.
Insurance verification with an extensive knowledge of Medicaid, Medicare, Commercial and Marketplace insurances.
Ability to relate to persons with diverse educational, socioeconomic and ethnics background. Confidentiality in all medical records and patients charts.
Handle confidential and sensitive information.
First Quality Auto Sales Miami, FL 2005-2010 Contact: 786-***-****)
Assistant Manager
Bookkeeping, payroll.
Ability to work with office equipment (MS Office tools, Internet, Fax Machines, Copiers, Printers, scanners, etc.).
Bank Deposits, Customer Service and handled confidential information.
LAN Chile Airlines Miami, FL 2000-2005
Professional Aviation Management 305-***-****
Reservations Agent
Sales and Customer Services
Ticket Processing
Special Services for VIP passengers
Vacations Planning (Mercosur, discover Chile, etc.)
Lan Pass Program for frequent Flyers Passengers.
Avianca Airlines Miami, FL 1996-2000
11300 NW. 25th ST. Doral, fL 33172 305-***-****
Sales and Customer Services
Ticket Processing
Special Services for VIP passengers, etc.
Frequent Flyer Program and Rewards.
Ladeco Airlines Miami, FL 1994-1996
Out of Service in Miami.
Reservations Agent
Sales and Customer Services
Ticket Processing
Special Service for VIP passengers
Frequent Flyer Program Reward.
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