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Customer Service Medical

Location:
Miami, FL, 33177
Posted:
September 12, 2016

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Resume:

MARIA LUISA ANCHISSI

***** ** ***** **. *****, FL 33177

305-***-****

Email: acwkv8@r.postjobfree.com

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.



Contact this candidate