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Customer Service Data Entry

Location:
Sonora, CA, 95370
Salary:
$13hr
Posted:
September 21, 2016

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Resume:

Faith A. Cantergiani

Tuolumne, Ca

Phone: 209-***-****

*****.***********@*****.***

Relevant Skills and Experience

- Excellent Customer Service, phone etiquette, organizational skills and experienced in greeting the general public

- Proficient utilizing Cal-Med database systems, use of various Insurance Portals to obtain Patient Benefit/Coverage Verification

- Scanning/dropping/ PT protected Health Information to Patient accounts

- Use of Multi-line telephone systems. Call and Mail routing to appropriate departments or corresponding representative

- Data entry, 10 key by touch, scheduling, PT demographic file updates and maintenance. Ship by UPS/US MAIL, standard office equipment savvy

- Take Patient Payments via phone by Credit Card, post payment to reflect deduction of balance owed or to confirm Patient zero account balance. Provided zero balance statements as requested

- Learns quickly, and adapts to new environments

- Proficient in the use of Microsoft Software Programs, Email and Internet savvy

- Ordered, stocked, warehoused and Invoiced Durable Medical Equipment/Orthotics

- ICD10, CPT, HCPC and Medical Terminology knowledge

- Post Insurance payments according to EOBs/Checks received. Posted write-offs according to EOBs or State Fee Schedules

- Submit Appeals/Provider disputes for Workers Compensation and Commercial claims for Short/Non payment

- Produce PT statements and balance bill Patients accordingly

- Account Collections. Asses and note discrepancies per Carrier (Commercial and Workers Compensation) and contact appropriate internal Department to advise and set a course of action/resolution

Employment History

Office Administrator, Receptionist

03/2016 – Present

Heuton Memorial Chapel

Sonora, CA

Multi-line telephone, advise current pricing for services, cremations and burials upon inquiry. Process Private Pay Sales Contracts and estimate Insurance Policy Pay Outs for At-Need Patients. Process Trust Contract accounts for Pre-Need Patients. Distribute Earned Interest Payments to Pooled Trust Accounts. Manage, Balance, and deposit Income for multiple Business Banking accounts. Process Account Payables, Receivables and Employee Payroll. Monthly Coroner, Mortuary and Cemetery Billing. Proficient in Microsoft Applications and QuickBooks, light Excel use

Medical Billing, Collections

06/2014 - 12/2015

Efficiency Plus Medical Billing

Twain Harte, CA

Multi-line telephones, direct calls to the appropriate department/representative, Data Entry, 10 key, Proficient in Microsoft/Windows/Google applications. Utilize Cal-Med database systems for individual PT private accounts for corresponding DME/Orthotic Vendors. PT file maintenance, up to date for HIPPA training/certification. Verify PT Commercial benefits, coverage, obtain EOBs and establish Authorizations. Obtained Workers Compensation Authorization/Approvals of requested DME/Orthotics ordered by Providing Physician. Worked closely with Carriers direct as well as settle price negotiations with Third Party Administrators. Account Collections, Accounts Receivables. PT, Commercial and Workers Compensation Claim filing. Utilizing CMS 1500 HCFA forms for Insurance Claim Billing

Server, Waiters and Waitresses

04/2013 - 09/2013

The Rock of Twain Harte

Twain Harte, CA

Accurately take food/drink orders. Deliver product. Assure product quality and assurance. Handle Cash/CC transactions. Use of POS system

Server, Waiters and Waitresses

06/2012 - 04/2013

Black Oak Casino

Tuolumne, CA

Accurately take food/drink orders. Deliver product. Assure product quality and assurance. Handle Cash/CC transactions. Use of POS system

Certifications

Title

Issuing Organization

Completion Date

Expiration Date

Certified Phlebotomy Technician 1

EMT training and passing of course completed 2011

Previously BCLS and First Responder Certified

References

Available upon request

California Department of Public Health

Abrams College

Stanislaus County

05/2014

06/2011

12/2013

05/2018

N/A

12/2015



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