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Customer Service Medical

Location:
Aurora, CO
Posted:
December 28, 2016

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Resume:

Shellie Medich acx1lf@r.postjobfree.com

719-***-**** H *905 Sage Street 4

Colorado Springs, CO 80907

Citizenship: US Veterans Preference: 0 points

Work Experience

Contact Service Representative

Veterans Affairs 12/2015-Current

Chief Business Purchased Care S: Ryan Hudgins

3773 Cherry Creek North Drive P: 303-***-****

West Tower, Suite 470W 40 hrs/w, $34,000/yr

Denver, CO 80209

Duties: Advise, counsel, review applications and claims. Respond to request regarding business process for all associated health benefit programs. Develop, examine, adjust, reconsider, recommend settlement of claims, receives and processes requests for authorization of healthcare services, supplies, and benefits. Advise, council, and review applications for benefits for assigned health benefit programs. Furnish information concerning rights and benefits with regard to health care programs. Assist in determining the status of claims for services. Redevelops claims for reprocessing, ensuring all required information and documents are present and complete to facilitate payment of claims. Explains and advises the basis for payment decisions and reasons for disallowance. Explains payment methodologies used in adjudicating medical claims to resolve questions about allowable amounts and cost shares.

Internship, (Student Medical Assistant) 6/2014-8/2014

Flesia Chiropractic Offices S: Katherine Flesia

232 East Monument Street P: 719-***-****

Colorado Springs, CO 80903 200 hrs/w, Student intern

Duties: Scheduled patient appointments utilizing Chirotouch EHR system. Managed multi-line phone system, distributed messages. Performed rooming patients and room flow management. Performed payment, posting charges, and collection duties using service tickets. Created charts, charted patient notes, distributed charts. Filed records, loose documents, alternative media, and x-rays. Balanced daily log sheets. Assisted physician with patient hands-on adjustment performed patient vital signs.

Clerical Support 01/2012 – 12/2012

Penrose-St. Francis Hospital S: Heather Graves

2222 North Nevada Ave. P: 719-***-**** May contact

Colorado Springs, CO. 80907 8 hrs/w, Volunteer

Duties: Provided accurate filing and alternative media of loose documents using alphabetic filing system. Utilized Meditech computer program to scan medical documents and perform data entry. Conducted quality control checks on medical documents. Faxed medical documents to physician offices as directed.

Medical Transcriptionist 03/2009 – 07/2009

Summit Medical Clinic, PC S: Pratheep Arora MD.

1605 North Union Blvd. Suit 200 P: 719-***-**** May contact

Colorado Springs, CO. 80909 24 hrs/w, $ 9,216/yr

Duties: Provided accurate medical transcription for medical team consisting of one physician, two physician assistants; and one nurse practitioner

Transcribed medical dictation from cassette format into chart note documentation at the amount of 40+ charts per day utilizing the MYSIS electronic medical records computer system

Performed computer data entry, which included diagnoses, medications, history of present illnesses; review of systems, physical examinations, assessment and plans

Deciphered nephrology laboratory results

Researched and implemented diagnostic codes from medical websites

Created medical charts utilizing computer template

Peer Specialist 03/2008 – 09/2008

Meridian Behavioral Healthcare Center, Inc S: Marlene Greenspan LCSW 4300 SW. 13th Street P: 352-***-**** May contact

Gainesville, Fl. 32608 20 hrs/w, $8,640/yr

Duties: Supervised client caseload of 15-25 persons with mental health and substance abuse diagnoses.

Developed and entered detailed client case notes into charts

Promoted self-advocacy and recovery activities

Collaborated and assisted peers in identifying and achieving recovery goals

Developed liaisons with community agencies to promote advocacy and recovery goals

Educated 10-20 in house staff on Peer Specialist qualifications and responsibilities at staff meetings.

Customer Service/Clerk 10/2005 – 04/2007

Kilbanes Dry Cleaners S: Lynda Mc Dougall

208 East Tomichi Ave.

Gunnison, CO. 81230 24 hrs/w, $8,064/yr

Duties: Performed duties relevant to a Customer Service Clerk in a retail setting.

As a Customer Service Clerk, I operated a cash register on a daily basis and utilized an adding machine to balance daily transaction slips. In addition, I provided customer service to an average of 30-50 customers per week. Additional duties included management of a customer service log, completing ticket orders; and performing inventory.

Program Supervisor 12/2003 – 06/2004

New Horizons Empowerment Center S: Carol Jean Garner LCSW

80 East El Camino Blvd. Suite 3 P: 970-***-**** May contact

Gunnison, CO. 81230 19 hrs/w, $8,208/yr

Duties: Performed supervision of volunteer staff numbering 5-10 personnel

Developed and assigned work schedules

Updated by-laws and co-developed policies and procedures for the company

Managed monthly budget of approximately $500 to maintain balanced financial records

Performed public relations by developing newspaper ads, creating flyers, and acting as liaison with community agencies

Scheduled 3-4 special events and fundraisers during 6 month period

Deputy Probation Officer 09/1991- 02/1995

4th Judicial Probation Department S: Joseph Kraudelt PO

326 South Tejon Street P: 719-***-**** May contact

Colorado Springs, CO. 80903 20 hrs/w, $0/yr

Duties: Supervised a 20 person caseload of juveniles and adults

Prepared and submitted legal documents to the court and other agencies

I performed record keeping, report writing, and case note documentation with the probation department. In addition, I developed liaisons with other probation officers, community and after-care agencies in order to design plans for helping offenders with life adjustments. In addition, I informed offenders of requirements of conditional release, such as office visits, restitution payments, or educational and employment stipulations.

Security Guard 05/1989 – 11/1989

The Boeing Company S: CPT Kalkstine

P.O. Box 3707 P: 206-***-**** May contact

Seattle, Washington 98124 50 hrs/w, $26,400/yr

Duties: Performed duties relevant to a corporate security guard

As a Corporate Security Guard, I issued badges to employees and visitors to enable tracking of persons at site locations. Performed walk-through of property to ensure confidential documents were properly secured. Performed patrol duties to ensure protection of property and persons. I performed access control to prevent unlawful entry into secure areas. Maintained duty log to document performance.

Clerk Typist 10/1983 – 12/1984

Office of Personnel Management S: CPT Gula/SSG Bala

Stuggart, Germany 40 hrs/w, $10,000/yr

Duties: Performed typing duties of military documents

As a Clerk Typist, I performed record keeping, report writing, telephone services and message taking duties. I utilized basic office equipment to include a copier, typewriter and word processor to type military documents and newspaper articles. I monitored and utilized the European Telephone System (ETS). In addition, I prepared copies from rough draft and edited articles before allowing going to print. Utilized the MARKS (military and record keeping system) filing system, to maintain and organize files.

Recreation Aide 11/1982-10/1983

Office of Personnel Management S: SSG Aiken

Ludwigsburg, Germany 40 hrs/w, $8,000/yr

Duties: Provided support to military and civilian personnel in a recreational setting.

As a recreation aide, I performed duties relevant to the tracking of rules and regulations during sporting events. I monitored the utilization of sports equipment with the use of a login journal. In addition, I typed military documents applicable to the sporting network. I managed files utilizing the MARKS (military and record keeping system). I also monitored interaction of persons utilizing the facility to prevent hazardous situations from occurring.

Military Police 08/1980 – 07/1981

7th Military Police Company S: CPT James Stephens

Fort Ord, CA 40 hrs/w, $8,400/yr

Duties: Performed patrol duties relevant to a Military Police Officer

As a Military Police Officer, I apprehended, booked, and confined military and civilian offenders. I supervised and monitored these persons in custody. I performed access control of military and civilian personnel through appropriate identification. In addition, I provided protection of government property through the performance of patrol duty. I maintained duty patrol logbook for purpose of tracking worker hours and verification of duty performance. I wrote incident reports.

Education

08/2014 Associate of Applied Science, Medical Assistant GPA: 3.67

Pikes Peak Community College, Colorado Springs, CO. 80906

08/2014 Certificate of Achievement, Medical Coding Specialist

Pikes Peak Community College, Colorado Springs, CO. 80906

07/2008 Certificate in Medical Transcription GPA 3.7, Gatlin Education Services

San Antonio, TX 78212

05/1988 Bachelor of Arts in Criminal Justice GPA 3.3

St. Martin’s College, Lacey, WA. 98503

05/1997 Associates of Applied Science in Paralegal Studies GPA 3.5

Pikes Peak Community College, Colorado Springs, CO. 80906

06/1979 Diploma

LaSalle High School, South Bend, IN

Job Related Training

07/2010 Microsoft Office Suite, Pikes Peak Workforce Center

03/2009 MYSIS Electronic Medical Record System, Summit Medical Clinic

07/2008 Medical Transcription Certificate, Gatlin Educational Services

09/1983 Clerk-Typist Training, Department of the Army

Honors, Awards

Pikes Peak Community College Academic Honor Roll, Fall 2013

Governor’s Citation, 4th Judicial District Probation Volunteer, 1993

Other Information

Type 40+ WPM and I certify that the information within this resume is accurate.



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