Customer Service Medical Billing

ROBERTTA TUFTS

**** **** ***** **, *********, NC, 28205

704-***-**** • **********@*****.***

Professional Profile

Motivated professional educated in Medical Billing and Coding with several years’ experience in customer service and administration. Strong planner and problem solver able to adapt quickly to change and exceed expectations. Proven ability to exceed expectations. Excellent communication skills, detail orientated, able to work in a fast paced environment both independently as well as within a group.

Capabilities

• Proficient in ICD-9 & ICD/10 Coding and CPT Coding

• HCPCS Coding, Surgical & Lab Coding

• Proficient in Medical Terminology

• Patient Scheduling of Appointments

• Medical Records

• Microsoft Office

Hospital Billing

• Exceptional Data Entry Skills

• Multi Line Phone System

• Office Equipment Operation

• Excellent Problem Solving

• Outstanding Customer Skills

• Report Management

• Multi-Line Phones

Education

Pinnacle Career Institute; Kansas City, Missouri

Associates of Occupational Studies Degree, Medical Billing and Coding, December 2011

Certification: (CPC) Certified Professional Coder Member and (CRCR) Certified Revenue Cycle Representative

Experience Accomplishments

Customer Services

Demonstrated respect, friendliness, and professionalism at all times

Provided prompt and efficient responses to customer questions/concerns

Effectively communicated with customers and faculty in a friendly, respectful, and pleasant manner

Responded to information requests, transferred calls and prepared business correspondence

Maintained clean and organized work area

Ensured delivery of premium services to clients

Administrative

Compiled and organized reports for upper management

Collected, researched, organized and distributed company materials

Scheduled and organized meetings for different departments

Coordinated events contributing to successful business operations

Energetic and organized with a superior attention to detail

Coordinated travel arrangements for office staff

Employment History

Insurance Reimbursement Specialist, Lead call center representative Ensemble Health Partners, Huntersville, NC 2015- Present

I work alongside healthcare professionals in medical settings, helping patients with processing insurance reimbursements, scheduling and making bill payment plans. Ensures that patients insurance covers their treatments. Reviews appropriateness of CPT-4/ICD-9/ICD-10 coding and determines if care provided corresponds to the charges submitted.

Medical Billing Negotiator, Charge poster, Benefits verification, and Collector, Frontier Medical Billing, Monroe, NC 2012-2015

I negotiate payment with insurances and 3rd party payors for out of network providers and facilities. In the process of this I make sure patient accounts are up to date and accurate. If there is error in accounts I research it and identify the problem and create solutions. I also charge post for all facilities within our billing.

Front End Supervisor, Customer Service, Ross Clothing Store; Monroe, NC 2007 – 2012

Effectively communicate with customers, associates and Supervisory Staff in a friendly, respectful, cooperative and pleasant manner. Ability to use all store equipment, including PDTs, registers and PC as required.

Enumerator, Census Bureau; Jefferson, SC 2009

Planned work by reviewing assignment area to determine organization of neighborhoods and locate households for conducting interviews. Conducted interviews with residents in assigned areas by following stringent guidelines and confidentiality laws. Met daily with supervisor to review and submit work, and receive additional instructions.

Hostess, Applebee’s, Monroe, NC 2007-2008

Greets (both arriving and departing) and seats all guests in a friendly manner and assists in maintaining the overall guest flow of the restaurant. Accommodates any special needs of guests, i.e., boosters, highchairs, disabilities. Manages the Wait List when the restaurant is full. Provides guest assistance to servers as needed. Maintains a clean and organized work area and completes cleaning as assigned.

Stock/Unload, Target, Monroe, NC 2006-2007

Unload trucks in Target’s mini warehouse.

Stocked merchandise onto the floor before opening of the store hours.

Librarian Assistant, Alabama State University, Montgomery, AL 2006

Have great customer service dealing with the staff and students of this university.

I assisted students with information dealing with their needs.

I set up rooms for professors to use for meetings and other uses.

Receptionist Assistant, VoicePro, Cleveland, OH 2005

Handled multifaceted clerical tasks (e.g., data entry, filing, and billing) as the assistant office. Coordinated travel arrangements, and ensured the delivery of premium service to clients. Quickly became a trusted assistant known for “can-do” attitude, flexibility and high-quality work.

Athletic Office Receptionist, Cleveland Heights High School, Cleveland, OH 2003-2005

I did volunteer work in the office and mail room of my high school during my junior and senior year.

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