Customer Service Medical

Charvis Dorismond

**** ***** ** *** **** Houston, TX 77067

832-***-**** ***********@*****.***

Summary: Responsible health-care customer service rep with excellent communication skills demonstrated by over 10 years of experience in healthcare.

Skill Highlights:

Healthcare billing proficiency, strong medical ethic, strong clinical judgment, problem resolution ability, enthusiastic caregiver, practiced inpatient and outpatient caregiver, patient/family focused, alphabetical/numerical filing, medical coding capability

Professional Experience:

Broad Path Houston, TX

Customer Service Rep November, 2016- April, 2017

Answer on an average of 40-50 inbound calls

Explaining benefits to members

Processing payments for members premium

Researching participating providers in members area

Memorial Hermann TIEC Houston, TX

Patient Financial Advocate October, 2015- July, 2016

Verify insurance commercial and government for GI procedures.

Providing pathology reports for dr.’s and dr.’s office and for medical records.

Admitting patients and collecting payments in for procedures.

Preparing deposits

Collecting on patients previous debts.

Numeric medical record filing.

Global Sleep Houston, TX

Insurance Verifier October, 2014- October, 2015

Verify commercial and government insurance for sleep studies and DME.

Processing authorization, and benefits.

Verifying over 60 to 80 insurance studies and DME products a day.

Training new hires on policy and procedures for department.

Acaria Health Houston, TX

Image Index December, 2013- October, 2014

Electronic filing of documents of prescriptions.

Filing over 300 a day.

In putting insurance and demographic information into patient accounts.

Memorial Hermann Surgery Center Houston, TX

Patient Financial Advocate September, 2011 – October, 2013

Verified medical insurance – commercial, Medicare, Medicaid, Workers Comp

Explained benefits to all patients with date of service portion due

Checked in up to 30 plus patients a day

Collected on patient portion due at date of service

Collected on previous balance up to 40 a day and also on special accounts

Closed and prepared deposit for daily collections and mail money

Answered multi line phones

Westside Neurology Katy, TX

Medical Receptionist February, 2010- June, 2010

Answered all calls

Verified new on old patients benefits before appointments and also retrieving authorizations if needed

Entered in demographic information on all patients

Collected co pays, patients deductibles and out of pocket portions

Prepared patients for in office procedures, taken vital signs

Preparing daily balance

United Healthcare Houston, TX

Prior Auth Rep July, 2007- March, 2009

Answering up to 70 calls a day in call center

Entered in patient demographic information if needed to be updated

Authorizing in and out procedures, radiology procedures, DME products and home health service

Collecting patient information 30 fax request for authorization

Medical Business Management Service Houston, TX

Data Entry Clerk January, 2007- July, 2007

Entered in 50 medical claims a day

Processed up to 20 refunds

River Oaks Imaging Houston, TX

Scheduler December, 2005- June, 2006

Scheduled 40 radiology appointments in a call center

Diagnostic Clinic of Houston Houston, TX

Medical Receptionist January, 2004- January, 2005

Checked in and out 60 patients a day for 20 doctors and diagnostic procedures

Scheduled 30 patients for follow up appointments

Verified 20 patients that may be added on and explaining benefits

Collected copays, deductibles, out of pocket, self-pay portion

Closing individual daily balance.

EDUCATION & TRAINING:

Grantham University

BA Business Administration

With this degree my plan is to open a group home for children and elderly.

Ashford University

BA Entrepreneurship

National Institute of Technology Galleria, TX

Certificate of Completion - Medical Assistant

Graduated 2000

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