Customer Service Insurance

Location:

San Antonio, TX

Posted:

March 27, 2017

Contact this candidate

Resume:

Imelda Zavala

**** ***** **** *** *******, TX ***40

210-***-****

Email ******.********@*****.***

Supervisory Skills:

Maintain employee schedules, time sheets and request for vacation time, cross-trained to replace ill staff members, Re-ordered medical and office supplies for two locations. Hire, trained, evaluate, and terminate all employees that were supervised. Documented continuing education for all Medical Assistants,

Liaison to Drug Representatives, Bio-Medical Representatives and Health Department personnel.

Auditory Abilities:

Evaluate physician offices for proper following of OSHA and HIPPA guidelines.

Accountable for proper use of gloves, table paper and sharps containers.

Responsible for prescription pads, medical charts and patient correspondence were not visible, Evaluate exit signs are posted, exit maps are in all rooms and fire extinguishers are inspected yearly, Assess proper use of all and any refrigerators used for medication and injections.

Billing/Collection Duties:

Followed-up on unpaid or incorrectly paid medical insurance claims,

Prepared and forwarded appeals to insurance companies,

Posted insurance payments, patient payments and insurance adjustments,

Provided customer service on patient phone call and walk-ins.

Front/Back Office:

Checked patients in and out, managed registration, collected co-payments, co-insurance and deductibles, Verified medical insurance through automation, website and customer service representatives, Managed incoming calls, scheduled patient appointments, room patients, take vital signs, injections and assist the doctor with small in-office procedures, Maintained medical records and assisted in multiple line phone systems.

Skills:

Windows Excel, Windows Word, Radman, AS400, Monarch, WebMD, MediSoft, IDX, Pacs, 5-50 phone line system, 10 key, fax machine, scanner, shredder, microfiche, computer base scanning, alpha and numeric filing.

Education:

San Antonio College of Medical and Dental Assistants 09-92 / 05-93

San Antonio, TX Medical Assistant

Robert E Lee High School 09-98 / 05-92

San Antonio, TX JROTC, HEC

Experience:

CVS Health Census/billing 09-16 / Current

12460 Network Blvd

San Antonio, TX 78249

210-***-****

Supervisor: Angie Scriber

Wortham Insurance Admin Asst. 12-15 / 07-16