Customer Service Data Entry

Cheryl Denise Swain

Home / Cell: 347-***-****

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

EMPLOYMENT HISTORY

*/**** – 4/2017 H & R Block

Valley Stream, NY

Position: Seasonal CSP/Receptionist

Called to confirm appointment at lease 3 – 4 days in advance

Email reminders where no phone numbers are valid

Printing of daily reports of region/store activity

Daily close out/balancing of cash drawer with reports

Screening of calls for proper routing

1/2016 – 12/2016 Cottage Home Care

Hicksville, NY

Position: Administrative

Handled onboarding paperwork for all new Home Health Aides

Trained and conducted daily orientations.

Set up Aids with drug and background screening.

Review and entered new aids information into the computer.

Experience in Customer Service, Clerical and Data Entry.

9/2015 - 1/2016 Staffmark Staffing Agency

Hicksville, NY

Position: Contract Temp Worker

Customer Service, Receptionist, Data Entry, Picking and Inventory

Assigned to various industrial locations such as Nordstrom Rack,

Marchon-VSP, E One Entertainment and Allure.

9/2015- 1/2016 Partners In Care

Hicksville, NY

Position: Certified HHA (Home Health Aide)

Assigned to various patients to provide care

In the patient’s home insuring the patient dignity.

8/2014- 11/2014 Mobile Health

New York, NY

Position: Seasonal Customer Service Representative

Appointment setting for various agencies for their new and

Existing employees for pre-employment and annuals.

2/2014- 6/2014 Maxim Staffing assigned to Amerigroup

Location of assignment: New York, NY

Position: Utilization Management Specialist II

Assigned to request clinical documents for review by

OB/NICU nurses for payments.

12/2011 - 4/2012 RCM International Technologist assigned to Centerlight

Location of assignment: Bronx, New York

Position: Medical Management Specialist

Authorization of request for services such as hospital admissions, clinic visits (in and out-of-network), MRI, Podiatry, as well as request based on Milliman Guidelines

4/2012 - 11/ 2013 CenterLight Health Care

Bronx, NY

Hired from RCM as permanent employee

7/2010-2/14/11 New York Hospital of Queens-Dept. of Ortho/Rehab

Flushing, New York

Registrar/Receptionist

Scheduling of Physical Therapy patients for initial evaluation and

Follow-up appointments. Pre-Registration of Ortho patients for 4

Ortho doctors as well as registration of new patients for x-rays

Before initial visit. Printing out of new patient information for

Confirmation. Verification of all insurance via Eagle System such

As Aetna, Oxford, MagnaCare, WellCare, Medicaid, Medicare,

GHI, Empire Blue Cross and Blue Shield, Medicaid HMO’s. Notify Administrative Assistant for the Ortho doctor when insurance plan of the patient has been terminated. Retrieving of messages for the Ortho doctors and therapist.

12/6/04-7/2/10 AFFINITY HEALTH PLAN, Bronx, New York

Medial Management Coordinator/ Transportation

Coordinator-CS Level 1 Medical Management

Entry of all requests for pre-authorization for services such as

Elective Admission, ER Admission, Office Visits, PET Scan,

Cardiac Cath, Prenatal/Postpartum Visits, Transportation, DME

And Ortho Supplies, P.T./Ortho Visits with reminders created

Based on Milliman Grid to the RN Case Manager. Data Entry of

HRA (Health Assessment) received daily into MMCS for each

Member with notification to Prenatal and Asthma to Healthy

Initiatives COS’s . Setting up transportation for members who

Qualify for transportation via ambulette or car service.

7/02-2/04 SUNY Downstate Medical Center Dept. of OB/GYN

Brooklyn, NY

Receptionist/Biller/Account Collector

Used Medical Manager Software program. Collection of all co-

Pays and co-insurances for all OB/GYN patients in the clinic area.

Billing of insurances for office visits, Sonograms normal vaginal

Deliveries and C-Sections to all insurances such as Oxford, Aetna,

GHI, Empire Blue Cross and Blue Shields, Medicaid, and

Medicare. Scheduling appointments for interviews for outstanding

Bills with patients with outstanding balances to set up payment

Arrangements.

5/01-7/02 Mt. Sinai Medical Associates -Division of Mt. Sinai of

Manhattan, Rego Park, NY

Medical Administrative Assistant

Scheduling of OB/GYN patients for regular visits and for

Procedures such as LEEP, PAP Smears, Mammograms,

Ultrasounds and Colposcopy. Collection of co-payments and co-

Insurances. Verification of insurance prior to the patients visit.

10/99-2/01 St. Mary’s Hospital for Children -Division of St. Mary’s

Hospital of Queens, Yonkers, NY

Patient Service Coordinator

Scheduling of services of Pediatric patients for LPN, RN, HHA,

PCA and HMK. Auditing of all Professionals vendors monthly

Maintaining of logs of vendor profiles and communications for

Services requested and rendered

7/97- 6/99 Americare Certified Special Services-Division of Americare

Certified Special Services of Brooklyn, Yonkers, NY

Biller/ Office Manager (2/98-6/99)

Billing of services rendered by LPN, RN, PT, OT, SLP SW for

150-375 patients for Geriatrics, Pediatrics and Maternal Childcare

Preparing projects and reports for two RN supervisors

Setting up for events such as Open House to introduce services to

Yonkers area. Setting up interviews for RN supervisors.

Ordering of supplies.

Community Nursing Scheduling Coordinator (7/97-2/98)

Scheduling of RN and LPN services throughout Manhattan, Bronx,

Brooklyn and Queens. Filing of notes for RN and LPN

Filing of MD orders for request and signed by MD for services to

Be rendered.

ADDITIONAL HISTORY

3/2010 to Present CHURCH ALIVE COMMUNITY CHURCH,

Bronx, New York

Event Coordinator/Administrator

Currently planning all events of the church such as Monthly

Friends & Family Sunday, Bronx Church Day yearly, Angel Tree,

Pastoral Banquet yearly, Church Anniversary yearly, Bake Cake

Sale monthly, Health and Wellness Events with inviting of

Healthcare providers, screening for Diabetes, Eye Exam, Prostrate

Cancer, Insurance Seminars, Tax Seminars, Food Package

Seminars. Setting up calendar for Bishop Rev. Birkett.

Attending major summits for the church on health and food issues,

Insurance issues. Knowledge of all insurances such as Oxford,

Aetna, GHI, Empire Blue Cross & Blue Shields, MagnaCare,

WellCare, Medicaid, Medicaid HMO’s, Medicare for the residence

in the building surrounding the church.

EDUCATION HISTORY

8/2015 Partners In Care Core Training

Certified Home Health Aide

7/2005 ICD-9 Coding Course OLOM SP Health Data Services & Education

Our Lady of Mercy Medical Hospital, Bronx, NY

5/2001 IDX Training/Data Entry Patient Scheduling

Mt. Sinai Medical Center, New York, NY

5/01-6/01 Medical Terminology

Bronx Community College Adult Education Program, Bronx, NY

11/94-1/95 Chiropractic Assistant Degree Program

American Chiropractic Academy

Certificate: Chiropractic Assistant

11/71-1/73 Nursing Assistant/C N A Home Study Program

Lafayette Academy, Rhode Island, NY

Certificate: C N A /Nursing Assistant

9/66-6/69 Walton High School, Bronx, NY

Major: Nursing, Minor: Music

General Dipolma

EDUCATIONAL SKILLS

Medinotes/Peak Practice

Eagle System/Data Entry

Medical Management Data Entry AMISYS/CCMS

Patient Scheduling

Medical/Home Care Billing

Medicaid/e-Paces Scanning ICD-9-CM/CPT Coding Billing

ACHIEVEMENT:

July 2010

Recipient of the 2009 President Barak Obama Lifetime Volunteer Award

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