Customer Service Insurance
Resume:
Tanisha White
Charlotte, NC 28214
***************@*****.***
Dedicated, compassionate, customer service-driven medical office professional with over
**-*****’ industry experience seeking position in the healthcare setting.
oExcellent data entry and patient interviewing skills.
oWorking knowledge of hospital based information systems including EPIC® Dimensions
oUnderstanding of patient confidentiality and HIPAA rules
oStrong organization and attention to detail
oOutstanding customer service and problem-solving skills
oAbility to remain calm and professional, even in emergency situations
oUnderstanding of medical terminology
oKnowledge of insurance plans; Medicare, Medicaid, and Managed Care
Jan 2008 - Present: Patient Services Specialist - Arboretum OB-GYN, Charlotte, NC
Provides support with the daily activities of a medical office including filing, telephone coverage, and appointment scheduling, registration, and customer service by performing the following duties:
Greets and assists customers, patients, and visitors
Verifies insurance and demographic information
Schedules appointments as needed
Performs point-of-service collections and patient co-payments
Assists with the front desk responsibilities
Answer phones, patient billing questions; obtain referrals and authorizations as needed
Examines patients’ insurance coverage, deductibles, co-insurance and remaining balances not covered under their policies when applicable.
June 2006 – Present: Patient Access Specialist – Novant Health Huntersville Medical Center
Performs bedside registration and collection of critical data necessary for proper patient identification and billing
Assure patient’s names or labels are attached to all pertinent forms.
Obtains appropriate signatures for the following: Hospital Consent to Treat, Assignment of Insurance Benefits, Notice of Privacy Practice
Interpret physician orders for appropriate testing or admission criteria
Obtains insurance card copies and validate insurance information via eligibility tool
Provides general customer service to patient and their families
Screens patients for potential Medicaid eligibility
Collects payments in full and assisted with financial arrangements as needed
Assists patients with billing issues and questions about insurance coverage
Completes the registration process for all ER patients and Outpatient Registration
Maintains an up to date knowledge of a wide variety of plans and insurance carriers
Consistently complies with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
Routinely collaborates with department managers to correct problems and improve services.
Follows emergency procedure policy, OSHA, Universal Precautions
Continually improves knowledge, skills and performance based on feedback and self-identified professional developmental needs
Works billing error queue to correct registration errors
Investigates and resolves customer inquiries and complaints in a timely and empathetic manner.
August 1988 – May 1992: Johnson C. Smith University, Charlotte, NC
Degree Awarded: BA Communication Arts
References Upon Request
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