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Customer Service Data Entry

Location:
Richmond, TX
Salary:
17
Posted:
November 12, 2023

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Resume:

Chanell Johnson

Richmond, TX *****

ad02t8@r.postjobfree.com

+1-713-***-****

"Candidate Summary by Inficare Health"

• Chanell has over 10 years’ experience as Medical Billing /Collection Representative.

• She has Extensive experience with medical collection, Dialer, Self-Pay Collections, Front-end billing, Cash Payment posting, medical coding, ICD, ICD 9, Medical Scheduling, Insurance verification, reimbursement, Healthcare plans,Clerical Experience. Data Entry, Medical records, medical terminology and Customer service.

• She has done High School Diploma.

• Expert with Medicare, Medicaid Citrix and Epic EMR Systems.

• Excellent written and verbal communication skills.

• No RTO.

• Available for start ASAP.

Work Experience

Call Center Supervisor

Harris Health System - Houston, TX

October 2017 to April 2022

• Perform posting charges and completion of claims to payers in a timely fashion

• Convert dosages to billable units

• Submit billing data to insurance providers

• Work claims and claim denials to ensure maximum reimbursement for services provided

• Communicate directly with patients regarding their financial responsibility from services at Patriot

• Document all calls timely and accurately in the patients’ account in the billing system

• Establish payment arrangements per company policy

• Perform Medicare/Medi-Cal reviews and audits

• Implement, maintain and report on programs initiated by the practice

• Admin duties

• Scheduled shifts for patients

Center Coordinator / Medical Collection Rep

CB Laser Pain - Richmond, TX

July 2012 to April 2018

• Communicate directly with patients regarding their financial responsibility from services at Patriot

• Document all calls timely and accurately in the patients’ account in the billing system

• Establish payment arrangements per company policy

• Manage outstanding self-pay accounts and status for management

• Perform insurance claim follow-ups for insurance denials and appeals

• Contact insurance companies to check eligibility and benefits via phone or online portals

• Assist with other billing/collection duties, as needed Customer Service Specialist

Medicaid - Houston, TX

February 2002 to September 2011

• Familiarizing yourself with and remaining up-to-date with changes in our plans and tariffs.

• Greeting customers in a friendly, professional manner using the suggested script.

• Answering telephonic and e-mail inquiries in a timely manner.

• Deferring queries to your line manager if you are unable to answer them.

• Furnishing members and health care practitioners with details regarding members' benefits.

• Granting pre-authorizations for medical treatment, if covered.

• Advising members of outstanding co-payments.

• Providing extant and prospective members with the details of network providers.

• Canceling members' plans upon their request, or due to recurrent non-payment, if directed by your line manager.

• Ensuring that your workspace remains tidy and that you are equipped with all relevant tools and resources.

Education

Bachelor's in Nursing

Houston Community College - Houston, TX

October 1993 to August 2002

High school diploma

Jack Yates High School - Houston, TX

June 1985 to May 1990

Certificate in PTA

Houston, TX

Certificate in Laser Therapy Treatment

The American College - Texas

Certificate in Mental health

Allison

Skills

• Data Entry

• Medical Coding

• Medical Collection

• Cash Payment Posting

• Confluence

• Medical Terminology

• Customer service

• Multi-line Phone Systems

• Clerical Experience

• Medical billing

• Medical Records

• Insurance Verification

• Self-Pay Collections

• EMR

• HIPAA

• Medical Coding

• Claims verification

• Denial Management

• EMR Systems

• Medical Scheduling

• Medical office experience

• Electronic Health Records

• Telecommunication

Certifications and Licenses

AED Certification

LVN

CPR Certification

BLS Certification

Licensed Physical Therapy Assistant

Medical Coding Certification

Certified Provider Credentialing Specialist



Contact this candidate