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Third Party Customer Service

Location:
Philadelphia, PA
Posted:
October 17, 2023

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Resume:

MICHELLE DEWS

*** * **** ******

Philadelphia, PA 19139

ad0fkq@r.postjobfree.com

856-***-****

OBJECTIVE

Seeking employment in an organization where I can grow professionally and further enhance my skills, knowledge and experience.

SUMMARY OF SKILLS AND QUALIFICATIONS

Planned and facilitated the scheduling of cardiac MRIs through the department of Radiology catheterizations and surgery procedures

Skilled in hospital patient registration policies and procedures

Verified and entered demographic, insurance, and referring physician information for all patients

Obtained insurance precertification, benefit and referral verifications using Navinet and Emdeon

Performed administrative duties including appointment scheduling, faxing, filing, scanning documents and handled multi line phone systems

Completed telephone pre-registration for all new patients scheduled for outpatient specialist visits

Interviewed patients and guarantors to obtain information to screen for financial counseling, verifying eligibility corresponding, benefit levels, coordinating referrals and obtaining treatment authorizations.

Collaborated and scheduled conferences with staff, committees, projects and teams to discuss institutional goals

Knowledge of ICD 9 and CPT coding for billing purposes

Processed registration and or billing forms for specialty programs

Familiar with Medicare and Medicaid policies and procedures

Familiar with Medical terminology and HIPPA law requirements

Skilled in handling insurance company’s rejections, prior authorizations and pre-certification claims

Entered daily billing encounters, patient charges and third-party billing, and copayments

Processed account receivables and posted charges

Maintained an accurate and easily accessible record of account/ billing information

Computer literate with knowledge of various software applications including Microsoft Office-Word, Excel, Outlook, Power Point, IDX, EPPIC, Navinet, WebMD and Emdeon

Always demonstrated a professional courteous demeanor

Provided the highest level of service to patients, families, physicians, and other medical colleagues

EXPERIENCE

9/2016- Present Temple University Hospital Philadelphia, Pa

BMT Transplant Coordinator

10/2009 – 1/2015 Main Line Medical Upper Darby, PA

Customer Service Representative

08/2007 – 08/2008 Nova Care Lansdowne, PA

Front Desk Clerk

10/2004 – 08/2006 The Children’s Hospital of Philadelphia Philadelphia, PA

MRI Scheduling Coordinator

11/2001 – 10/2004 The Children’s Hospital of Philadelphia Philadelphia, PA

Patient Service Associate/ Patient Registrar

EDUCATION

2016- Present Chestnut Hill College Philadelphia, PA

Business Healthcare Administration

1998-2000 Community College of Philadelphia Philadelphia, PA

Associate Degree, Business Administration

1992-1996 John Bartram High School Philadelphia, PA

Diploma

References available upon request



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