Customer Service Internal Medicine
Resume:
Attention to Detail
Medical Records Management
Customer Service
Representative
Accountability
Analytical Thinking
Microsoft Word/Excel
Time Management
Risk Assessment
HIPPA Compliance Certification
SKILLS
NANI – Revenue Cycle Inpatient and Dialysis Biller January 2022-Present
• Process census for dialysis and inpatient hospital billing for AKI and ESRD patients.
• Extract/bill Guarantor’s Health Plans(s) (Dialysis HD/HHD/PD & Inpatient Hospital Visits) nephrologist in Northwest Illinois/Indiana region. 90% billing accuracy.
• Provide internal and external customer service for providers/patient billing.
• Assist staff in PHI retrieval for Indiana/Illinois- Internal Medicine, New Jersey, Virginia, and other Regions for provider billing.
NANI – Revenue Cycle Inpatient Lead Biller
August 2019-December 2021
• Process census for dialysis and inpatient hospital billing for AKI and ESRD patients.
• Process nephrologist in Northwest Indiana region providers’ encounters through multiple medical healthcare insurance payors. 90% billing accuracy.
• Provide internal and external customer service for billing inquiries.
• Assist in PHI retrieval for Illinois- Internal Medicine, New Jersey, Virginia Regions for provider billing.
DocTalk Biller Specialist (NANI)
Addison Employment Agency/April 2019-July 2019
• CMS and secondary billing for assigned nephrologist in Northwest Indiana region. 90% billing accuracy.
• Provide customer service for patient inquiries.
• Assist in PHI retrieval for Illinois- Internal Medicine, New Jersey, Virginia Regions for provider billing.
Data Collector (Innovista)
Medix Employment Agency/December 2018-March 2019
• Assimilated and distributed Independent Physician Chicago (IPACO), Fox Valley, Kane ACO worksheet for patient’s annual health measure for diabetes
• Acquired electronic and physical documentation for annual HEDIS programs
• ACO Solutions provider application set-up
• Increased work completion by 33%
Field Technician
Ciox Health/May 2016-December2018
• Scanned medical charts at various medical facilities
• Uploaded scanned charts to corporate data center
• Followed guidelines and policies for retrieval of health information and ensure patient confidentiality
EXPERIENCE
Associate of Science Degree
Health Science
Ultimate Medical Academy
2017
Diploma
Medical Administrative
Assistant
Ultimate Medical Academy
2016
High School Diploma
General Studies
Martin Luther King
1974-1978
EDUCATION
Allied healthcare professional, Career Service, Customer Service Representative and, Centers of Medicare Services billing specialist. Apply effective and efficient communication strategy to accomplish the company’s vision and mission. Participate in team goals to execute and complete projects structured by the company’s contracts, policies, and procedures to assure consistent quality, and quantity of service for the client. A skilled professional that provides administrative support for all levels of management. Reached and connected in both public and private sectors. Countless awards ranging from career service to phone etiquette to event planner.
PROFESSIONAL PROFILE
********@******.***
Matteson, Illinois 60443
Audrey Smith-Brown
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