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Customer Service Insurance Verification

Location:
Banning, CA, 92220
Posted:
December 01, 2023

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Resume:

MELISSA WAUGH

Banning, CA ***** 951-***-**** ad1mr1@r.postjobfree.com

Professional Summary

Dedicated hospital administrative professional proficient in organizing and verifying paperwork and insurance. Strong communication and problem-solving skills with a diligent and detail-oriented nature. Reliable with enduring confidence in public engagement, effortlessly maintaining professional and approachable demeanor. Efficient in managing patient registrations daily in fast-paced, customer-focused environment. Thorough calculator of pricing, refund processing and schedule organization to provide seamlessly accurate registration process. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Skills

Electronic Health Records Management

Computer and Phone Proficiency

Customer, Patient and Guest Service

Insurance verification, Authorization and

Payment Processing

Service Quality Standards

Document Review

Work History

Sales Contractor 08/2021 to Current

Builder's Supply – Palm Springs, CA

Consulted with customers to assess requirements, offer product recommendations and resolve any issues after sales.

Conducted daily follow-up calls to answer client's questions and manage sales process. Employed variety of sales practices to accommodate each customer's individual needs and overcome objections.

Conducted phone sales to highlight features, answer customer questions, and redirect concerns toward positive aspects.

Analyzed, audited and processed payments according to specialized orders on accounts for target customers.

Used strong customer service skills to develop loyal customer base, increasing repurchasing rate. Admitting Registrar 05/2012 to 10/2021

San Gorgonio Memorial Hospital – Banning, Ca

In a lead role, verified patient details and insurance coverage and collected co-pays. 7 years of insurance verification and authorizations work history. Registered patients for labs, surgeries and radiology. Arranged forms and charts for each patient.

Handled admission processes and discharge procedures to transfer patients from hospital to home care, extended facility and self-care plans.

Upheld HIPAA regulations and standards for protecting patient information. During COVID, provided coverage and support outside of my job function on a regular basis due to understaffed team.

Studied and researched various medical terms as well as software and coding systems. Medical Office Manager 05/2010 to 11/2012

Banning Urgent Care – Banning, Ca

Assessed processes and procedures, complying with OSHA, and HIPAA regulations. Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.

Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable. Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.

Organized and updated databases, records and other information resources. Teacher's Aide 08/2007 to 06/2010

Banning Unified School District – Banning, CA

Assisted teachers with supervision and care of group of 300 children at Central Elementary. Maintained safety and security by overseeing students in recess environments. Assisted teachers with classroom management and document coordination to maintain positive learning environment.

Supported student physical, mental, and social development using classroom games and activities.

Education

Certification: Anatomy And Coding 04/2009

Beaumont Adult Education - Beaumont, Ca

High School Diploma 06/1980

Banning High School - Banning, CA



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