DENISE FRANKLIN

West Helena, AR *****

ad20ze@r.postjobfree.com

+1-870-***-****

I am seeking employment within the Healthcare Industry. I have 9 years of relevant work experience. My skills are catered to fit fast pace work environments. I have 2 years experience working remotely. My passion is to provide exceptional customer service as well as accurate and timely results. Working as apart of a team has helped me to elevate my oral and written communication. I am willing to learn, research, and relocate.

Work Experience

Health Concierge

Aetna, a CVS Health Company - Remote

January 2021 to Present

• Assist individuals, families, and small bussinesses with acquiring health,vision,life and dental insurance.

• Help members navigate enrollement process and choose appropriate options.

• Provide information such as copay and premium details, pre-approval procedures and available products.

• Resolve customer complaints using established follow-up procedures.

• Verify patient insurance eligibility and entered patient demographics in EMR system. Read and explain EOB

• Processes payments for check and credit cards.

• Rework claims

• Outbound calls to members, providers.

ER Registrar

Helena - Helena, AR

April 2015 to November 2022

• Answered telephone calls to offer office information, answer questions and direct calls.

• Called patient, families, other healthcare institutions

• Completed administrative patient intakes with case histories, insurance information and mandated forms

• Exceeded department set standards for productivity and accuracy.

• Insurance verification/availity

• Collected payments, scheduled payment plans.

Education

Medical Billing and Coding

University of Arkansas at Little Rock - Little Rock, AR 2022

Associate of Applied Science in Medical Office Management Phillips Community College of the Univesity of Arkansas - Helena, AR 2008 to 2011

Skills

• Customer support

Claims processing

Health insurance plan knowlege

Inbound and Outbound call management

Insurance verification

Interperting physician orders

Payment collection

Data Entry

• Medical Billing

• Medical Coding

• CPT Coding

• Medical Scheduling

• Office Management

• Medical Office Management

• Medical Office Experience

• Medical Terminology

• Transcription

• ICD-10

• Anatomy Knowledge

• Patient Care

• HIPAA

• Clerical Experience

• Medical Records

Contact this candidate