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Customer Service Call Center

Location:
Valdosta, GA
Salary:
16
Posted:
January 29, 2024

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Resume:

Candace McClelland

Valdosta Ga,

229-***-****

ad27ky@r.postjobfree.com

Education: DeVry University Keller Graduate School-2023. Certified Coding Specialist (CCS) AHIMA. Ultimate Medical Academy -2016 Associates of Healthcare Management, A.S Degree. High

School-2006 Coffee High School Diploma

Skills: Microsoft Office (Word, Excel, PowerPoint) Typing Speed: 38 words per minute. Administrative

Support, Executive Administrative, Epic, HIPAA, Customer Service, Call Center, Medical Office, Epic,

MedSuite, NexTech, HCS, Waystar

Certifications/Licenses: Leadership*Medical Terminology*HIPAA Compliance*Electronic Health

Medical Records*Insurance Billing Procedures*Structure Practicing*Healthcare Claim Cycle* Experience:

11/2023-BrightSpringhealth Behavioral Health - Still Employed

• Accounts Receivable identifying A/R and supervising physician

• Claim forms, Taxonomy, NPI, and Modifiers

• Identifying claims through Waystar,

• Denials, Resubmitting, Appeals

• Uses of portals (Tricare, Medicaid, UHC, BCBS, etc). 04/2023-09/2023 Valdosta Anesthesia Medical Biller & Coder

● Updating demographics

● Answering phone calls, scheduling appts, and insurance calls

● Faxing & mailing insurance claims

● Attaching documents/EOBs

● Coding and billing/sending to collections

● Medicaid and Medicare claims

● Taking Recurring monthly payments

● Reading Opt Notes/Progress Notes.

● Identified CPT Codes, Diagnosis codes

South Georgia Medical Center 11/2020 – 02/2023

Patient Access Rep/Hybrid Remote

● Updated demographics

● Transcribe X-ray and CT scans

● Accurately file documents in existing folders.

● Identified CPT Codes and HCPCS, ICD-10-PCS

● Lab Registration

● Administered medication and documented patient intake.

● Answer and direct phone calls taking detailed messages when necessary.

● Return customer phone calls providing sufficient answers to questions.

● Perform clerical work such as typing documents, printing, copying faxing etc. Entered data into designated databases and forms.

• Assist Care team with setting goals for quality assurance and best practices

Wilson Eye Center 02/19 – 11/19 Optician Assistant/ Hybrid Remote

● Sorted, organized, and maintained office records accurately.

● Accurately file documents in existing folders.

● Answer and direct phone calls taking detailed messages when necessary.

● Return customer phone calls providing sufficient answers to questions.

● Perform clerical work such as typing documents, printing, copying, faxing etc.

● Entered data into designated databases and forms, ordered glasses and contact lenses.

Atlanta Eye Center 01/16 – 06/18 Administrative Assistant

● Sorted, organized, and maintained office records accurately.

● Accurately file documents in existing folders. Billing and medical coding

● Answer and direct phone calls taking detailed messages when necessary.

● Return customer phone calls providing sufficient answers to questions.



Contact this candidate