Customer Service Call Center
Resume:
Candace McClelland
Valdosta Ga,
**********@*****.***
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.
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