Customer Service Medical Office

Ethel Wilkins

*** ******** ****** ********, ** 72360 ****************@*****.*** 870-***-****

PROFESSIONAL PROFILE

Customer service oriented professional with 9+ years of healthcare industry experience who is able to coordinate workflows and communicate effectively with co-workers, patients and staff. Follows policies, procedures, and guidelines to ensure quality. Maintains and safeguards patient privacy and confidentiality.

Good time management, adopting a flexible approach to work.

Demonstrates independent work initiative, sound judgment, and attention to detail.

Experience with Greenway; MS Excel, Word, and PowerPoint; IDX Medical Software; Typing Speed: 32 WPM.

Honors/Awards: Ultimate Medical Academy Dean’s List, 2018.

KEY QUALIFICATIONS

Accounting, Payroll, and Banking Systems Healthcare Law HIPAA Compliance Charting Filing Practice Structure

Processing Co-Payments Human Resource Management Organizational Improvements Appointment Scheduling Insurance Billing Procedures CMS1450 UB04 CMS1500 Healthcare Claim Cycle Insurance Verification

Interpersonal Professional Communications Business Office Operations Medical Office Procedures Medical Practice Management Systems Leadership & Management Medical Terminology Anatomy & Physiology

EDUCATION

Ultimate Medical Academy Associate of Applied Science in Healthcare Management, 2018

Vatterott College Associate of Occupational Studies Pharmacy Tech, 2010

Vatterott College Associates of Occupational Studies Medical Office Assistant, 2003

Vatterott College Associates of Occupational Studies Medical Assistant, 1998

R1 Forrest City Medical Center-Forrest City,AR 03/2020-09/2023

Patient Access Representative

Enter patient’s information in the system in the Emergency Department

Verify insurance

Collect payment

Complete pre-registration and registration process for procedures

Answer phones and direct calls to departments

Communicate effectively with Doctors and Nurses and other staff in the Emergency Department

The New Millennium Homecare, LLC - Stuttgart, AR 05/2018 - Present

Home Health Aide / Team Lead

Assess patients and develop plans of care in accordance with benefit guidelines

Coordinate and monitor home care and other interventions to ensure quality and cost effectiveness.

Identify and provide appropriate services to patients at risk, with focus on elderly and emotionally disabled.

Collaborate actively with physicians, providers, and members to develop, evaluate, and document care planning.

Chart review of Medicare patients for appropriateness of admission and proper utilization of hospital services.

Elite In-Home Care, LLC - Forrest City, AR 05/2014 - 03/2018

Home Health Aide / Team Lead

Checked vital signs, assisted with activities of daily living - personal hygiene, mobility, exercises, and feeding.

Handled light housekeeping duties, prepared meals, and ran errands.

Completed daily logs documenting patient condition, changes in behavior, and activities.

Golden's Adult Daycare - Forrest City, AR 09/2012 - 05/2014

Home Health Aide / Team Lead

Assisted individuals with rehabilitation and exercise maintenance programs after being in the hospital.

Planned and prepared meals and provided light housekeeping duties.

Helped with ambulation and personal hygiene.

Provided assistance with self-administered medications.

Ran errands and transported to medical appointments.

United Healthcare - Kansas City, MO 07/2007 - 07/2010

Customer Service Representative - Call Center

Checked to ensure that appropriate changes were made to resolve customer problems Intake data information request for prior authorizations prescriptions and adjudicating claims for prescriptions sent request to doctor office for new prescriptions to be placed on file

Conferred with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints

Determined charges for services requested, collect deposits or payments, or arrange for billing

COMMUNITY OUTREACH

Elite In-home Care LLC - Forrest City, AR 08/2017 - 08/2017

In-home Health Aide Team Leader

Set up the back to school supplies for the back to school rally.

Counted the supplies we had on hand to give away.

Passed out the back packs to the community.

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