Medical Assistant Customer Service
Resume:
Candace Benton
Hampton, GA ****8
*******.********@*****.***
Objective:
Dedicated professional seeking a position to be a team player, working for a reputable company for further growth and development to become an asset to your company.
Education:
Everest University
Jacksonville, FL
Medical Assistant Program
Mar 2010-May 2011
1GPA—4.0
Clinical and Administrative Skills:
Vital signs
Injections
Venipuncture
Phlebotomy
Aseptic/Sterile Techniques
EKG
ICD-9andCPTcoding
Medisoft
Electronic Appointment Scheduling
Patient Triage
Diagnostic Laboratory Procedures
Microsoft Office
HIPAA /OSHA Compliant
First Aid/ CPR certified
Work Experience:
Delta Dental
Alpharetta, Ga
Apri 2020- Present
Communication eligibility, Benefits, claims policies and procedures
Document each customer encounter and resolution in appropriate computer tracking system
Expediently Access reference materials to analyze and determine appropriate responses to telephone, electronic, and written inquires
Forward claims as necessary based upon findings.
Identify, report and document system discrepancies
Accurately complete online/hardcopy forms and routes to appropriate department
Meet and maintain production standards, counts, and inquiry response turnaround times
Utilize contract tracking functionality to follow up on calls to ensure resolution is achieved within agreed upon standards
Provide support to other departments as directed. Perform miscellaneous duties as assigned, and participate in training programs.
Delta Dental/TRC staffing
Alpharetta, Ga
Customer Service Rep
November 2017-Apri 2020
Communication eligibility, Benefits, claims policies and procedures
Document each customer encounter and resolution in appropriate computer tracking system
Expediently Access reference materials to analyze and determine appropriate responses to telephone, electronic, and written inquires
Forward claims as necessary based upon findings.
Identify, report and document system discrepancies
Accurately complete online/hardcopy forms and routes to appropriate department
Meet and maintain production standards, counts, and inquiry response turnaround times
Utilize contract tracking functionality to follow up on calls to ensure resolution is achieved within agreed upon standards
Provide support to other departments as directed. Perform miscellaneous duties as assigned, and participate in training programs.
Altegra Health
Alpharetta, GA
Onsite Chart Acquisition Specialist/ Invoicing Payer
March2014- October 2016
Always presenting provider's office staff and copy staff with the most professional and quality customer service care.
*Maintaining quality assurance scores no less than 85%and call count no less than 80 calls per day outgoing
*Contacting various providers and copy service centers to request chart copies for the Hedis and PIA reviews
*Verifying the invoice is within health plan limits
*Data Entry information in for payment processing
*Verifying all member/patient information using HIPPA Compliance
*Faxing and mailing various request to medical facilities
*Collecting payment information from providers/copy centers such as tax id, billing address, etc.
*Completing various escalations using Microsoft word excel, outlook, and odis system
Hire Dynamics-Altegra Health
Alpharetta, GA
Wellness Specialist
January2014-March2014
Referred patients to their examinations and wellness visits
Responded to all the member inquiries thoroughly and professionally
Remaining professional and HIPAA Compliant
Contact this candidate