Terrell L. Hudson

ad341p@r.postjobfree.com

Cell: 984-***-****

Career Summary

Self-motivated, reliable, results-driven individual, with proven leadership abilities and great interpersonal skills, seeking to contribute to an organization; Capable of working independently or as part of a team.

Skills

Excellent patient/customer service skills Computerized Medical Billing

Medical Terminology knowledge Knowledge of Microsoft Office Suite

Knowledge of HIPAA privacy standards Working knowledge of Medisoft

Able to verify and confirm insurance claims Medical Coding ICD 9/10 and CPT

Education

Central Career School, South Plainfield, NJ Graduated 2014

Medical Billing & Coding Specialist

Bloomfield College, Bloomfield, NJ Graduated 2002

Bachelor of Science: Business Administration & Computer Info. Systems

Professional Experience

CVS Remote Pharmacy Patient Services Representative Aug. 2022 - Present

CVS Omnicare Prescription Medicine Delivery Driver

*Answers all incoming patient phone calls regarding health information, benefits, and personalized member service-related inquiries.

*Utilizes resources to educate and assist patients in understanding components of the Aetna products including claims, accumulators, usage and balances, and cost sharing.

*Processes claim referrals, new claim handoffs, and escalates issues as appropriate through the system for grievances and appeals.

*Provide timely and accurate delivery of medication, equipment, products and supplies into long-term care facilities or patient’s homes.

*Prepares manifests and paperwork to correspond to appropriate nursing facility.

*Scans manifests into system for confirmation of delivery orders.

Merz North America, Inc.

Customer Solutions Agent April 2022 – July 2022

*Provided customer support for all inbound healthcare provider calls, utilizing problem-solving skills to understand

Issues and ensure prompt resolution in response.

*Received and processed order requests from customers via phone or email to accurately process orders within

established timeframes.

*Documented all customer interactions and maintained performance standards, including efficiency and quality.

Patient Services Representative

Change Healthcare Nov. 2021 – Jan. 2022

*Answered inbound calls in a fast-paced environment; handled difficult situations while maintaining quality customer service standards.

*Adhered to HIPAA, PCI, and Change Healthcare policies and procedures.

*Handled patient and healthcare provider inquiries associated with specific patient accounts, including identification,

vouchers, coupons, and resolution of billing discrepancies when reviewing the account.

*Responsible for resolving and appealing claim denials and rejections.

*Responsible for updating patient demographics and insurance information.

Medical Information Specialist Triage Agent

Alphanumeric Systems / Janssen Pharmaceutical Feb. 2020 – Oct. 2021

*Responsible for handling inbound calls, inquiries from consumers, patients, healthcare providers and

Providing resolutions to determine if and where the caller should be directed.

*Inputted data in iConnect software records for all inbound patient calls, inquiries, emails, healthcare

provider, and vendor information in a professional manner.

*Responsible for the fulfillment of handling emails, faxes, and written materials on Excel spreadsheets.

*Identified all adverse events, product quality complaints, settlement requests to triage the

appropriate team members.

Contact this candidate