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Customer Service Administrative Assistant

Location:
Fort Lauderdale, FL
Salary:
27 Hourly
Posted:
March 09, 2024

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Resume:

George Dalton Conner III

Fort Lauderdale, FL

*** ** *** ****** *** 629

682-***-**** ad373t@r.postjobfree.com

●Performs verifications and authorizations

●20 years customer service experience

●Answered phones and scheduled appointments for new and established patients

●Experienced in Medical Billing/Coding, Medical Terminology, Medical Law and Ethics, Medical Office Management, EMR, CMS 1500 claims, ICD-9/10 Coding, CPT

●Familiar with Microsoft Word, Outlook, Excel, All Scripts, Assistant - Software

●Flexible to accommodate daytime schedule

●Available to interview immediately and start as scheduled, Time off - Nothing currently planned

PROFESSIONAL EXPERIENCE

Department of Veterans Affairs Miami, Florida

10/2023 - Present

Medical Administrative Assistant

●Responsible for scheduling new and returning patients for their clinics.

●Responsible for checking insurance coverages.

●Responsible for reviewing reports to make sure patients are set up or have been checked in for billing purposes.

AllCare Plus Pharmacy Remote Position

07/2022 - 05/2023

Verification Specialist

●Responsible for verifying patients insurance to insure plan covers high end medications. Set up authorizations as well.

Gap in Employment Due to Covid-19

05/2020 - 06/2022

Integrative Emergency Services Dallas, TX 03/2020 – 04/2020

Chart Coordinator

●Responsible for communicating with providers to obtain missing chart information needed to process for billing.

●Verified and submitted medical records with correct info to submit for processing of claims.

●Maintained quota completion of 150 charts daily (when applicable), working with various outpatient facilities, urgent care and emergency rooms.

Surgical Care Affiliates Irving, TX

05/2019 - 02/2020

Verification Specialist

●Manage multiple surgical centers in providing verification of insurances and authorizations.

●Checking deductibles and out-of-pocket costs that affect the patient’s procedure.

●Offer financing options such as Care Credit and payment options.

USPI / United Surgical Partners Inc. Frisco, TX 08/2018-05/2019

Pre-certification/Verification Specialist

●Verifying active insurance and completing authorizations process.

●Checking deductibles and out-of-pocket costs that affect the patient’s procedure.

●Reaches out to patients with financing options such as Care Credit and payment options.

●Answering voicemails via precertification line with patients requests to receive estimates for their out-of-pocket costs.

Baptist Medical Center - Jacksonville, FL 04/2017-06/2018

Authorization Specialist

●Responsible for verification of insurance to make sure patient is cleared prior to outpatient or inpatient procedures

●Provided prior-authorization information into Baptist Medical Center’s systems.

●Verified insurance information insuring all is ready for submission to claims

●Ensured proper carrier code was associated with the correct insurance type for claims processing

●Manually pre-registered patients when the facility did not set up appointment.

Florida Retina Institute - Jacksonville, FL 05/2015 – 03/2017

Injection Coordinator

●Assisted with verifications and authorizations insuring injections are covered.

●Provided funding assistance for those patients’ whose primary insurance didn’t cover at 100%.

●Coordinated delivery with various specialty pharmacies for injections.

GapEmployment MilitaryAssignment 01/2015 – 04/2015

Jacksonville Electric Authority - Jacksonville, FL 03/2014 - 12/2014

Customer Care Consultant

●Accessed customer accounts and navigated through all JEA systems and account screens to resolve all customer concerns

●Performed starting of service for new or returning customers by entering new account information and worked with Experian to determine deposits required

Pulido Lung Clinic - Jacksonville, FL 06/2013 – 02/2014

Medical Coder/Biller

●Processed all billing claims with the proper diagnosis (ICD-10) and procedure (CPT) codes for patients at Pulido Lung Clinic, Memorial Hospital, St. Vincent’s Hospitals and Southlake Rehabilitation Center Verified all insurances were active

Gap in employment – Relocation / Education 09/2012 – 05/2013

Military / US Navy - Pearl Harbor, HI 1988-1995

Satellite Communications and Intelligence Logistics and Supply support

●Worked with Naval Supply Pearl Harbor, HI assisting in loading and unloading supplies for various naval supply vessels and other maritime ships

●Assisted in verification of each item loaded or unloaded to each vessel

Norfolk,Va 1992-1995

●Experience in satellite communications dealing with operation of satellite equipment and HF communications as well as the maintenance of each piece of equipment

●Top secret security clearance

EDUCATION

Everest University - Orange Park, FL Oct 2012 - Jun 2013

Naval School - San Diego, CA

Aug 1988 - Jan 1989



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