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Data Entry Medical Billing

Location:
Saugus, MA
Posted:
February 01, 2024

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Resume:

RUTH BAPTISTE

Saugus, MA

781-***-****

ad3azs@r.postjobfree.com

OBJECTIVE

Seeking employment where I can apply my administrative and educational background.

EDUCATION

Bunker Hill College, Boston, MA September 2019 – May 2020

Medical Information Management

North Shore College, Danvers, MA September 2012 – December 2012

Basic Culinary Art

The Salter School, Malden, MA October 2008 – June 2009

Medical Billing Certificate

INAGHEI, Port-au-Prince, Haiti September 1997 - June 1999

Accounting Type I & II

LANGUAGES

English, Creole, French and Spanish

WORK EXPERIENCE:

Tuft Medical Center Community Care March 2021 - Present

Patient Agent Center

Answering patient’s calls in professional and courteous manner

Verified demographic information, insurance eligibility and update patient’s information

Scheduling patients for the right appointment type, canceled and rescheduled appointment

Transferring calls to the proper department

Assisting patients with prescription refill request, referral request or relaying information from either the patient to the providers or from providers to patients as requested

Registering new patient

Answernet, (Deloitte), Remotely November 2020 – Present

VAMS Help Desk Agent

Answer calls to support VAMS users with issues into VAMS website.

Create and escalate cases received by phone or by email to the IT department if issue cannot resolve in the first call.

Data entry by utilizing Salesforce (OKTA)

Make the follow up with the callers to make sure the issue was resolved and close the cases.

Answernet, (Deloitte) Department of Labor NY, Remotely September 2020 – November 2020

UI/PUA Call Center Agent

Answer calls to support New York unemployment insurance claimant and PUA.

Assist and answer questions for the claimants, check wages, open claims in another state.

Data entry by utilizing Mainframe (ScreenPop), finalize claims and transfer calls to the appropriate level

Fill out the tally sheet and the fraud survey when it is necessary

Nationwide Home Care Services, Medford MA December 2019 – September 2020

Office Manager

Coordinates staff meetings for administrative and clinical staff

Assures phones are answered in a professional and courteous manner

Takes referral information if nursing staff is unavailable and passes referral on to nurses

Ordering of medical, office supplies and forms

Managing the cleaning contract, biohazard pickups, shredding pickups

Distributes and receives employee surveys timely

Responsible of recruiting staff for the office by posting the jobs online

Organize orientation and training of new staff members

Ensure patient satisfaction

Assists in all activities that are required of the Administrator

Performs other duties as assigned

Comfort Keepers, Stoneham, MA July 2019 – December 2019

Scheduler/Administrative, Caregiver

Answer telephones and take messages or transfer calls

Produce and process schedules as they are requested by clients and staff member

Add, cancel or make changes due to clients and staff availability

Resolve any conflicts for staff and clients to make sure the shifts are covered

Organize files, email or mail schedule to staff member and clients

General clerical duties are including data entry, photocopying, filling, typing, scanning

Keep clients companion and help with their needs when there is a call out

The Gables at Winchester, Winchester, MA July 2015 – April 2017

Cook

Responsible to prepare meals for the residents, setting up and serving of meals as directed by chef on duty

Cleaning up after meals, table clearing

Getting to know residents and their interests

Prepare special diet and meals for the residents

Prepare special meals for facility events and party

Personal Cooking (Friend and Family), Medford, MA January 2013 - Present

Special diet guidelines, Healthy choice, scratch cooking, Recipe alteration and creative cooking

Owner at R & Y Billing Services, Medford, MA February 2014 – December 2018

Private Medical Billing

Bill Medicaid for two Health care companies (Fittings by Faith and Treasure of Hope), follow up with Medicaid to make sure the companies get paid on time.

Collabera, (HP) MASSHEALTH Account, Boston, MA November 2012 – December 2013

Provider Outreach Representative

Responsible for the delivery of communications between MassHealth and multiple provider-specific professional associations. Provides daily outreach and support to contracted MassHealth providers in areas of provider enrollment, medical claims submission and medical claims resolution. Develops and delivers education programs including new provider training, billing software training and program specific training. Serves as subject matter expert for MassHealth’s Provider Online Service Center (POSC) and Medicaid Management Information System (MMIS) both internally and with provider community. Partners with the Executive Office of Health and Human Services (EOHHS) and HP staff to develop and manage the implementation of programmatic and regulatory changes. Provides weekly analysis of EOHHS reports for purposes of identifying system issues and providers requiring outreach.

Hallmark Health VNA & Hospice, Malden, MA October 2011 – April 2012

Medical Record & Administration

Prepared medical record for new patients

Contacted patients to accurate insurance and demographic information

Data entry, filing and telephone coverage as needed

Mount Auburn Patient Financial Services, Watertown, MA May 2009 – August 2009

Health Claims Specialist Extern

Prepared patient refunds and adjustments, contacted insurance companies to verify claim status

Reviewed credit balance and explanation of benefits

Utilized Meditech software to review account balances, charges, and allowances

Data entry, filing, and telephone coverage as needed

Lord and Taylor, Burlington, MA June 2006 – August 2008

Area Sales Manager

Supervised seven sales associates

Merchandised and trained associates to meet and exceed company standards

Assisted customers with inquiries and purchases

Supervisor November 2005 – June 2006

Attended two-month seminar for Christmas department and merchandising

Handled customer service and display of Christmas decorations

Sales Associate March 2004 – November 2005

Assisted customers with purchases and answered customers’ inquiries, Handled cash and credit sales

Ministry of Economics and Finances, Port-au-Prince, Haiti August 2000 – January 2003

Accountant Administrative

Prepared all paperwork for payroll of 150 employees, Distributed all checks to provinces

ACQUIRED SKILLS:

Scheduler, Caregiver, Customer Service Representative

Cooking Techniques, Knife Skills, Food Safety, Sanitation

Management, Supervisory, Organizational, Customer Service

ICD-9 CM, CPT, HCPCS, CMS-1500

Medical Terminology, Anatomy & Physiology, Medical Health Insurance, Medical Law & Ethics

MS Word, MS Excel, MS Access, M Medical Transcription, Medisoft, Meditech, eRSP, Axxess, Mainframe (ScreenPop), VMware Horizon Client (VDI), Softphone (VCC), Salesforce (OKTA), EMR, Clearwave, Cisco, Jabber and Project Management (PM)



Contact this candidate