Customer Service Representative

T R A C I A D A M S

************@*****.*** C: 206-***-**** 21012 123rd ST CT E, Bonney Lake, WA98391 Summary

I have spent my entire professional life in the medical field. I got my start in home health care where I worked for several years and developed my passion for this industry. I received my MAA certificate from Bryman College and graduated with honors. Since then, I have taken on the roles of Customer Service Representative, Reimbursement Specialist, Billing Specialist, Billing Manager, Office Manager, and currently Scheduling Manager. I am now looking for the opportunity to further my education and my career in the medical field. I am excited to show you what I can do. Skills

• Statement Billings

• Computer proficient

• Quick learner

• File/records maintenance

• Training and development

• Creative Problem Solving

• Weekly Payroll

• Customer Service

• Customer Needs Assessment

• Organization

• Interpersonal and Communication

• Working with insurances to get claims paid

• Active listener

• Insurance and patient payment posting

• Credentialing Providers

• Interviewing possible new hires

• Hitting goals

• Communication

• Proficiency in Brighter, CUBS, Pac ware, EMR, and Kareo

• Sales

• Proficient in Microsoft Office

• Proficient in Excel

• Medical terminology knowledge

• Current Procedural Terminology (CPT)

• Billing and coding

• Insurance eligibility verification

• Scheduling

• Inventory

• Ordering stock

• Prioritization

• Time management

• Decision Making Skills

• Claim denials

• Shipping

• Motivating the team

• Running reports when appropriate

Experiences

11/1/2022- current

Performance Home

Medical

Scheduling manager

• Manage a team of 5.

• Interview and Hire.

• Run weekly meetings.

• Write 90 day and annual reviews.

12/6/21-6/30/22

Northwest

Center

3/2019-4/2021

PMSI (Pacific Medical

System INC)

12/2018/ 03/2019

COMMUNITY HEALTH

PLAIN

• Take disciplinary actions when needed.

• Ran reports to help meet team’s goals.

• Deal with customer complaints.

• Put SOP together for training.

• Filled in for team members with absences and short staffing.

• Terminate employees if needed.

• One-on-one to help keep my team on track.

• Communicate with team members to find areas of improvement. Lead Biller/Provider Credentialing

• Billed out all claims to be paid and worked all denied claims for payment.

• Helped transfer to new system and trouble shoot any issues.

• Credentialed Providers so we could ensure payment.

• Investigated denied claims to get them paid.

• Added new Patients into the system.

• Applied all payments from patients and insurances.

• Added new Providers into the system.

• Added new insurances into the system.

• Worked out of 6 to 10 sites at the same time.

Officer Manager/Medical Biller Supervisor

• Billed out all claims to be paid and worked all denied claims for payment.

• Took all calls from patients with questions about their bills.

• Ordered stock for the office and showroom.

• Received all orders.

• Worked with employees to ensure all needs were met.

• Sent out statements to the patients each month.

• Billed out claims and worked the denied ones to ensure payment was received.

• Kept an accurate inventory count.

• Ordered stock for the office and showroom.

• Supervised 8 employees.

• Interviewed potential new hires.

• Trained new employees.

• Created new patient accounts.

• Kept existing patient accounts up to date.

• Contacted providers to discuss status of rebilling and reimbursement process to ensure account resolution.

• Communicated with contractors and vendors to place and receive orders, request maintenance services, and deliver instruction on behalf of office management. Customer serves Rep.

02/2011 - 02/2012

Walgreens Infusion

and Respiratory

Services

Seattle, WA

Reimbursement Specialist

• Organized, updated, and maintained over 200 patient charts.

• Verified and entered necessary information such as compliance downloads, follow up care, and insurance qualifications into the patient management system.

• Coordinated with doctors and registered nurses to develop care plans for patients.

• Maintained the safety, respect, and dignity of residents.

• Maintained up-to-date knowledge of applicable state and Federal laws and regulations.

• Utilized strong assessment skills to determine necessary patient care.

• Educated patients about their treatments.

• Evaluated accuracy and compliance of all documentation and reports. 11/2012 – 11/2018

American Medical

Rental & Supply

Tacoma, WA

• Managed multi-lined phones.

• Helped patients update info in their accounts.

• Helped the patients understand coverage.

• Helped patients with any problems they might have.

• Created and kept patients’ accounts up to date.

• Helped providers with patients’ coverages.

Office Manager

• Managed the receptionist area, including greeting visitors and responding to both telephone and in-person requests for information.

• Supervised 8 employees, hiring, and ensured compliance with state and federal regulations.

• Generated invoices processed payments and prepared deposits and part of financial operations oversight.

• Oversaw office inventory.

• Restocked supplies and prepared purchase orders.

• Maintained current knowledge of health records system and trained new employees on correct usage.

• Submitted diagnosis and procedure codes for insurance companies.

• Collected information, verified insurance, and collected co-payments for patients.

• Managed incoming and outgoing calls for busy medical office.

• Contacted insurance providers to verify correct insurance information and provide authorization for proper billing codes.

• Contacted providers to discuss status of rebilling and reimbursement processes to ensure account resolution.

• Communicated with contractors and vendors to place and receive orders, request maintenance services, and deliver instructions on behalf of office management.

• Downloaded information of patients c-pap SD cards. 01/1999 - 10/2016

COPES

Lynnwood, WA

Home Caregiver

• Monitored clients' progress to report necessary changes.

• Developed strong and trusting rapport with each client to facilitate best care possible.

• Transported client to doctor's appointments and to complete other related errands.

• Supervised frequent activities such as medication and personal hygiene to ensure safety.

• Completed data entries in charts and logbooks to document clients' progress with accuracy.

• Processed and tracked medical insurance claims.

• Screened telephone calls and inquiries and directed them as appropriate.

• Ran errands, including grocery shopping as well as filling and picking up prescriptions and dry cleaning.

• Checked mail, shopped for groceries, and handled bill payments.

• Handled incoming and outgoing correspondences, including mail, email, and faxes.

• Organized personal and professional calendars and supplied reminders of upcoming meetings and events.

• Took care of personal needs.

• Supported patients with transferring in and out of bed or a chair, getting dressed, taking a bath or shower, using the toilet, shaving/grooming and eating.

• Assisted with medication management.

• Monitored chronic health conditions, such as diabetes, sleep apnea, congestive heart failure, MS and Alzheimer’s disease.

Education and Training

2004

Seattle, WA

Diploma in Medical Administrative Assistance

Anthem College - Bryman School

Completed coursework in Medical Administrative Assistance with Honors. Verification of OSHA blood/airborne pathogens protective practices. Certificate for HIV/AIDS education. Continuing Education

• 2000-Fundamentals of Care Giving 2004-AIDS/HIV Certification

• 2001-Hepatitis Training 2004-HIPAA Certification

• 2002-CPR,Blood Pressure, and First Aid 2005-Medical Potpourri

• 2001-Hepatitis Training 2006-Mental Health

• 2004-Diabetes Training 2007-It Could Be A Disaster

Contact this candidate