Post Job Free

Resume

Sign in

Customer Service Medical Insurance

Location:
Pinckney, MI
Posted:
February 10, 2024

Contact this candidate

Resume:

*

Aneita Fallot

ad3i6s@r.postjobfree.com

Hamburg, Michigan 48139-0576

Cell 810-***-****

Objective: To obtain a position at a business / medical facility utilizing my customer service skills. Education: Ross Medical Education Center Brighton, Michigan Medical Insurance Billing and Office Administration Program May of 2010 Course Content

Microsoft Office Applications

CPT and ICD-9-CM Coding

Medical Insurance Billing

Financial Recordkeeping

Patient Scheduling Medical

Asepsis/Infection Control Anatomy

and Physiology

Medical Office

Management/Procedures

Medical Terminology

Medical Law & Ethics/HIPAA Records

Management

Experience:

Trinity Health – Ann Arbor - Patient Service Rep - Wound Care Clinic Ann Arbor, MI

• Answer & direct all calls and assist with requests. 08/07/23 to present

• Schedule appointments, make charts, assist nurses, providers & providers.

• Verify demographics & insurances. Scan documents, & insurance cards.

• Fax documents to Wound Care Suppliers & Home Care Providers.

• Work Referral queues by calling patients and scheduling appointments.

• Check patients in & out of the clinic. Process payments.

• Directing patients to other locations in the Hospital.

• Above all, the ability to handle client and organizational information in a confidential manner. EDSS – Energy Design Service System Whitmore Lake, MI Facility Coordinator 2021 to 06/23/2023

• Received and entered Work Orders from CBRE – fmPilot2.

• Selected Electrical Contractors for the Work Order. Maintained Contractors Registries by obtaining W9’s and Certificate of Insurance.

• Created Job Procedures. Created Invoices in CBRE – fmPilot2.

• Assisted the COO and Facility Manager in the office with creating Excel spreadsheets.

• Above all, the ability to handle client and organizational information in a confidential manner. Lepper & Company – Tax, Accounting & Payroll Services - Administrative Assistant Pinckney, Michigan 2019 to Dec 18th, 2020

• First point of contact for the office. Managed all calls, assisted Tax Professionals, Accountants

& Payroll Specialists by creating Excel spreadsheets for client expenses and scanned documents. Printed checks and garnishments. Scheduled and confirmed appointments.

• Ordered office supplies. Administrator for Ring Central Phone System. Created procedures for this position as well as the following software: CCH – a Wolters Kluwer tax software, Citrix ShareFile, and Ring Central. Reviewed and responded to five different email accounts.

• Maintained client information in paper filing system. Conducted Accounts Receivable calls, opened mail, sent certified letters, and conducted other correspondence using Microsoft Word.

• Above all, the ability to handle client and organizational information in a confidential manner. 2

Aneita Fallot

ad3i6s@r.postjobfree.com

Hamburg, Michigan 48139-0576

Cell 810-***-****

Page 2

IHA Pinckney Family Medicine Pinckney, Michigan

Medical Receptionist 2015–2019

• First point of contact to the office. Friendly, courteous, and helpful.

• Answered telephone, assisted patients and external physician’s office when necessary.

• Scheduled and confirmed appointments, assisted patients with medication refills, tasking request to the medical staff. Verified insurance, contacted patients, if necessary, per office protocols.

• Checked patients In, obtained necessary patient registration information, and notified clinical staff of patient’s arrival.

• Created Referrals to specialty offices and check out of patients collected payments and ensured that charges are posted to the billing system.

• Scanned items into the patients’ medical chart.

• Above all, the ability to handle patient and organizational information in a confidential manner. St. Joseph Mercy Hospital – Claims Processing Ann Arbor, Michigan Medicare Claims Processing 2014-2015

• Reviewed all primary and secondary claim files to insure a clean claim to the insurance payers.

• Ensured efficiency, accuracy and accountability of information and data.

• Performed claims processing functions in a timely and accurate manner. Adding modifiers to claims, verifying diagnosis, checking “superbills” for accuracy when in question.

• Ran following reports to ensure correct data entry and fix billing errors prior to transmission.

• Adding necessary information to claims to complete them, i.e., referring doctors, and billing them to the appropriate insurance companies.

St. Joseph Mercy Hospital – Livingston Howell, Michigan Patient Financial Services Representative 2010 - 2015

• Interviewed patients and gathered information to assure accurate and timely claims submission.

• Aided other Health System or physician offices staff regarding registration information and procedures.

• Determined appropriate payment required at point of registration (deposits, co-pays, minimum charges, and non-covered services. Collected payment at time of registration or check-out. Contacts patients to pre- register prior to clinical services.

• Verified insurance coverage for selected services to facilitate cash collection.

• Assisted patients or physician office staff by referring to the appropriate sources of information. Identifies opportunities to improve the quality of registration, billing, or verification procedures.

• Provided patient instructions, directions, and assistance.

• Explained accounts to patients, translating billing to patient understanding.

• Maintained the confidentiality of information acquired pertaining to patient, physicians, employees, and visitors to St. Joseph Mercy Hospital. Discusses patient and hospital information only among appropriate personnel in appropriately private places.

Proficient in the following Microsoft Applications:

• Word Excel Access PowerPoint Publisher Outlook Note More Job Experience available on request.



Contact this candidate