Customer Service Medical Assistant

DENESHA HOPSON

*** *** ****** ** *******, GA***** 502-***-**** ***************@*****.***

PROFESSIONAL PROFILE

Well-rounded professional backed by retail and customer service experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies, procedures, and guidelines to ensure consistent quality. Maintain and assure patient privacy and confidentiality.

Customer service skills necessary to communicate effectively with patients and healthcare providers.

Work as part of a team and maintain a professional and positive work environment.

Pay close attention to detail for accurate and compliant documentation.

Certifications – CPR and First Aid.

Communication Platforms – Zoom, Skype, and MS Teams.

Microsoft Office Applications – Word, Excel, Outlook, and PowerPoint Type 72 WPM.

KEY QUALIFICATIONS

Medical Practice Management Systems Medical Terminology Medical Records HIPAA Compliance

Insurance Verification Insurance Claim Processing Reimbursement Processing Revenue Cycle Management

Medicare / Medicaid Government Payers Third Party Payers CPT & ICD-10 Coding Medical Billing

Medical Office Medical Administrative Patient Registration Data Entry

EDUCATION

Herzing University Associates Degree in Medical Assistant –Health Sciences Expected, 2024

Ultimate Medical Academy Diploma – Medical Office Billing Specialist, 2023

PROFESSIONAL EXPERIENCE

Herzing University – Milwaukee WI 8/2023 – Present

Full Time Student -online

Matriculated Student in the Associates Degree program/ Medical Assistant in the Health Sciences

Completing the courses: administrative procedures, medication administration, human anatomy and physiology, lab techniques and procedures, clinical procedures and pharmacology

Reviewing the data and process of medical terminology to understand language in interpreting body parts, diseases, equipment and procedures.

Focusing on medical terms and abbreviations to assist a clinical staff, physician, nurse or specialist healthcare practitioner.

ResultCX/Medicare/Medicaid – Grenada MS 05/2023 – 07/2023

Customer Service Representative/ Payee – Contracted (REMOTE)

Handled inbound and outbound calls.

Adhered to HIPAA regulations concerning Medicare/Medicaid Recipients

Accepted a contracted opportunity to utilize my Medical Office Billing education and training.

Provided excellent customer service to colleagues and Medicare/Medicaid Recipients with services.

Microsoft office: Word, Excel, Outlook, Teams; reviewed letters, spreadsheets, send/receive emails, chat and attended virtual meetings.

Verify the demographics and the recipient healthcare plan.

Utilized the electronic medical records to view the outstanding balances on the accounts.

EOB (Explanation of Benefits): reviewed the deductible, premiums, and co-payments.

Conducted an overview of the accounts to provided programs to assist with out-of-pocket expenses, set accounts to make monthly payments and collect payments

Denesha Hopson, Cont.

Home Instead – Louisville, KY 09/2019 – 12/2022

Care Giver

Handled inbound and outbound calls and trained new employees.

Monitored and administered medications and assisted with personal hygiene and mobility needs.

Handled light housekeeping duties, prepared meals, and ran errands.

Documented activities and patient condition and used MS Word.

Ensured privacy of sensitive and confidential information.

The Home Depot – Capital Heights, MD 09/2018 – 03/2019

Retail Cashier / Customer Service Associate

Answered incoming telephone calls, trained new employees, enrolled customers into programs, sold and upsold store items, and met quotas.

Served as direct point of contact and delivered excellent customer service with a positive attitude.

Operated cash register, scanned merchandise, accepted payments, ensured accuracy of cash drawer, stocked shelves, and kept work area clean and organized.

Worked as part of a team and interacted with diverse customers and staff members.

Little People Day Care – Louisville, KY 08/2015 – 12/2018

Daycare Provider

Trained new employees and ensured high priority of health and safety of the children.

Established appropriate limits to provide a fun, safe, and positive experience.

Documented and maintained records of daily activities and used MS Word.

Set a positive example in conduct and maintained safety and cleanliness of the establishment.

Communicated with parents or guardians regarding daily activities, behaviors, and related issues.

Bates Memory Baptist Church – Louisville, KY 06/2014 – 08/2015

Day Care Provider

Planned, led, and implemented core and non-core programs for children in small group settings.

Ensured the safety and development, growth and skill achievement of all participants.

Maintained effective communication with peers and senior leadership to help avoid issues.

Red Cross – Louisville, KY 06/2013 – 11/2014

Customer Service Representative

Played a critical role in providing an interface between customers and company and maintained friendly service and a professional manner in all communications.

Scheduled appointments and entered data and documented customer interactions with high attention to detail.

Communicated in a clear and concise manner and worked effectively as a team member.

Provided quality customer service, followed procedures, and handled confidential information.

ADDITIONAL EXPERIENCE

Previous work history includes 5+ years of experience in customer service roles included Crew Member and Hostess.

VOLUNTEER EXPERIENCE

Volunteered at Upward Bound in Louisville, KY

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