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Customer Service Medical Billing

Location:
Foster City, CA
Posted:
April 02, 2024

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Resume:

Yahoo Mail - Resume ** */**/**, *:** PM

https://mail.yahoo.com/d/folders/1/messages/165289?reason=invalid_crumb Page 1 of 2 Resume 24

From: J M (ad4qrf@r.postjobfree.com)

To: ad4qrf@r.postjobfree.com

Date: Monday, March 11, 2024, 05:09 PM PDT

MARINA MEJIA

650-***-****

ad4qrf@r.postjobfree.com

HMO/PPO Plans/Med Group, Medicare, Medi-Cal, Medical Billing, Insurance Authorization/Referrals, EMR, ICD-9/10 CPT Coding, Medical Terminology, EPIC, IDX, Cerner, AllScripts, Xfinity, Bright Tree, DME, Microsoft Office/Excel, Ten Key by touch, Payment Posting, Reimbursement, Yammer, Google Drive, AS/400, Customer Service, Retail/Inventory/Stock, Pharmaceuticals, Slack

Bloomingdales/Macy’s., Palo Alto, CA 10/23-01/24

Fulllfillment Associate

Customer Service: Greet customers, answer their questions, and provide assistance in a friendly and professional manner. Ensure a positive shopping experience by providing order updates, addressing customer concerns and resolving issues promptly.

Customer Support: Monitor alerts to ensure Ready on Time completion of Buy Online Pickup In-Store (BOPS) orders. During peak times, conduct customer pick-up including retrieving the orders from our back-of-house storage and delivering them curbside to the customer.

Picking and Packing: Locate ordered items in the store and prepare merchandise for shipment using handheld technology and appropriate packing materials. Prepare shipping labels, coordinate with shipping providers to ensure timely delivery, and process shippable returns and abandoned in store pickup orders. Support Other Teams: Assist other teams as needed in areas such as unloading and processing new merchandise based on its type, size, or category.

Team Collaboration: Work with other team members throughout the store to achieve goals and maintain a positive work environment. Communicate effectively with colleagues and supervisors, sharing feedback, ideas, and concerns. Ross Stores Inc., San Mateo CA 5/17-Present

Retail Associate

Sort-stock warehouse shipment/inventory, attach security alarm/hard tags on all clothing items, shoes, bed/bath, women/men accessories.

Organize Display Shelves, assist customers as necessary. Pill Club Pharmacy, San Carlos CA 05/19-4/20

Pharmacy Clerk

Assisted Inventory Specialist Tech with all aspects of inventory management, received/restocked drug shipment in the inventory Dept., entered daily RTS shipping and logistics drug count on Excel Spreadsheet. Bi-weekly prepared, organized and shipped all Quarantine drug packages/boxes for reimbursement. Scanned PO invoices and communicate discrepancies with associates in CA/TX via E-mail and Slack, participated in quarterly/yr end inventory and Exp. date count.

The Art of Longevity, Palo Alto CA 9/15-4/17

Client Coordinator/Manager

Booked and Scheduled Client Nutrition Consultation/processed customer payments via Paypal Support Founder CEO/Nutritionist as needed

Set up E-mail Campaigns as required, followed up on new/existing Clients Natera, San Carlos CA 5/15-8/15

Yahoo Mail - Resume 24 3/11/24, 5:26 PM

https://mail.yahoo.com/d/folders/1/messages/165289?reason=invalid_crumb Page 2 of 2 Reimbursement Specialist (contract)

Followed up with customers/client via phone/e-mail in regards to missing insurance, demographics information, addressed/answered basic products, Insurance coverage and billing inquiries. Developed and implemented payment plans, worked on new Projects as assigned. Stanford Hospital & Clinics, Redwood City CA 5/12-5/13 Clinic Assistant III Authorization/Referral Coordinator (contract) Processed urgent/routine Radiology orders

Created referrals for outpatient internal/external office visits and consults follow up for the Internal Medicine Dept. confirmed insurance eligibility and obtained prior authorization form various insurance HMO/PPO Plans and third party Payers. Communicated via E-mail/staff message with Doctors, RN’S, Practice Coordinator’s and patients, updates-denials/pending authorizations and peer to peer reviews.

Troubleshoot and research, CICARE- customer service assisted /covered for co-workers whenever needed, continued EPIC Training, exceeded 50 daily authorization quota by consistently securing 80-100+ Caregiver Private Individual, San Mateo 12/09-12/11 Take Care of Individuals needs

California Home Medical Equipment, Foster City CA 9/07-06/09 Medical Biller

Managed and processed a high volume of billing invoices 600 on a daily/weekly basis patient/private pay DME A/R aging accounts primarily seniors.

Verified patient/customer Insurance eligibility/benefits, reviewed EOB’S, identified discrepancies and recommended resolutions, set up payment plans based on financial hardship. Calculated all payments made by Insurance Co’ and patients to determine DME purchase price, conducted Trans World Collections on a Monthly basis, performed credit adjustments and write offs on Bright Tree, maximized reimbursement utilizing effective problem solving skills.



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