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Customer Service Medical Billing

Location:
Wadesboro, NC
Salary:
15:00
Posted:
April 05, 2024

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Resume:

SAREATHA PARSON

**** ***** ***** ****** *********, NC 28170

704-***-****

ad4s0o@r.postjobfree.com

PROFESSIONAL SUMMARY

Well-rounded professional able to serve as initial and ongoing point of contact to deliver high quality customer service. Able to prioritize workload and perform in fast-paced, high demand environments. Communicate effectively to build and maintain positive relationships. Act in a highly professional manner and demonstrate commitment to the mission and values of the company.

Academic Honors Recognition / Dean's List / Honor Roll.

Communication Platforms – Zoom and Google Meet.

Microsoft Office Applications – Word, Excel, and PowerPoint Type 40 WPM. CORE QUALIFICATIONS

Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers Electronic Health Records (EHR) Electronic Medical Records (EMR) Managed Care (HMO, PPO, and POS) Workers Compensation Insurance Verification Insurance Claim Processing CMS 1500 CMS 1450 (UB-04) Front Office Operations Medical Office Procedures Scheduling Medical Terminology Anatomy & Physiology HIPAA Compliance Medical Coding (ICD-10, HCPCS, CPT) EDUCATION

Ultimate Medical Academy Diploma – Medical Billing and Coding, 2023 Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate WORK EXPERIENCE

Continuum/Aetna, BlueCross/BlueShield & Cigna – Wadesboro, NC 09/2023 – 01/2024 Benefits Verification Specialist – WFH Agent – Contracted (Remote)

Handle inbound and outbound telephone calls.

Followed HIPAA regulations and Aetna, BlueCross/BlueShield and Cigna procedures and policies.

Accepted a 60–90-day contract to assist members concerning their healthcare plans.

SPRX Medical Management Software: verify the members demographics, and healthcare plan.

Microsoft office: Word, and Excel; review/draft letters, and update reports/spreadsheets.

Insurance verification: confirmed coverage and eligibility.

Processed prior authorizations, referrals, and prescription claims.

Outreaches to members regarding missing information or outstanding balances regarding the prescription claim.

Update members account information to ensure receipt and proper processing of the payments. Roses Discount Store – Wadesboro, NC 05/2023 – 09/2023 Retail Cashier / Customer Service

Serve as direct point of contact and deliver excellent customer service with a positive attitude.

Managed the telephone and provided excellent service to all consumers and regular patrons.

Operate cash register, scan merchandise, accept payments, ensure accuracy of cash drawer, stock shelves, and keep work area clean and organized.

Work as part of a team and interact with diverse customers and staff members. Stay-at-Home Parent – Wadesboro, NC 10/2022 – 04/2023 Homemaker

Showed strong leadership skills and managed household budget.

Remained deadline-oriented and reliable while adjusting priorities and managing time wisely.

Made quick decisions, and maintained a fair, consistent set of standards. Purdue – Wadesboro, NC 02/2022 – 09/2022

Package Handler

Loaded materials and products onto package processing equipment.

Paid close attention to detail to ensure compliance to standards of packaged products.

Worked cooperatively in a fast-paced environment to meet established timelines. ADDITIONAL EXPERIENCE

Carolina Apparel Group Inc. – Wadesboro, NC Seamstress 01/2021 – 12/2021 Pizza Hut – Wadesboro, NC Server / Customer Service 06/2020 – 10/2020



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