Data Entry Customer Service
Resume:
Kimberly Holmes
ad5ece@r.postjobfree.com
Professional Experience
•Customer service
•In-depth knowledge of Medical Terminology and Insurance verification and data entry
•Experience with setting up and installing hardware
•Experience with ICD9 and 10 and coding, Balancing books, Post payment
•EPIC, manage medical records incoming and outgoing faxes by sorting & prioritize.
•Proficient with maintaining confidentiality and credentials and computer applications
•Well-versed with Help Desk Assistance, Answering inbound and outbound calls
•Ability to maintain quality standards, data entry and formatting accurate data into database
•Organized and proficient in word processing. Data Entry
•Highly skilled and effective in verbal communication and organizational skill
Education: 1999 High School Diploma TW Josey High School
•2007 Completed College Courses Augusta State University
•Completion of Medical Terminology course Ga Piedmont 2022
Skills
•Knowledge of Medical Terminology, Data Entry
•Familiar with claims issues, payments and EOB
•Knowledge of insurance verification, patient billing
•Ensure HIPAA compliance and protection of PHI
•Familiar with reviewing and processing insurance denials
•Experience in compiling, analyzing and processing records
•Familiar with scheduling, working remotely
•Managing remote into a computer
•Attention to detail, Proficient in review and manage patient accounts
Professional Experience
CIOX Health Information Specialist January 2023-Current Remote
Responsible for managing patient health records, . Interface reconciliation experience
Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
Prepares new patient charts, gathering documents and information from paper sources and/
Ensures troubleshooting and help desk assistance .Customer service
Creates digital images of paperwork to be stored in the electronic medical record.
Responds to requests for patient records, both within the facility and schedule appointments
May assist with administrative duties such as handling faxes, opening mail, and data
Assist with data entry and checking for accuracy .
Optum Pharmacy Benefit Manager Teletech Mar 2020 – April 2022
•Data entry, updated customer information, and observed daily workflow
•Obtain specialty prior authorizations, verify insurance, retrieve medical records
•Point of contact for scheduling and insurance verification, checking accuracy
•Processed insurance denial correspondence and payments, customer service
•Input basic employee data, via phone or fax, enter it the processing system
•Assisted with daily notes in a meeting and administrative duties, EOB
•Assist Claims department with updating and completing claims and dispute requests
•Order replacement debit cards and provided balances and deposit
•Review and process claim submissions, verify ICD9 and coding
Administrative & Credentials Assistant Novo Nordisk Pharmaceutical/Spectraforce Technology Aug 2021 – Nov 2021
•Data entry, Managed specialty documents and correspondence, including letters, reports, emails..
•Provides accurate verification of practitioner files for appointments and recredentialing.
•Collected, reviewed, entered, and formatted accurate data into spreadsheets, databases.
•Supported preparation of internal documents and assisted with expense report.
•Maintain and update database with all customers, account and product information.
•Process customer documents and review all data for discrepancies.
•Handle all temperature-sensitive product to ensure that data in system matches current inventory.
•Purge any expired files to eliminate data duplication checking for accuracy
•Review applications and follow up to obtain missing information to appointment scheduler
•Input patient and liable party into rev claims from providers systems
Human Resource / Administrative Assistant Price Right Auto Finance Department Nov 2011 – Mar 2020
•Ensured payroll data entry on a weekly and fortnightly basis and process all accounts payable.
•Account Reconciliation on invoices, Post payments, Data entry
•Ensured all time-off requests or any leave is approved.
•Analyzed accounting systems, identified any inaccuracies, and recommended improvement.
•Evaluated all check requests and monitored all invoices for accuracy.
•Analyzed accounts to ensure their accuracy and compiled statistical reports.
•Managed all journal entries and analyzed all ledger accounts and reconciled all statements for monthly closing. Employee time and attendance
•Kept all papers maintained on a daily and expense reports submitted weekly.
•Anticipated petty cash needs of each department and ensured a proper cash flow etc.
Medical College of Georgia Orthopedic Clerk Augusta, GA April 2002-April 20011
•Assist with Medical Records fax request to providers.
•Handle external medical record requests, including obtaining required release forms from patients.
•Assist with imaging room getting patient la ready for exams
•Send records in a timely manner and documenting fulfillment of the requess.
•Getting patients ready for exam by assisting to a room for changing
•Verify insurance and take billing payments, verify insurance, schedule appointments
•Proficient with claims and follow up, scanned records into database.
•Maintain individual provider files to include up to date information needed to complete the required.
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