Customer Service Administrative Assistant

DOROTHY WINSTON

**** ***** **** ****** *****, NE 68110 402-***-****

Well-rounded, self-directed professional backed by leadership, healthcare, and customer service experience. Able to provide clerical support and effective customer service by greeting and registering patients, providing information, and ensuring completeness and accuracy of forms and records.

•Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate.

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

•Follow policies, procedures, and guidelines to ensure consistent quality.

•Pay close attention to detail to ensure accuracy and maintain compliant documentation. Microsoft Office Applications — Word, Excel, and PowerPoint I Type 40 NV?M.

National CPR Foundation Certified in CPR, AFD, and First Aid.

State of Nebraska I Licensed Medication Aide, #77669.

State of Nebraska I Certified Nursing Assistant / CNA #88422.

KEY QUALIFICATIONS

Medical Administrative Assistant • Medical Terminology • Medical Transcription Patient Processing

Patient Registration • Medical Records Management Check In Check Out Data Entry Release of Information

HIPAA Compliance Medical Laws & Ethics • Medical Billing Knowledge Third Party Billing

Medicare • Medicaid HMO PPO Basic Coding Skills for ICD-I & CPT Insurance Verification Anatomy & Physiology • CNIS 150 Claim Form • Billing Cycle Claims \appeal Process

EDUCATION

Ultimate Medical Academy I Diploma — Medical Administrative Assistant, 2022

Kaplan University / Perdu University I Associate of Applied Science Degree — Business Administration, 2015

Firstsource Health Plans and Healthcare Services LLC (Molina Healthcare) 05/2022- Current - Customer Service Rep

Manage inbound call and outbound calls from and to healthcare providers communicating effectively providing information on prior authorizations for advanced imaging.

oProviding status of members within Molina Healthcare.

oDiscuss denials and approvals, conduct peer 2 peers with doctors and providers.

oMember services.

oCorrections status, denials, approvals, and submission of an authorization.

Our Hands Cleaning Services LLC — Omaha, NE I Owner / Janitor 3/2/19 — Current- Business Owner / Operator

Manage inbound and outbound calls, communicate effectively with clients, provide quotes, Issue invoices, collect payments, and keep accurate financial records.

Keep commercial facilities in clean and orderly condition.

•Manage time and priorities to ensure duties are completed within established timelines.

SM Star Healthcare — Omaha, NE 09/2021 - 11/2021 Human Recourses Director / Scheduler

Helped with recruiting and intervolving, conducted drug tests for new employees, and onboarded new employees.

Contacted private insurance to set up provider enrollment for the company.

Assisted with hiring and dispensary actions, processed payroll, and managed inbound and outbound calls.

•Reached out to nursing facilities to promote company services and aided with marketing duties. Prepared schedule for nursing staff, tracked attendance and disciplinary actions, and prepared staff census. keep up with attendance and disciplinary action for nursing staff

Ensured adequate staffing, processed staff hours and wages, and made sure nursing punches were documented. Communicated effectively with staff regarding schedule.

Eastern Nebraska Veterans Home Bellevue, NE 08/2021 - 09/2021 Certified Nursing Assistant

Assisted with activities of daily living — personal hygiene, mobility, and feeding.

Communicated and interacted effectively and tactfully with patients, visitors, families, peers, and supervisory staff.

•Documented and reported observations of patient behavior, complaints, and physical symptoms.

•Maintained confidentiality standards of protected health information in accordance with HIPAA guidelines.

Nelnet — Omaha, NE 05/2021 - 08/2021 Advisor I / Customer Service Representative — Call Center

•Served as initial contact, answered inbound calls, and responded to customer inquiries regarding student loans.

•Resolved payment issues, collected payments, and issued payment extensions.

•Entered customer account data and communicated in a clear and concise manner.

•Documented activity in customer accounts in an accurate manner and ensured confidentiality.

Yoh Staffing / Tyson Medical — Woodland Hills, CA 09/2020 - 03/2021 RemX Staffing / Expo Logistics — Atlanta, GA 03/2020 - 09/2020 Medical Assistant / Certified Nursing Assistant

Scheduled COVID-19 test appointments and verified insurance coverage.

•Conducted tests by collecting specimens by swabbing mouth.

Handled intake process, entered patient data into medical records database, and checked patients in. Maintained infection control procedures and abided by HIPAA guidelines to ensure privacy.

Comfort Keepers — Omaha NE I Certified Nursing Assistant - 02/2019 - 08/2019

ARC Document Solutions — Omaha, NE - AIM Paper Solutions - 02/2016 - 08/2019

Alorica Call Center — Omaha, NE - Customer Service Representative - 06/2018 - 02/2019

Hands of Heartland Omaha, NE - In Home Supervisor - 02/2017 - 08/2017

Express Employment Omaha, NE - AIM Paper Solutions - 02/2013- 02/2016

Volunteered at Habit for Humanity for 2 years.

Contact this candidate