Customer Service Medical Office

TANESHIA TODD

*** ***** ********** ****** *********, AL 35150 256-***-**** **************@*****.***

PROFESSIONAL PROFILE

Customer service-oriented professional, able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies and guidelines to ensure consistent quality. Maintain and assure patient privacy and confidentiality.

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

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

Strong written, verbal and interpersonal skills for effective communication and documentation.

Effective problem solver, able to assess situations and identify solutions.

Communication Platforms – Zoom.

Microsoft Office Applications – Word, Excel, Outlook, and PowerPoint Type 73 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 Introduction to CPT & ICD-10 Coding

Medical Billing Medical Office Medical Administrative Patient Registration Data Entry

EDUCATION

Ultimate Medical Academy Associate of Science Degree / Health Sciences – Medical Office and Billing Specialist, 2023

Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate

PROFESSIONAL EXPERIENCE

Continuum Global Solutions CVS Health – Sylacauga, AL 03/2023 – 11/2023

Customer Care Representative – Call Center (Contracted) -WFH Agent (Remote)

Handled inbound and outbound telephone calls.

Adhered to HIPAA regulations and CVS Health procedures and policies.

Exhibited excellent customer service to patients, providers, and pharmacist.

Generated the data regarding prescription orders, refills, cancellations of orders, pickup, and delivery.

Utilized PeopleSafe and Compass EMR Software to verify patients’ demographics, and healthcare plans.

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

Insurance verification: confirmed the coverage and eligibility.

Processed denied medical claims, and researched data regarding the appeals for resolution.

Worked with referrals, prior authorizations and completed all transactions with the healthcare provider.

Billing: assist with all billing/payment inquiries. Posted and accepted payments from members; transacted via credit/debit cards, E-checks, and mobile devices.

Assisted with escalated calls and transferred incorrect calls to the appropriate department.

Alorica Verizon – Saraland, AL 01/2022 – 06/2022

Customer Service Representative – Call Center (Contracted) -WFH Agent (Remote)

Established and maintained an engaging customer service environment, took incoming calls, and communicated effectively to respond to questions, and explain products.

Assisted with transfer services and provided information regarding insurance options.

Adhered to sales processes and procedures, accepted, and processed payments, and maintained store appearance.

Worked effectively in a team-oriented environment to provide quality customer service.

Allen Food Mart Convenience Shop – Sylacauga, AL 02/2021 – 11/2021

Brown Bag Convenience Shop – Sylacauga, AL 02/2021 – 11/2021

Retail Cashier / Customer Service

Offered fast and friendly service, operated cash register, scanned merchandise, accepted payments, and maintained the overall appearance and cleanliness of work area.

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

Accounted for cash drawer at end of shift.

Followed policies as they related to customer confidentiality.

Liberty National Hanson Agency – Sylacauga, AL 04/2018 – 02/2021

Insurance Agent

Managed inbound and outbound telephone calls.

Promoted and sold insurance policies to customers.

Processed data concerning Life Insurance, Education Protection Plans and Mortgage Protect Plans.

Comply with legal and ethical standards and requirements.

Maintain all insurance documents confidentially and adhered to the company procedures.

Generated leads and network with potential customers.

Educate customers on the various types of insurance coverage to obtain the best policy.

Met sales goals and objectives, handled renewals and claims.

Conducted an overview of current policies and suggested additional coverage, and or changes to meet the insurers needs.

Sylacauga Health & Rehab Services Noland Healthcare – Sylacauga, AL 04/2016 – 04/2018

Food Service

Handled inbound telephone calls.

Followed FDA and OSHA guidelines for safety.

Adherence to the Health & Rehab Services SOP and policies in preparation of meals, and dishes.

Ensure that all areas of the kitchen were clean, sanitized, all non-refrigerated items were stored and sealed.

Abiding by the temperature settings, all ingredients that required refrigeration and freezer storage was wrapped, and appropriately stored.

Loaded daily meals onto a cart to be delivered to assigned patients.

Confirmed and rechecked all specialty meals following the health staff members and physicians’ requirements.

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