Customer Service Data Entry

Valeria Grimes

***************@*****.*** **** NW 169th Terrace

Cell: 305-***-**** Miami Gardens, Fl 33055

Objective

To secure a position which is common with my experience with an organization that will allow me the

Opportunity to use my knowledge and experience for upward mobility.

Experience:

Envision Healthcare

June 2006- Present- Medical Reimbursement Specialist-Sunrise, Fl

Responsible for all assigned contracted and/or non-contracted carriers as well as self-pay accounts to

ensure proper payment of claims and/or patient responsibility, process payments and payments posting, verifications, research denied claims, etc.

Healthcare Financial Systems

September 2001-June 2006-Collections Specialist- Hollywood, Fl

Responsible for research of all assigned contracted and non-contracted carrier and self-pay. Project

Oriented patients accounts, analysis for either placed on site for the purpose of working aged accounts.

Receivable.

Gambro Healthcare

January 1996 – September 2001 – Collection Specialist- Ft. Lauderdale, Fl

Responsible for research of all assigned contracted and non-contracted carrier and self-pay. Analyzes

accounts to find and pursue all avenues of reimbursement, adjustments, and rebilling of assigned.

accounts, also included customer service, answering calls from clinic and customer, follow-up inquires,

create weekly spreadsheet for assignment, serve as back-up for Patient Service Representatives.

Suggests placement of accounts to bad debt collection agencies for Management review.

Truly Nolan

November 1992-January 1996 Bookkeeper- Miami, Fl

Responsible for data entry, collection of account, follow-up on customer account, maintains productivity.

standards and cash goals set by supervisor, create month end report to reconciliation of account, and

general office duties.

Victoria Hospital

April 1989- November 1992 Purchasing Secretary- Miami, Fl

Responsibility includes purchase order within company and ensuring efficient customer service, working closely with vendors, updating customer account and taking incoming calls to verify customer update and general office duties.

Education

Cornerstone Christian School

Townsend, GA

Skills:

Proficient in MS office application (excel and Work & Word) internet, Reflection Financial, Atrium, Acclaim, Medical Management, Misys, basic computer knowledge.

Business Knowledge:

Working Knowledge of CPT-4 and ICD-9 (Vol.1,11 and 111) HCPCS, revenue codes, medical terminology, insurance terminology, and contract terminology. Solid understanding of provider reimbursement methodologies, including but not limited to fee for services, per diem, DRG, flat rate, capitation and discounted fees.

Reference Available upon request

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