Customer Service Medical Records

Tamara Green

** ******* *****, # * ********, SC *9203 803-***-**** **************@*****.***

PROFESSIONAL PROFILE

Customer service oriented professional with healthcare industry experience. Able to coordinate workflows, handle and maintain medical records, and communicate effectively with co-workers, patients, and staff. Follows policies, procedures, and guidelines to ensure quality. Maintains and safeguards patient privacy and confidentiality.

Academic Honors: Ultimate Medical Academy Honor Roll

Member of Alpha Beta Kappa Honors Society

Certifications: American Red Cross First Aid, CPR, and BLS.

Demonstrates independent work initiative, sound judgment, and attention to detail.

Strong written and verbal communication skills.

Microsoft Office Applications - MS Excel, MS Word, MS PowerPoint, MS Outlook; Typing Speed: 40 WPM.

COMPUTER SKILLS

3M Coding and Reimbursement System Meditech (EHR) EDCO SolCom EDMS

Nuance Clintegrity Facility and Physician Coding, Compliance, and Abstracting

ARGO Enterprise Master Patient Index CIOX Health ROI – eSmartlog and Smart Link

KEY QUALIFICATIONS

Health Information Management (HIM) Medical Records Management Release of Information (ROI) ICD Coding

CPT Coding Health Information Technology HIPAA Compliance Medical Terminology Document Scanning

Imaging Record Technology Data Quality Data Management Data Entry Medical Records

Computer Office Applications Electronic Health Records (EHR) Electronic Medical Records (EMR)

Medical Administrative Support Medical Office Procedures Insurance Verification Filing Pharmacology.

Anatomy & Physiology Reimbursement Procedures Medical Laws & Ethics

Customer Service Interpersonal Professional Communications

EDUCATION

Ultimate Medical Academy Associate of Science Degree - Health Information Technology, 2021

Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate

PROFESSIONAL EXPERIENCES

Spectraforce Technologies/Cigna

Customer service representative -Remote

06/2023-11/2023

●Refers prior authorization requests that do not meet the approval specifications to a Pharmacist for clinical review

●•Approves prior authorization requests if the data collected meets the approval specifications.

●•Performs research to respond to inquiries and interprets policy provisions to determine most effective response using established departmental procedures, HIPAA regulations, and corporate policies.

United States Postal Service-Columbia, SC

RCA 02/2022- 05/2022

●Sorts mail in delivery sequence for the assigned route.

●Receives and signs for accountable mail.

●Loads mail in vehicle

●Delivers mail to customers along a prescribed route and on a regular schedule by a vehicle; collects monies and receipts for accountable mail; picks up mail from customers' roadside boxes.

BroadPath Healthcare Solutions

Member Service Representative / Customer Service - Call Center (Remote)

Columbia, SC 10/2020 – 12/2021

Member Service Representative / Customer Service - Call Center (Remote)

Answer inbound phone calls and assist individuals with purchasing insurance from Marketplace.

Provide plan information and Explanation of Benefits (EOB) and document customer interactions.

Accept payments, follow HIPAA guidelines, and protect caller privacy and confidentiality.

Stay at Home Parent

Columbia, SC 03/2020 - 09/2020

Showed strong leadership skills and managed household budget.

Maintained a fair, consistent set of standards.

Successfully foresaw and planned for possible contingencies.

Wellpath -

Residental Therapeutic Assistant

Columbia, SC

11/2019 - 02/2020

Oversaw day to day activities in housing units, secured facility, and conducted head counts every 2 hours.

Worked with sexually violent predators, assisted with rehabilitation, and documented activities.

Communicate with coworkers via handheld radios and provided for the overall care and safety of residents.

Monitored behavior, mental status, and progress, and completed tasks in a timely manner.

Wells Fargo

Customer Service Representative

Columbia, SC 04/2019 - 09/2019

Answered inbound phone calls, assisted customers with bank account needs, and provided technical assistance.

Ordered replacement cards, updated account information, and transferred funds between accounts.

Provided information regarding account balance, available funds, and deposits, and resolved complaints.

UCI Medical Affiliates, Inc.

Customer Service Representative - Call Center

Columbia, SC

02/2019 - 03/2019

Answered inbound phone calls, provided information, and obtained completed consent forms to give information.

Transferred callers, provided phone referrals, sent emails, and called back patients as needed.

Updated notes in patient charts, scheduled appointments, and helped callers obtain lab results.

Stay at Home Parent

Columbia, SC 05/2018 - 01/2019

Ensured household duties were completed and managed household budget.

Coordinated medical care, meals, and social activities.

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

Convergent

Customer Service Representative - Call Center

Dunwoody, GA

12/2016-04/2018

●Answered inbound phone calls and assisted customers with starting, stopping, and transferring service.

●Responded to billing questions, created emergency work reports, and documented power outages.

●Provided payment information, documented interactions, provided technical assistance, and updated accounts.

LabCorp

Specimen Accessioner

Smyrna, Ga.

02/016-11/2016

●Specimen accessioned.

●Processed and accessioned lab specimens (blood, urine, split ends)

●Processed, accessioned, and put correct labels on specimens (cytology and Touch)

●Performed shipping of all specimens to designated location for testing (Burlington, NC and Birmingham, AL)

Midlands Center

Columbia, SC

Human Service Assistant

06/2013-07/2015

●Assisted consumers with their ADL’s.

●Bathed, dressed, and washed consumer’s laundry.

●Recorded consumers behaviors in the behavior plan logbook.

●Performed light housekee

Wal-Mart Columbia, SC

Cashier 10/2011-12/2013

●Provided superior customer service daily.

●Handled all aspects of cashiering, including responsible money counting, receipt and coupon management, product control and customer appreciation.

●Kept clean, organized workspace at all times

●Responsible and punctual to work schedule and management’s needs.

Intermedia Marketing, Inc.

Columbia, SC

Customer Service Representative

06/2006-09/2010

●Received and greeted thousands of Verizon customers with energy and friendliness.

●Counseled new and returning clients on various plans, packages and specials.

●Recommended upgrades to plans for customer satisfaction and company profitability.

●Made thousands of outbound sales calls to build business.

Department of Juvenile Justice

Columbia, SC

Residential Specialist Assistant

10/2002 – 02/2005

●Assisted groups of juveniles with daily duties

●Monitored and documented activities in 15-minute increments

●Transported individuals by van to and from the infirmary.

VOLUNTEER EXPERIENCE

Village at Rivers Edge - Columbia, SC 09/2020 - 10/2020

Volunteer

Assisted in leasing office, completed paperwork, filed documents, noted maintenance orders, and submitted bills.

Answered inbound phone calls, took messages, created applications, and assisted with move ins.

Maintained and updated files and accepted money order payments.

Columbia Urban League - Columbia, SC 06/1996 - 11/1996

Stop the Violence Volunteer

Assisted the coordinator in recruiting volunteers and helped organized the organizations events.

Mentored youth about violence, passed out flyers, and organized and set up events.

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