Customer Service Patient Care
Resume:
CONTACT
Wylie, TX *****
*************@*****.***
PROFESSIONAL
SUMMARY
With a proven track record at
Methodist Hospital Richardson
Medical Center, I excel in enhancing
patient experiences through expert
insurance verification and medical
billing, demonstrated over 6+ years.
My adept use of Epic and Athena
systems, coupled with outstanding
customer service, ensures
high-quality patient care and
operational efficiency.
SKILLS
■ ICD-10 (4 Years)
■ Medicare (5 + plus years)
■ Medical billing (3 plus years)
■ Insurance Verification (6 plus years)
■ CPT Coding ( 7 years)
■ Workers Compensation (2 years)
■ 10 key data (10 plus years)
■ EMR System (8 years)
■ Medical Records (6 years)
Multi-line phone system (10 plus
years)
■
■ Medical Coding (5 years)
■ EHR System (3 years)
■ Medical Scheduling (5 years)
■ Medical Office Experience
■ Medical Terminology
■ Quickbooks (3 plus years)
■ Medical Receptionist (10 plus years)
■ Clerical Experience (10 plus years)
■ HIPAA (10 plus years)
■ Epic (9 years)
■ ICD Coding (5 years)
■ Phone Etiquette (6 plus years )
■ Quality Assurance ( 10 plus years)
■ Patient Care (6 years )
SHEILA LEE
MEDICAL CODING AND BILLING SPECIALIST
EXPERIENCE
Radiology customer Svc Liaison Methodist Hospital Richardson Medical Center - Richardson
04/2022 - Present
■ Assist Customers with report and image retrieval in PACs and RIS systems Assists Radiologist with day to day duties and answers inquiries from MHS medical staff in regards to patients seen in radiology
■
Maintains a clean work environment with proper notification of equipment malfunctions to appropriate areas
■
Performs receptionist duties; answers telephone, screens incoming calls and routes to proper extension, accurately customer service to all customers, cordially greets customers, and assists the department where and when requested
■
Work with the department of radiology and radiologist on improving throughout with the department and hospital
■
■ Uphold all departmental guidelines and hospital policies
■ Other duties as assigned
Medical CSR/Front Desk Digestive Diseases Group-HTPN 11/2021 - 03/2022
Ensured accuracy of demographic information and policy details entered by other admin staff
■
■ Verified insurance for new patients and referrals
■ Collected copays
■ Obtained new patient referrals and created new patient registration Maintained composure in high volume practice with 6 physicians and 1 NP
■
■ Epic software
Verified insurance on existing patients and made sure there was approval before the procedure
■
■ Connect patients with their upfront cost
When patients couldn't pay up front cost, set up payment plans with the patients.
■
Insurance verification Specialist/ Medical Billing Endocrine Associates of Dallas
04/2017 - 08/0201
Verification of insurance benefits for commercial plans and Medicare/Medicare Advantage plans
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Ensured accuracy of demographic information and policy details entered by other admin staff
■
Utilized online portals, automated systems, and live calls with various insurance companies
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■ Obtained new patient referrals and created new patient registration
■ Assisted front office when busy-check in, scheduling, routing calls
■ Microsoft Excel
■ Computer Literacy
■ Salesforce
■ Microsoft Word
■ Time Management
■ Customer Service
■ ICD-9
■ Microsoft Powerpoint
■ Date Entry
■ Documentation Review
■ English
■ Microsoft Office
■ DME (3 years plus years)
■ Medical Collections (3 years)
■ NET
■ HTML5
■ Microsoft Outlook
■ Athen System (5 years)
■ Epic System (3 years)
■ Blue Choice System (2 years)
■ Blue Care System (2 years)
■ Maintained composure in high volume practice with 3 physicians
■ And 4 NPs
■ Athena software
Used Athena to billed the office visit and some in house procedures like bone density, Men's hormones therapy, diabetes therapy, Injections for bone density problems.
■
Customer Service Rep Radnet Radiology
01/2016 - 04/2017
■ Insurance Verification for all current and new patients/ HIPAA Compliance Scheduling / Order / Delivery Coordination of all orders from PCP/ Medical Specialist
■
Billed patients for their radiology appointments and images that were done at the facility.
■
Maintenance Support Specialist Southwest Airlines
01/2015 - 10/2015
Experienced in accurately adding data into Excel spreadsheets containing formulas and paying attention to details.
■
CDP Operations/ HR Generalist JB Hunt Transportation 06/2012 - 09/2014
Investigate work history, cross reference all information provided verbally and in writing
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■ Contact employers and reference
Ensure completed information is gathered and all verification is received and acceptable prior to hiring
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Ensure minimum requirements and DOT regulations are followed and request documents as needed to complete full background checks
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Process, verify personnel related documentation, including training and performance evaluations.
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Customer Service Rep/ Cpap and Bipap Therapy Preferred Home Health Care
07/2010 - 05/2012
Provided excellent customer service to clients, received customer/ tech support calls
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Order Coordinator for DME entered data into TIMS and Application Explorer
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■ Used the TIMS program to bill insurance companies. Billing / Claims Processor Blue Cross & Blue Shield 05/1999 - 07/2010
■ Process claims from hospitals, doctors office and imaging
■ Used the blue choice system
■ Scanned doctors notes and orders for the claims department to process Scanned in the patients images that had to do with doing pre-authorization and also for pre-certification on drugs and procedures.
■
EDUCATION
High School Degree
Jefferson High School, 05/1999
Medical Billing/ Coding
Auburn University - Auburn, AL, US, US
REFERENCES
Sabra Davis - Endocrine Associates
Billing Coordinator Manager
**********@***.***
Tracie Williams - Preferred Home Health Care
Customer Service Representative Manager
Tracie.Williams@Preferredhome
healthcare.com
Jack L - Methodist Richardson Medical Center
Radiology Customer Svc Liaison Director Manager Of Radiology
****.*****@****.***
Contact this candidate