Data Entry Service Representative
Resume:
Raquel Plumey-Ruiz
**** * *********** *** *** #**1 Tampa, FL 33610
************@*****.***
Professional Skills
● Bilingual in Spanish and English
● Capable of prioritizing and multi-tasking in fast paced, changing environments
● Well-organized with strong written, verbal and interpersonal skills
● Skilled at identifying problems and implementing solutions
● Working knowledge of CPT-4 and ICD-9 coding
Professional Experience
USF Health –Tampa, FL March 2017 to Present
Patient Service Financial Specialist
● Via computer, proactively screen patients with scheduled appointments to assess need of authorization/referral.
● Reviews patient accts to identify need to collect past due balances and problems with claim adjudication that need patient involvement to ensure that all financial issues are resolved we;; in advance of the patients appointment.
● Checks out patients after scheduled appointment, reviews encounter forms for accuracy and completeness, collects % of allowable co-payments into the PCIS Billing system through TES Front Desk.
● Reconciles all received payments through Cash Drawer Reconciliation Function and balances and closes charge/payment batches before the end of the day. Argus Dental & Vision - Tampa, FL June 2015 to March 2017 Customer Service Representative
● Provides initial phone contact with members, prospective members, providers, agents and field personnel while meeting department performance standards
● Data Entry - Update member account information as needed and required, enter new individual and group member applications, enter claims, encounters and utilizations, and all other data entry needs as required, but not excluding other departmental requests
● Verify insurance - Fax/mail Argus Fee Schedules, Member Eligibility Information, Provider/Facility location information, and authorizations when required in accordance to policy and procedures, Assist in portal troubleshooting with providers Dr. Patel Urologist - Tampa, FL May 2013 to June 2015 Medical Assistant
● Greet patients as they arrive and provide appropriate information
● Schedule and reschedule patients' appointments
● Manage filing and record keeping activities (EMR)
● Ensure completeness and accuracy of patients' insurance forms prior to submitting
● Verify clients' insurance information
Bank of America - Tampa, FL July 2009 to May 2013
Small Business Customer Service Representative
● Interacted with small business owners via 100+ inbound calls per day
● Assisted with checking, savings, loans, and online banking issues
● Upsold online banking products; completed call logs and reports Education
Everest University - Tampa, FL ( AA IN Bus. Admin) 2006 Ultimate Medical Academy (Medical Cinical Lab Asst) 2014
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