Data Entry Customer Service
Resume:
FLOR MONTES
Lake Wales, Florida 33898
**********@*****.***
CUSTOMER SERVICE
Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, transcription, data entry, and other office procedures and terminology.
Claims to Work (C2W)
Omniview/Oasis
Perceptive Content /Reflection Workspace
Emdeon
Microsoft Office, Word, Outlook, and Excel
Proficient with number key pad
Docutrack Scanning System
PROFESSIONAL EXPERIENCE
2013 – Current Omnicare, Inc Daytona Beach, FL
Sr. Revenue Qualifier
Maintain and input information reported by Admissions and Business Office, such as daily census, patient face sheets and documents
Change Payers (re:MCD,MCR,MGD,PVT)
Check for Insurance with BCBS,CIGNA,MEDCO,MCD,MCR and MED B
Check for Hospice and process Claims related to Diagnosis
Discharge Patients going home, Leave of Absences, Hospital Leave
Liaison between Nurses, Business Office Mgrs. Of Nursing homes, and Guarantors/Patients on a daily basis
Research and resolve issues/discrepancies of medicine dispensing/returns, insurance claims and payer status of patients initiated by customer or client.
Handled inbound/outbound calls to resolve customer issues
Answer/research facility and pharmacy questions concerning payer status and insurance
Key skills/Strengths
Ability to work under pressure
Great time Management
Self-Motivated
Great leadership skills
Excellent problem solving skills
1991-2012
Hospital De La Concepcion
Hospital Billing Clerk
Process billing to insurance companies and the Third party reimbursement claims
Answer and resolve by telephone or in writing patient billing inquires
Review accounts not billed and prepared, bill from available information
Set-up new patients account
Post and reconcile insurance and patients payments
Research and resolve incorrect payments or other issues with outstanding balance
Maintain supporting documentation, files and current patient demographic information
Re-submit insurance claims as necessary and within the time limit
Perform miscellaneous job related duties as assigned
Register patients for all referrals, labs, same day procedures, x-rays
Register all information for Emergency charts
Education
1970 Harrison High School Chicago, Illinois
Secretary Vocational Training
1972 Lola Rodriguez de Tio San German, P.R
Records Organization & Management
Medical Insurance
Excellent Interpersonal Skills
MS (Word, Excel, Power Point, Outlook
Claim Entry& Payment Posting
Phone Skills
Usage of Office equipment (printer, scanner, photocopy, fax machine
References:
Maria De Los Angeles Ramirez Medical Billing Supervisor Hospital de la Concepcion
787-***-**** Ext 1543
Tomeka Diop RQ Manager 1-800-***-**** Ext 32114
Sara Klee RQ Supervisor 1-800-***-**** Ext 60558
Deborah Taphorn CBC Manager 1-800-***-**** Ext 60527
Contact this candidate