Customer Service Kaiser Permanente
Resume:
Chrishelle Woodson
Vacaville, California
Email: **********@*****.***
Professional Summary:
A versatile, resourceful, and results-oriented professional with AR management, project and office experience in companies with diverse industry backgrounds
Key strengths Account Receivable billing in clinic and hospital settings, internal and external customer relationship, research, effective communication, prioritization and deadline adherence
A consistent, detail-oriented and well-organized planner with track record of diplomacy, composure and flexibility under pressure; exercising exceptional analytical judgment; working effectively in supportive, independent, and collaborative capacities.
Experience:
Kaiser Permanente, Richmond, CA 2007 - Present
Financial Counselor/Biller
Inpatient and Outpatient biller for Medi-Cal, Medicare, and Worker’s Comp, Commercial and Private Insurances Claims for Hospital and Providers. Utilizing the following systems: Heathconnect, ARBIS, Mainframe, Passport, Lastword, Bedrock, Foundations, Nevi, Infrocrossing, Lotus Notes and various softwares. Financail counselor duties included: interviewing and verifying coverage for Outpatient and Inpatient patients in Emergency Room setting and inpatient Stay. Informing and assisting Members and Non-Members on Kaiser Permanente charity and discount programs. Also, verifying and updating coverage to a patient’s profile, co-payments and deductible collection. Working in a high volume calls environment that required communication to Insurance Companies, Medical Groups and Patients. Worked on special projects and developed spread sheets analysis. Co-Lead for Work Place Safety.
Kenneth and Associates, San Francisco, CA 2005 – 2007
Medical Biller
Worked with Workman’s Comp, Government, Commercial & Private Insurance Accounts for the Providers. Required Utilization of the systems: Arbis, Mainframe, Lastword, Bedrock, Cicsproa, IDX, STOR, IMF, Prebill, and various softwares. EOB’s, payments and adjustments, correspondences, HCFA’S 1500’s, refunds, and deductibles posting. Maintain daily Standards, Production, and Weekly Goals. Making and receiving high volumes of calls to and from Insurance Companies, Medical Groups and Patients. Collected unpaid claims from Insurance Companies and Patients and Problem Solving.
Healthcare Resource Group, Concord, Ca 2004 – 2005
Medical Account Representative
Worked with Government, Commercials, Private, HMO’s, PPO’s Insurance for Facility and Profee. Utilizing HBOC, ABT, MS4, DSG, A4, Medi.com, Lastword Softwares and HCFA 1500’s AND UB92’s. Making and receiving high volumes of calls from Patients and Insurance Groups. Maintained daily production standards and monthly goals reports. Also, responsible for collecting of unpaid claims from Vendors.
Per-se Technologies, Novato, Ca 2002 – 2004
Medical Account Representative
Worked with the following: Government, Commercials, Private, HMO’s, PPO’s Insurance Commercials and Private Insurance Accounts for the Breast Care Center/ G.I. Motility for Pediatrics and Surgery Department. RequrUtilizing IDX, STOR, ZEUS, IMF & SMS Softwares. Posting EOB’s, Correspondence, Payments and HCFA 1500’s. Making and receiving high volumes of calls to Providers, Patients, Insurance Groups, and Clients. Maintain daily production standards and monthly goals. Responsible for the collection of unpaid claims from Companies.
Education:
August 2006 - June 2007 College of Alameda Alameda, Ca
Certification Medical Terminology/Transcriptions
January 2000 - April 2000 Ja’Onna’s Medical Lab Vallejo, Ca
Certification Medical Lab Assistant
September 1988 - May 1990 Solano Community College Suisun, Ca
Computer Science
September 1984 - June 1987 Napa Valley College Napa, Ca
Business Finance
September 1981 - June 1984 Dr. James Hogan Senior High Vallejo, Ca
High School Diploma Business Finance
References: Provided upon request
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