Customer Service Specialist

Jennifer M. Fulton 656-***-**** **********@*****.***

OBJECTIVE

Actively seeking an entry level administrative position, to allow for the utilization of knowledge gained through education and previous employment, allowing for growth and advancement opportunities, within your company. An eceptionally motivated professional with a strong background in Medical Records, Customer Service and data entry, an educational training in Medical Assisting, Medical Billing & Coding as well as Healthcare Administration.

EMPLOYMENT HISTORY

Office Support Specialist Dynamic Property Preservation 07/2020 – 11/2021

Utilized knowledge of leasing, document management, customer service (inbound, outbound & in-person), to manage day to day business needs.

Scheduling Contractors for specific jobs requiring urgency, obtaining updates of specific jobs w/bid information and materials updates.

NextGen Implementation Consultant K.Force Staffing 01/2017 – 05/2017

Utilized current medical billing and insurance knowledge, along with NextGen knowledge to provide adequate training to staff.

Assessed Hospitality department’s knowledge of NextGen and assisted with challenges.

Reported challenges of Hospitality department to determine workflow issues & help to better assist staff.

Scheduler/Receptionist/Medical Records Clerk Medi Home Health 09/2015 – 02/2016

Scheduled all RNs, LPNs & CNAs for Home Health Care 7 days a week (12-15 employees).

Organized electronic and paper files in the Medical Records room.

Assisted Intake department with all verification and authorization of insurance.

Demonstrated quality customer service skills on every inbound/outbound call regarding patients and their care.

Data Integrity Specialist (Contract) HIMagine Solutions 03/2015 – 07/2015

Ensured integrity of PHI and health record throughout the MPI was maintained.

Ensured proper validation & indexing of scanned documents from various departments in trauma hospital w/proper documentation in the EPIC system, without duplications.

Data Integrity Specialist (Contract/Telecommute) Blue-Cirrus Consulting 12/2013 – 07/2014

Training, communications & mandatory competency assessments for this project were done successfully via telecommuting.

Accurately reviewed records for possible duplication, proper documentation of potential duplicate/problem records, attended conference calls as scheduled via AT&T i-meetings & manually merging reviewed medical records via EPIC system.

Office Support Specialist Grand York Rite of Tampa 03/2013 – 09/2013

Worked for the Treasurer, Howard Gardner as receptionist and documentation specialist.

Responsible for receiving and logging in payments received daily and weekly.

Keeping accurate logs of each member’s file, of payments made/owed.

Ensured accurate deposits were made as needed, with appropriate bookkeeping logs.

Demonstrated quality customer service on every inbound/outbound call regarding matters of the Grand York Rite.

Medical Records Coordinator Wilkes & McHugh, P.A. 11/2011 – 02/2013

Effectively communicated with Attorney, legal team and/or other staff members of the firm to expedite all requests.

Updated client files electronically to assist in providing excellent customer service.

Medical Record Review of cases to ensure proper timelines.

Implementation of documents to aide in day-to-day operations, helping w/efficiency.

Utilization Management Coordinator Freedom Health Plans 11/2010 – 11/2011

Responsible for checking member eligibility, authorization history and provider network participation status.

Utilized protocols to determine authorization requirements based on type of service, location and provider communicated.

Daily use of ICD-9 codes, coupled with CPT codes to assist in the authorization process.

Contacted providers with authorization, denial and appeals process as needed.

Client Care Coordinator All Medical Personnel 06/2004 – 05/2005

Verification and authorization of medical insurance for clients needing services requested by provider.

Contacted providers with authorization, denial and appeals process as needed.

Daily use of ICD-9 & CPT codes for authorization of services requested.

EDUCATION

05/2024 Notary Public (application submission 5/14/2024)

05/2022 – present Home Inspection Certification course – InterNACHI.org

02/2018 Milly-On Beauty, Lash Artist Certification

09/2017 – 07/2018 Paul Mitchell the School Tampa, Cosmetologist Program

10/2016 – 03/2017 A.S. - Professional Nursing, Rasmussen College

05/2015 – 09/2016 Billing & Coding Certificate Program, Rasmussen College

05/2008 – 05/2010 Coursework in Healthcare Administration

04/2003 – 05/2004 Medical Assistant Certificate Program, Sanford Brown Institute

SKILLS

Consistently demonstrating time management, multitasking and prioritizing strict deadlines.

Data Entry proficiency w/minimal errors.

Previously responsible for NextGen Go Live training in multiple locations nationwide, for the same company.

Ability to maintain and organize numerous medical & legal records (both paper and electronic records).

Strong computer skills with exposure to EMR programs like NextGen, EPIC, Athena, Cerner, 3M, and AllScripts.

Proven experience in training co-workers on protocol, software programs and workflow.

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