Customer Service Medical Records
Resume:
Constance Hawkins
**** ****** * ********* ***** Montgomery, AL 36110 225-***-**** *********************@*****.***
PROFESSIONAL PROFILE
Customer service-oriented professional with 11+ years of management experience, capable of ensuring smooth patient flow by providing prompt attention to pulling patient charts and necessary medical records. Gather accurate billing and financial information and review intake materials for accuracy and completeness.
Academic Honors Recognition Honor Roll.
Well-organized, manage time and priorities in multi-task environments.
Effective problem solver, able to assess situation and identify solutions.
Promote teamwork through demonstrated behaviors, leadership, and effective communication.
Microsoft Office Applications MS Excel MS Word MS PowerPoint Typing Speed: 33 WPM.
Communication Platforms Zoom.
KEY QUALIFICATIONS
Medical Practice Management Systems Medical Terminology Medical Records HIPAA Compliance
Insurance Verification Insurance Claim Processing Reimbursement Processing Revenue Cycle Management
Medicare / Medicaid Government Payers Third Party Payers CPT & ICD-10 Coding
Medical Billing Medical Office Medical Administrative Patient Registration Data Entry
EDUCATION
Ultimate Medical Academy Associate of Science Degree / Health Sciences – Medical Office and Billing Specialist, 2022
Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate
WORK EXPERIENCE
Continuum/CVS – Montgomery, AL 10/2023 – Present
Benefits Verification Representative – WFH Agent (Remote)
Handle outbound telephone calls.
Adhere to HIPAA law and CVS procedures and policies.
Exhibit excellent customer service to the patients, providers, and colleagues.
Provide service to Commercial, Medicare and Medicaid insurance holders and assist with inquiries.
Microsoft office: Word, Excel, Outlook, and Teams; draft/review letters, reports/spreadsheets, send/receive emails, chat and attend virtual meetings.
Sparc Medical Management Software: verify the patient’s demographics, process co-payments and review healthcare plans.
Insurance verification: confirm coverage and eligibility. Contact the assigned the provided health facility to re-confirm.
Process data regarding the Co-Pay Assistant Program, by making connections/outreaches to the various agencies.
Update the patient’s co-payment assistance funds into their account for the designated agency.
Speedway – Montgomery, AL 09/2022 – 06/2023
Cook / Customer Service
Prepare and assemble food orders in a fast-paced environment.
Operate equipment and clean and organize workstation.
Maintain a positive attitude, follow established procedures, and promote teamwork.
Teleperformance – Montgomery, AL 11/2022 – 01/2023
Customer Service Representative – Contracted (Remote)
Managed inbound calls from members regarding their health insurance plans.
Verified insurance coverage, updated members demographic information, and ordered insurance cards.
Identified in-network providers and updated member’s primary care physician.
Responded to member inquires while providing excellent customer service.
Abided by HIPAA guidelines to safeguard sensitive and confidential information.
Ultimate Medical Academy – Montgomery, AL 07/2021 – 11/2022
Full Time Student
Remained self-directed, motivated, and accountable for personal actions.
Came prepared for class and completed assignments on time.
Navigated new technology, utilized available resources, and set realistic expectations.
Burger King – Baton Rouge, LA 08/2009 – 12/2020
Taco Bell – Baton Rouge, LA 01/2020 – 06/2020
Manager / Customer Service
Answered inbound phone calls, placed outbound phone calls, and created staff schedules.
Trained new hires, discussed job performance problems, delegated tasks, and implemented policies and procedures.
Recruited, interviewed, and selected new employees.
Ordered supplies, took inventory, reinforced policies and procedures, and completed end of day paperwork.
Resolved complaints, built employee relationships, operated cash register, and accepted payments.
Dollar General – Baton Rouge, LA 03/2017 – 01/2018
Retail Manager / Customer Service
Trained sales and cashier associates, handled inbound and outbound phone calls, and prepared deposits.
Processed payroll, completed end of day paperwork, conducted interviews, and hired candidates.
Recognized performance issues and violations of company policies and procedures and took appropriate actions.
Created schedules, communicated sales goals, and demonstrated leadership.
Ensured merchandise presentation was within company standards.
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