Customer Service Quality Assurance

Mona Hari

*** ******* ***** • Jordan, MN ***** • 952-***-**** • ****.******@*****.***

PROFESSIONAL PROFILE

Customer service oriented professional backed by production and quality assurance experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies, procedures, and guidelines to ensure consistent quality. Maintain and assure patient privacy and confidentiality.

. Ultimate Medical Academy —- HIPAA Essentials for healthcare professionals certificate .

. Multilingual —-- Fluent in English, Hindi, and Punjabi.

. Communication skills necessary to deal effectively with patients and healthcare providers.

. Attention to detail needed to maintain high levels of accuracy .

. Well- organized, able to manage time and priorities in multi-task environments.

Communication Platforms—-- Zoom, Skype, Google Meet, MS Teams,

MIcrosoft office Applications —-- Word, Excel, Power point

KEY QUALIFICATIONS

Medical Billing • Accounts receivable • Collections • Co-Pay • Deductibles • Co- Insurance • EOBs Revenue Cycle Management • Posting payments • Government (medical & Medicaid) • Third party payers Electronic Health Records (EHR) • Electronic medical Records (EMR)

Managed care ( HMO, PPO, POS) • Workers compensation

Insurance verification • Insurance claim processing • CMS1500 • CMS1450 (UB-04)

Front office operations • Medical office procedures • scheduling

Medical Terminology • Anatomy & Physiology • HIPAA Compliance • medical coding (ICD- 10-CM, HCPCS, CPT)

Education

Ultimate Medical Academy / Associate of applied science Degree —-Medical Billing and Coding, 2024

WORK EXPERIENCE

Triad Group Inc —- Hartland, WI 06/2003 08/2013

Quality control specialist

. Inspected pharmaceutical products and ensured quality standards and FDA guidelines were met.

. Reviewed line clearance for errors and released finished production to be shipped.

. Completed paperwork, coded products to specifications in the log sheet, and operated testing equipment.

. Helped the team achieve goals and objectives, assured safety and quality control standards were followed, and worked efficiently to meet deadlines.

. Accurately documented information regarding production.

WORK EXPERIENCE

Volunteered with Waterford Fire Department as Emergency medical services (EMS) Observed and monitored patient condition, transported patients to the hospital, and abided by HIPAA guidelines.

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