Medical Billing Customer Service
Resume:
Marjorie Brazil
Sugar Land, TX *****
*******************@***********.***
Work Experience
Patient Access Representative III Authorization
Memorial Hermann - Houston, TX
July 2018 to Present
Obtain authorization for all Radiology procedures.
● Schedule, cancel, and confirm patient appointments and tasks across all hospital departments and specialty clinic.
● Interview patient or provider to obtain all the necessary information to facilitate the desired appointment or task and request that pre-certification be completed by either the patient or provider.
● verify medical insurance coverage either on- line or by phone.
● Answer all inquiries from all customers, both internal and external, in a timely manner whether the inquiries are via telephone, e-mail, fax, etc.
● Provide all the information necessary to ensure that the test preparation orders are all conveyed and understood by the patient or provider and all the necessary information is conveyed to the appropriate department.
Patient Access Representative I
Houston Methodist Hospital - Houston, TX
May 2014 to August 2018
Patient Relations and Customer Service
● Cross-trained in Inpatient, Out-patient, ER and Labs Registration, ICD-9 and CPT Coding
● Work in compliance with hospital policies and procedures and adhere to government regulations.
● Obtain signatures for financial responsibility and treatment procedures from patients or guardians.
● Maintain positive working relationships with patients, physicians, visitors, and hospital staffs
● Contact insurance companies for patient medical billing operations New Patient Coordinator Ambulatory Scheduler II
Texas Children Hospital
September 2015 to March 2017
Schedule, cancel, and confirm patient appointments and tasks across all hospital departments and specialty clinic.
● Interview patient or provider to obtain all the necessary information to facilitate the desired appointment or task and request that pre-certification be completed by either the patient or provider.
● Pre-register patients for their procedures as needed and verify their insurance coverage either on line or by phone.
● Answer all inquiries from all customers, both internal and external, in a timely manner whether the inquiries are via telephone, e-mail, fax, etc.
● Provide all the information necessary to ensure that the test preparation orders are all conveyed and understood by the patient or provider and all the necessary information is conveyed to the appropriate department.
● Maintain an accurate scheduling and filing system to meet the needs of the departments. Patient Access Representative 4
Admitting Representative University General Hospital July 2012 to January 2017
Cross-trained in Inpatient, Out-patient, ER, Radiology and Labs Registration, ICD-9 and CPT Coding
● Insurance Verification (HMO, PPO, POS, Medicare, Medicaid and Replacement plans)
● Able to explain patient concerns inquiries about billing, procedures, policies and available services
● Obtain signatures for financial responsibility and treatment procedures from patients or guardians.
● Maintain positive working relationships with patients, physicians, visitors, and hospital staffs.
● Contact insurance companies for patient medical billing operations.
● Work in compliance with hospital policies and procedures and adhere to government regulations. Patient Access Representative I
Park Plaza Hospital - Houston, TX
September 2010 to September 2013
Cross-trained in Inpatient, Outpatient, ER and Labs Registration, ICD-9 and CPT Coding
● Work in compliance with hospital policies and procedures and adhere to government regulations.
● Obtain signatures for financial responsibility and treatment procedures from patients or guardians.
● Maintain positive working relationships with patients, physicians, visitors, and hospital staffs
● Contact insurance companies for patient medical billing operations Billing Supervisor
Albany Medical Center, Albany Medical Center - Albany, NY March 2002 to July 2010
Accomplishes billing human resource objectives by selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining employees; communicating job expectations; planning, monitoring, appraising job contributions; recommending compensation actions; adhering to policies and procedures.
● Meets billing operational standards by contributing billing information to strategic plans and reviews; implementing production, productivity, quality, and customer-service standards; resolving problems; identifying billing system improvements.
● Meets billing financial standards by providing annual billing budget information; monitoring expenditures; identifying variances; implementing corrective actions.
● Accomplishes billing departmental objectives by measuring billing results against plans; evaluating and improving methods; making required changes.
● Obtains revenue by resolving order and invoice disputes; maintaining customer relations; resolving problems with bank transfer.
● Approves credit memos by reviewing documentation.
● Accomplishes accounting and organization mission by completing related results as needed. Store Manager, Dunkin Donuts Aramark Albany, NY
● Public Relations and Customer Service
● Sales and "bottom-line" profits of the store.
● Recruit, hire, train, evaluate and counsel store employees. Schedule, organize and direct assignments.
● Develop and implement employee performance evaluations and improvement plans.
● Effectively manage employee turnover. Provide a positive working environment and handle employee issues appropriately and in a timely manner.
● Resolve customer problems or complaints by determining optimal solutions.
● Utilize labor management tools, including effective scheduling, to maximize productivity, profitability and margins.
● Communicate, execute, and manage marketing and merchandising programs.
● Conduct regular store meetings.
● Manage speed of service results, controls inventory that is used for service orders, and is responsible for the overall organization and appearance of the service center.
● Order and receive spare parts for service orders, return defective parts to RMA department file all service order and purchase order paperwork, review service orders for correctness in billing. Patient Access Representative IV, Albany Medical Center, Albany, NY
● Control the flow of patient admission both within and outside facilities based on doctor direction.
● Obtain signatures for financial responsibility and treatment procedures from patients or guardians
● Respond to patient concerns and inquiries professionally.
● Maintain positive working relationships with patients, physicians, visitors, and hospital staffs.
● Contact insurance companies for patient medical billing operations. Education
AA
Hudson Valley Community College - Troy, NY
1997 to 2012
Assessments
Customer Focus & Orientation — Highly Proficient
October 2019
Responding to customer situations with sensitivity. Full results: https://share.indeedassessments.com/share_to_profile/ c04022c35e35483bb51438475f7b5e22eed53dc074545cb7
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