Medical Assistant Billing
Resume:
WORK EXPERIENCE
Contractor (Consumer Support)
TravelPro - Boca Raton, FL
December 2019 to March 2020
Taking large volume of incoming calls attempting to make first call resolution, process RMA returns and full replacements, analyze photos to determine warranted and non-warranted damages, create shipping labels for customers to send their damaged goods to an authorized repair center, respond to customer inquires regarding product, or to resolve any issue he/ she may have with product via email, and process payments in CyberSource. Contractor
Sentry Data Systems - Deerfield Beach, FL
March 2019 to November 2019
Researched and analyzed data into the system, corrected and updated all information making current for payments to be processed, worked alongside team members meeting deadline for collections. Team Captain
GBS Enterprises - Deerfield Beach, FL
March 2013 to January 2019
Taken large volume of incoming and outbound calls, processed Furniture and Mattress claims. Followed up, and dispatched service techs for repairs, reached out and correspond with the retailers, processed full replacements and tech reports, performed cost analysis. Trained a large group of employees.Prepared documents for audits, resolve Better Business Bureau complaints, Taken supervisor calls, processed release of claims and cash settlements. Listened to customer service rep's calls, monitored, and coached. Communicated with clients to review and verify client billing requirements. Distributed workflow and audited invoices assuring quality of work. Ensured bills were submitted within the allowable time frame and followed up on A/R reports.
Pharmacy Benefits Manager/ Billing Collector
GBS Enterprises - Pompano Beach, FL
February 2016 to December 2017
SHAVITA
RUCKER
Deerfield Beach, FL 33441
adc23k@r.postjobfree.com
#readytowork
Willing to relocate: Anywhere
Part-time) 6pm - 12am
Ensured availability of accurate pharmaceutical supplies to units by reading order, entering order data into the computer, filling requisitions and delivering floor and narcotic stock orders. Assists with dispensing and control of narcotics by filling orders for patients that were in hospice. Collected 85k (Workman's Comp) Meeting monthly goals (old Gretna account), processed payments, submitted appeals, correspond with adjusters, via phone and email, using the EZ Meds system. Calculated and made adjustments to payment according to fee schedule. Medical Dispatcher
AMR - Pompano Beach, FL
November 2012 to October 2014
Dispatched EMS for members and customers that needed medical transportation, contacting vendors to find out time and location, verify HIPAA as well as contacting health plans for eligibility. Contractor (Processor II)
Ged & Bodden P.A - Boca Raton, FL
August 2012 to November 2012
Create/open files in the CP (client profile), properly search for cases in the system, mail sorting (by name, claim number, or provider) scan incoming and outgoing mail, closing files in the Client Profile System according to protocol, send out formatted letters to the clients, print and organize important documents to be professionally sent to the insurance carriers and clients, scan and upload pertinent documents, ability to read and completely understand EOB's, AOB's, Patient ledgers, PIP logs, and understand legal information listed within the carrier response letter, understand the use of CPT codes, ICD 9/10 codes, modifiers, denial codes, and fee schedules (Medicare/Workers Compensation) ability to calculate the payment of claims according to the fee schedule, determine available benefits and/ or if benefits are exhausted, knowledge of Florida State claim filing limits, knowledge of Statute of Limitations as it relates to PIP law, use of mathematical skills, knowledge of the difference between an Auto Carrier, Health Insurance Carrier, and TPA, excellent computer functioning and navigating skills as well as use of Microsoft Office (Word, Excel, Outlook), scan, import, and Create electronically file folders, and work independently. Mail Order Email Rep
Aetna/CVS Caremark - Pompano Beach, FL
October 2011 to May 2012
Responding to phone and email customer inquiries about store service, product pricing, additional items, advertised items in stock items and company programs. Although most questions are answered at the time of inquiry, for others, collect information from the customer and research the requested information or refer the inquiry to a subject matter expert within the company. Responses to customer inquiries are tracked and reported. The team also collected market information on customer satisfaction from various sources and produces general reports that measure the company's results in meeting customer expectations.
Tech Support
World Wide Web Tax - Pompano Beach, FL
October 2009 to March 2010
Attempt to help the user solve specific problems with the 1040 value Pak product, troubleshooting issues with the 2009 tax returns, outbound calls to customers that have support tickets, a large volume of incoming calls that are tax related. Clerical
Clerical Support
Broward County Health Department - Fort Lauderdale, FL April 2008 to September 2009
Inputting information for the H1N1 Shot record for all children that received the shots in all the schools in Broward County, typing in medical history, faxing, filing, and heavy phone calls to communicate with the nurses. Medical Dispatcher
Health Watch - Boca Raton, FL
February 2005 to March 2008
Assisted with large volumes of incoming calls, typing, dispatching EMS for customers that needed medical help, verified eligibility of insurance.
EDUCATION
Diploma in Medical Assistant
American Institute
2014 to 2015
Diploma in General Studies
Coconut Creek High School
1998 to 2002
SKILLS
CRM Software
Word Processing
ICD-10
Medical Records
Workers' Compensation
EMR Systems
CPT Coding
Hospice Care
Order Entry
ICD-9
Training & Development
Excel
Dispatch
Collections
Medical Billing
HIPAA
Medical Scheduling
Medical Coding
Anatomy Knowledge
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Medical Terminology
Accounts Receivable
Clerical Experience
Insurance Verification
ICD Coding
Medical Office Experience
QuickBooks
Quality Assurance
Epic
Transcription
Laboratory Experience
Physiology Knowledge
Accounting
Auditing
Epic
Laboratory Experience
Quality Assurance
Transcription
ASSESSMENTS
Customer Focus & Orientation — Highly Proficient
June 2019
Responding to customer situations with sensitivity. Full results: https://share.indeedassessments.com/share_to_profile/ 808623a707c0f7207719a7edcb6ed097eed53dc074545cb7
Scheduling — Proficient
May 2019
Measures a candidate's ability to cross-reference agendas and itineraries to avoid conflicts when creating schedules. Full results: https://share.indeedassessments.com/share_to_profile/ 22116b9b65ad1b7e94e234c33448a732eed53dc074545cb7
Work Style: Conscientiousness — Highly Proficient
March 2020
Tendency to be well-organized, rule-abiding, and hard-working. Full results: https://share.indeedassessments.com/share_to_profile/ ee07ea2d8500d625676ad78b2be849b0eed53dc074545cb7
Customer Focus & Orientation — Highly Proficient
March 2020
Responding to customer situations with sensitivity. Full results: https://share.indeedassessments.com/share_to_profile/ 69a30cec4edae19613a2b210194fd2aeeed53dc074545cb7
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Work Style: Reliability — Proficient
March 2020
Tendency to be dependable and come to work.
Full results: https://share.indeedassessments.com/share_to_profile/ f5ac4b298b72bdfd1d18d86c04f2f0e1eed53dc074545cb7
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
ADDITIONAL INFORMATION
CPR Certification, Medical Assistant Diploma, BLS Certification, Bloodborne Pathogens, HIPAA Certification, Hard worker awards available.
Contact this candidate