Deloris A Matthews
Columbus, GA 31906
Phone: 762-***-****
E-mail: ***************@*****.***
OBJECTIVE
A prioritized and goal oriented Customer Service Representative in search of a long term position.
SUMMARY OF QUALIFICATIONS
Web chat sales
Responsible for managing classroom
Heavy volume of calls scheduling appointments
Verified insurance to include obtaining precertification Scheduled diagnostic procedures, labs and surgeries Entered data into computer system
Strong knowledge of medical terminology
Strong knowledge of CPT/ICD codes
Strong knowledge of Medicare and Medicaid
Heavy use of Electronic Health Record
Process claims electronically via computer system
Responsible for creating adjustment of claims as needed Medical Assistant Certification (CMA-AAMA)
CPR Certified
Member of American Association for Medical Assistant WORK EXPERIENCE
● Customer Care Associate and Utilization Management Rep (09/2014 – Present) Anthem, Columbus, GA
Responsible for answering inbound calls, verifying member’s benefits, checking application Status must have through knowledge of company’s terminology, products and benefits Offered, collecting members premium and initial payments, daily use of icd9 and 10 knowledge when reviewing claim status for members
Answer incoming calls to set up pre-certifications and pre-determinations for members, providers and facilities based on clinical guidelines and medical policies Customer Care Associate (02/2014 – 09/2014)
Anthem for Kelly Services, Columbus, GA
Responsible for answering inbound calls, verifying member’s benefits, checking application Status must have through knowledge of company’s terminology, products and benefits Offered, collecting members premium and initial payments Adjunct Instructor (01/2014 – 02/2014)
Miller Motte
Responsible for managing classroom
Announcements, grades, class materials, syllabus, and attendance posted to Blackboard
(Online)
Responsible for assisting students with concerns related to admissions, financial Aid and enrollment
Responsible for creating syllabus for course
Prepares lesson plan and test for course
Assist students with learning how to use electronic health records Assist students with icd9 and 10 medical billing and coding Medical Assistant Certification (CMA-AAMA)
CPR Certified
Member of American Association for Medical Assistant Web Chat Sales Representative 11/2013 – 11/2013
Afni
Assist customers online as Verizon wireless customers with issues related to billing while offering products and services to enhance their mobile experience Academic Counselor/Adjunct Instructor (10/2013 – 10/2013) Virginia College
Instruct courses in Medical Assisting program
Post feedback of grades
Record attendance
Assist with registration by keeping record of classes’ students has completed/need Assist students with preparation of completing medical assisting program through Instructing medical terminology course
Medical Assistant 10/2013 – 10/2013
River City Rehabilitation
Assist with office procedures to include scheduling appointments, entering vital signs into computer, preparation of pain medication for physician Heavy use of entering information into electronic health record Must have a working knowledge of ICD9 to include use of medical terminology Adjunct Instructor 03/2012 – 12/2012
Chattahoochee Valley Community College
Responsible for managing classroom
Announcements, grades, class materials, syllabus, and attendance posted to Blackboard
(Online)
Responsible for assisting students with concerns related to admissions, financial Aid and enrollment Responsible for creating syllabus for course Prepares lesson plan and test for course
Prepare students to successfully complete the Medical Assisting program through instructing medical office insurance course to include training of how to use electronic health records, icd9 and 10 for medical billing and coding Medical Assistant Certification (CMA-AAMA)
CPR Certified
Member of American Association for Medical Assistant Claims Associate III (10/2003 - 9/2012)
Anthem, Columbus, GA
Process Claims electronically through computer system Detailed research required when verifying members benefits Strong knowledge of medical terminology, icd 9 and 10 required Medical Assistant (09/2002 – 04/2003
Dr. Ehrman H. Eldridge Jr. M.D. Columbus, GA
Checked patients in and out of office
Scheduled appointments to include diagnostic testing Entered data into computer system
Verified insurance
Phoned in prescriptions to pharmacy
Performed Venipunctures
Took patients vital signs
Document procedures in chart
Sterilized instruments
Prepared syringes for injections and administered to patient Assist with minor office surgeries
Stocked rooms and reordered supplies
Medical Assistant (09/1996 – 01/1998
Dr. Ehrman H. Eldridge Jr. M.D. Columbus, GA
Checked patients in and out of office
Scheduled appointments to include diagnostic testing Entered data into computer system
Verified insurance
Phoned in prescriptions to pharmacy
Performed Venipunctures
Took patients vital signs
Document procedures in chart
Sterilized instruments
Prepared syringes for injections and administered to patient Assist with minor office surgeries
Stocked rooms and reordered supplies
EDUCATION
Masters Human Resource Management December 2012
University of Phoenix
Phoenix, AZ
Human Resource Law, Recruitment and Retention Practices, Organizational Training and development, Research in Human Resource Management, Office Procedures, Statistical Applications, Public Relations Masters in Business Administration September 2011
University of Phoenix
Columbus, GA
Human Resource Law, Recruitment and Retention Practices, Organizational Training and development, Research in Human Resource Management,Office Procedures, Statistical Applications, Public Relations
Bachelors of Science in Healthcare Services July 2008 University of Phoenix
Columbus, GA
All of my class work at University of Phoenix has prepared me for public speaking and a variety of careers such as hospital administrators Diploma in Medical Assisting September 1996
Columbus Technical College
Columbus, GA
Trained as a student Medical Assistant in which training assisted me with various front and back office duties to include administative and clinical office duties. As a medical assistant student a part of the program include training in medical billing, coding and claims processing. Certification May 2012 to May 2017.