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Office Medical

Location:
Franklin, TN
Posted:
November 03, 2020

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Resume:

*** ***** **

Chapel Hill, TN *****

Cell: 225-***-****

Home: 225-***-****

adhipe@r.postjobfree.com

Kandis Milton

Core Professional Strengths

Efficient customer service, Team building with expertise in client relations, Problem solving, Attention to detail, Managing provider schedules, Prioritization skills, Organization skills, Excellent interpersonal relation skills, Patient scheduling, Employee motivation, Rapid claims processor, Accounts receivables and payables, Insurance posting, Status report management, Members payments, Benefit verification, Patient registration, Issue resolution, Multi-line communication, Data entry, Excel, Microsoft Suites, ADSI, and Professional office procedures. Experience

Vanderbilt Medical Center

Mar 2019- present Patent Service Specialist Nashville, TN Provide positive customer service skills while accurately checking in and checking out patients. Coordinates all follow up appointment, procedures, and testing through clinical communication or direct request including EEG, EMG, MRI (head &Neck), Ultrasounds, Heart Monitoring, Sleep Studies, CT’s etc. Create and respond to internal and external customer/provider inquiries to resolve scheduling or insurance issues via phone, fax, email, letter correspondence, and front desk work ques. Maintaining various paper files and disks of patient’s health records for archiving into the system. Assist patients and staff with all administrative duties such as patient referral assignment, faxing, sorting and distributing incoming mail, verification of insurance approval, ordering office supplies/beverages, cash management, creating/filing Medex forms and any additional duties that may be assigned. Bone and Joint @WMC

Mar.2018 - Feb. 2019 Orthopedic Surgery/MRI Pre-cert Rep. Franklin, TN With customer service orientation, my daily duties consist of verifying patient's current insurance benefits and eligibility. Obtaining required authorization for surgery, MRI, and special injections by phone or online. Assign appropriate ICD9 and CPT procedure codes. Communicate effectively with various facilities in which the procedures will be performed as needed. Williamson Medical Center

Feb.2017- Mar. 2018 Surgery Scheduler Franklin, TN As a scheduler I would oversee making, changing and canceling surgery and pre-op appointments by phone for Orthopedic, General, ENT, Plastic, Vascular, and Neurology surgeons. Verification and processing of the patient’s insurance information. Updating physician's preference card. Coordinating surgery procedures, surgeons and special equipment daily. Maintaining an accurate surgery board for nurse and physicians to view. Filing accounts and patient records. General office duties assigned by management.

East Baton Rouge City Parish

May. 2015 – Dec. 2016 Senior Clerical Baton Rouge, LA As Senior Clerical of BRPD VCU Division I hold the responsible of the collection and distribution of mail, other items of correspondence, large bulky items and typed work from the Office Systems Center throughout the department. To keep an updated log of distributed citations. To prepare all items of correspondence as required to maintain filing systems (including negatives and statements). To manage all telephone and counter Inquiries, requests and assignments and attend to photocopying, faxing Ordering stationery and Assist with training needs. All other general clerical duties. East Baton Rouge City Parish

Feb. 2014 – May. 2015 Senior Fiscal Specialist Baton Rouge, LA As a Senior Fiscal Specialist, I held the responsibility off preparing financial statements, maintaining cash controls through cash, check, and credit card payments, purchasing, maintaining accounts payable within the Financial Management Act. Filing in numerical / alphabetical, answering phones, and all other office duties.

Baton Rouge Surgical Center

Sept. 2013- Apr. 2014 Medical Schedule Baton Rouge, LA As a Medical Scheduler I fostered an environment which promoted patient comfort and trust. Also performed daily administrative tasks and general office duties which included scheduling patients for same day & future surgery, word processing, copying, faxing, filing, answering phones and data entry.

KBR

Apr.2012-Oct.2012 Payroll Clerk Zachary, LA

As Payroll Clerk my duties consist of manually entering in daily clock time, balancing employees’ time for the work week, creating a force and absent report, calculating incentive bonuses for hourly employees, and all other office duties as assigned by management.

Blue Cross Blue Shield

May 2009- Jan. 2011 ITS Provider Advisor Baton Rouge, LA As a ITS Provider Advisor my job duties consist of Efficient Customer Services, Multi-line Communication with various providers and BCBS plans, Research several computerized systems to address and resolve denied claims, Sending and responding to inquiries regarding denied claims, Generating letters advising providers of payment status, Maintain and complete a daily productive spread sheet, and all other office duties as assigned by management.

Blue Cross Blue Shield (Frazee)

Feb.2009-May.2009 ITS Adjustment Processor Baton Rouge, LA As a ITS Adjustment Processor my job duties consist of analyzing, identifying and auditing errors or patterns, respond to inquiries regarding adjustments, processing refunds, edits, and payments for a resolution to patient and provider satisfaction. Research computerized systems to address and resolve member/provider inquiries prior to corrected claim execution. Identify claim discrepancies and to bring patients account balance to a correct and collectible status. Document account activity, and successfully reduce task numbers and meet assigned productivity goal.

Blue Cross Blue Shield (Frazee)

Oct.2008-Feb.2009 COB Professional Processor Baton Rouge, LA As a COB Professional Processor my job duties consist of processing incoming EOB’s according to patient/provider contract Researched medical records and provider notes to correctly code claims for payment, document account activity, generating letters advising providers of claim status. Successfully reduce task numbers and meet assigned productivity goal.

Memorial Herman Hospital

Dec.2006-July.2008 Patient Access Services Rep II Houston, TX As a Patient Access Services Rep II my job duties consist of obtain patient demographic information, verification of primary/secondary insurance benefits information, generating labels/arm bands for patients, transporting patients to assigned areas for outpatient services obtaining authorizations for pre-scheduled and outpatient visits, collecting co-pays, document account activity and all other general office duties.

Our Lady of the Lake

Feb.2006-Aug.2006 Patient Access Services Rep I Baton Rouge, LA As a Patient Access Services Rep II my job duties consist of obtain patient demographic information, verification of primary/secondary insurance benefits information, generating labels/arm bands for patients, transporting patients to assigned areas for outpatient services obtaining authorizations for pre-scheduled and outpatient visits, collecting co-pays, document account activity and all other general office duties.

Education

West Feliciana Hospital St. Francisville, LA

Texas Southern University Houston, TX

Zachary High School Zachary, LA



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