Medical Billing Customer Service

ALICIA COOK

***** ********* *** *** ** Detroit, MI 48223

Cell: 313-***-****

**********@*****.***

Professional Background

OBJECTIVE: To obtain a challenging position in a customer focused environment, where I can apply my Professional Experience

Corvel Corporation August 2017-

Present

Bill Review Analyst

Responsible for participating in the daily operations and maintenance of Specialty Services Network Bill Review Department. Primary duties include processing claims for workers’ compensation managed care services. Responsible for receiving claims and assessing all payer claims and accounts for billing compliance. Assist other billing professionals with more complex or problematic claims, as necessary. Requires regular and consistent attendance.

Compliance of the organizations confidentiality policy in accordance to Health Insurance Portability and Accountability Act (HIPAA) regulations.

Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP).

Ciox Health June 2016-August 2017

Client Services Representative

Exercises sound judgment and critical thinking skills in the execution of job duties. Assists with the training of associates Demonstrated working knowledge of esmartlog, smartlink, rep on line and other work tools and software. Receives incoming requests for information and responds to requests by opening mail, assisting walk-ins and telephone inquiries, and retrieving facsimile inquiries in a timely manner. Validates requests and authorizations for release of medical information according to established procedures and HIPAA guidelines. Completes release of information requests including retrieving patient’s medical charts and returning charts, copying/scanning medical records accurately and correctly, according to requests, established procedures, and established standards of quality and customer service experience as foundations for growth. Skill Highlights

Microsoft Word, Excel, Power Point Analytical

Outlook Efficient

Customer Service

Team Player

Multi-task

productivity; and electronically transmits medical record to processing operations. Completes release of information requests including retrieving patient’s medical charts. Maintains confidentiality, information security and ethical behavior. Will not remove medical records information from member site unless written authorization is provided.

Detroit Medical Center

Client Services Representative April 2015-November 2016 Detroit, MI

Client Services Representatives are available to answer inquiries regarding test results, add-on requests, STAT services and test requirements. The Client Services Department acts as a liaison between our clients/customers and the laboratory technical staff. In addition to providing information about DMCUL’s laboratory services and the current status of lab testing, the Client Services Representative provides phone and fax notification for Laboratory Critical Values and STAT results.

The department also functions to find solutions for all issues requiring follow-up with the client. Working in conjunction with Clients, Couriers, Processing and Laboratory departments, the Client Services Representatives notify the clients of testing that cannot be performed due to concerns about specimen integrity or insufficient volume of testing. They handle all notifications to clients of any pre-analytical and post-analytical concerns. The Client Services Representative also notifies of orders for which samples have not yet been received, or of questions concerning the client’s request for testing. American Red Cross

Collections Document Reviewer February 2014 to April 2015 Detroit, MI

With a high level of attention to detail and sense of urgency, this position is responsible for reviewing and responding to all documents completed by our blood collections department. Following detailed and substantial operating procedures is essential in this highly regulated position. Proficiency with computer desktop applications and ability to type with speed and accuracy required. Strong organizational skills, document management skills, and the ability to manage multiple tasks required. Must be detail oriented and have strong math skills. Excellent oral and written communication skills required. Ability to identify, resolve and escalate issues if necessary.

American Red Cross

September 2010 to February 2014

Lead Laboratory Assistant

Detroit, MI

Demonstrated excellent customer service skills Prepare blood samples for testing Disposal, Shipping Perform customer communications and reagent inventory control process Maintain manual and computer records associated with production or testing.

Education and Training

Ultimate Medical Academy November 2018 – February 2021. Healthcare Administration/Medical Billing & Coding

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