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Medical Billing Customer Service

Location:
Lake Wilderness, VA, 22551
Posted:
November 24, 2021

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Resume:

Donna Director of Quarles Clinical Records

Spotsylvania, VA 22551

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

540-***-****

Detail-oriented professional with 18.5+ years of experience and a proven knowledge of back-office operations, confidential correspondence, and customer service. Aiming to leverage my skills to successfully fill the administrative role at your company. Work Experience

Credentialing Analyst

INSIGHTGLOBAL - AMN Healthcare – Remote

August 2021 – Present

• Perform I9 Verifications for HealthCare Workers

• Track status of requests for documentation

• Send Links to Clinicians to complete online Modules

• Pull Certifications

• Attend daily Huddles

• Upload documents into Guardian and Kofax

• Perform QS Setups

• Acquiring and maintaining relevant compliance documentation for Healthcare Provider

• Reviewed Licensure, certifications, screens, and other critical documents

• Created urgency with healthcare providers via email and phone, to encourage timely and accurate submissions

• Utilized technical skills within internal programs and Excel while also practicing high-level customer service.

Medical Records Indexer

All In Solutions - Fredericksburg, VA

December 2019 to August 2020

• Review Veterans files, documents, and compile indexes to make information searches easier.

• work with any variety of documents downloaded in the QTC Management System.

• Spend much of the time reviewing documents or files to be used for indexing purposes.

• Track daily workflow

• Prepare reports

Director of Clinical Records

Family Preservation Services - Fredericksburg, VA

July 2000 to February 2019

• Answers inquiries (requests, subpoenas, court orders) regarding information recorded in the medical record while ensuring that resident rights are always protected.

• Direct and supervise work activities within the clinical records departmentOversee the tracking and indexing of electronic media patient and medical records

• Create and implement medical records systems, in compliance with organizational rules and HIPPA guidelines

• Develop and implement policies to preserve the confidentiality of information contained in medical records

• Evaluate and modify components of medical information and filing systems

• Proficient in resolving issues that may arise due to the release of confidential medical information, and misplaced medical records

• Assisted in the production of forms, records, and reports reflecting medical records statuses• Administrator for Department of Medical Assistance System Web Portal, and Magellan Portal.

• Eligibility verification. Liaison between the Billing Department and Regions.

• Applied for NPI numbers for all our sites, get sites Licensed through the Department of Behavioral Health, and credential through Magellan Health Services along with credentialing for clinicians and therapists.

• Effectively communicated with other employees and upper management to ensure complete care of customers.

Education

Completed coursework towards A.A. in Paralegal Studies Southern Career Institute - Boca Raton,

FL March 1983 to September 1986

Skills

• Records management

• Customer service

• Organizational skills

• Detail oriented

• Problem-solving

• Documentation

• Microsoft Excel

• Outlook

• training

• Time Management

• Human Resources

• Microsoft Office

• Scheduling

• Marketing

• Data Entry

• Payroll

• Medical Terminology

• Office Management

• Scheduling

• Marketing

• Microsoft Project

• Excel

• Receptionist

• Quickbooks

• Health Source (1 year)

• Chart view and Epic (Less than 1 year)

• Basic Math

• English

• Medical Records

• ICD-10

• Medical Billing

• Social Work

• CPT Coding

• Case Management

• EMR Systems

• HIPAA

• ICD-9

• Quality Assurance

• Crisis Intervention

• Hospital Experience

• Insurance Verification

• Medical Scheduling

• Management

• Phone Etiquette

• Medical Office Experience

• Supervising Experience

• Microsoft Powerpoint

• Anatomy Knowledge

• Transcription

• Medical Coding

Certifications and Licenses

Personal Care Aide Certification

March 2019 to Present

Completed certification course for

Personal Care Aide

NOTARY PUBLIC

Assessments

Accounting Skills: Bookkeeping — Proficient

April 2019

Measures a candidate's ability to calculate and determine the accuracy of financial data.

Full results: Proficient

Front Desk Agent (Hotel) — Highly Proficient

June 2020

Selecting hotel rooms based on verbal requests and identifying errors in hotel data. Full results: Highly Proficient

Call Center Customer Service — Proficient

June 2020

Applying customer service skills in a call center setting. Full results: Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field. Additional Information

• Attention to detail • Customer service • Reliable and Dependable • Detail oriented Documentation and reporting • Excellent communication abilities • Multi-tasking and negotiation • Proficient in Microsoft Applications • Organizational skills • Records Management Professional • Problem-solving abilities



Contact this candidate