Medical Billing Customer Service

DEBORAH D. HOPKINS

*** *. **** ****** *., Lot *** Park City, KS 67219 316-***-**** *******.***********@*****.*** PROFESSIONAL PROFILE

Top performing professional with 7+ years of management experience who combines strong academic success with cross-functional customer service experience to illustrate value. Capable of providing timely and accurate data to ensure reimbursement for patient services, follows policies, procedures and guidelines to ensure consistent quality, and maintains and safeguards patient privacy and confidentiality.

High Academic Honors Recognition / Dean’s List Member of the Alpha Beta Kappa Honors Society (ABK)

Manages time and priorities in multi-task environments

Effective problem solver, able to assess situation and identify solutions with critical thinking skills

Function independently with minimal direction and guidance

Problem solving skills necessary to research and resolve discrepancies, claims, denials, appeals, and collections

American Red Cross Certified in Adult and Infant CPR Electronic Medical Records (EMR / EHR) Greenway Prime Suite EHR Microsoft Office Applications / MS Excel MS Word MS PowerPoint MS Outlook Typing Speed: 80 WPM

KEY QUALIFICATIONS

Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs Revenue Cycle Management Posting Payments Government (Medicare, Medicaid, & Tricare) 3rd Party Payers

Electronic Health Records (EHR) Electronic Medical Records (EMR) Greenway Prime Suite EHR Managed Care (HMO, PPO, and POS) Workers Compensation Insurance Verification Insurance Claim Processing CMS 1500 CMS 1450 (UB-04) Front Office Operations Medical Office Procedures Scheduling Medical Terminology Anatomy & Physiology HIPAA Compliance Medical Coding (ICD-10-CM, HCPCS, CPT)

EDUCATION

Ultimate Medical Academy Associate of Science Degree – Medical Billing and Coding, 2020 PROFESSIONAL EXPERIENCE

Amazon Fulfillment Center 10/2021 –

Present

Outbound Shipping Dock

Load and unload trailers as needed

Load carts and pallets for trailers and airplanes

Work all areas of outbound shipping

Teleperformance / Wellcare Insurance Co. Chillicothe, MO (Remote) 07/2020 – 06/2021

Customer Service Representative

Answered inbound calls from members and assisted them with their Medicare Part D questions and concerns

Deborah Hopkins Con’t.

Educated members by answering questions about their drug plan, explaining what deductible they were in, what their benefits consisted of, discussed each of their medications including what formulary and/or tier their medication(s) were in, and entered detailed information from the conversation in their file.

Ran test claims to give an estimate cost of newly prescribed medications

Assisted members who wanted to change their plans and explained the different categories and costs of each plan

Took payments by credit card or check over the phone

Used multiple software programs and resources to find information

Assisted members with getting prior authorizations for their medications that weren’t covered, and those who were appealing decisions made about a non-coverage decision of a medication they needed to be on

Western Missouri Correctional Center – Cameron, MO 09/2017 – 01/2019

Correctional Officer

Maintained safety and security for all inmates. Security check tours done every 30 minutes for entire house

Documented information each shift of daily activities, any violations or incidences of inmate disturbance, meal time, work, and education releases, dispensing of medications, and anything found during searches for contraband.

Paperwork prepared for inmates who were leaving the compound temporarily, transferring to another cell or house, or leaving permanently along with all pack-out information. Standard operating procedures were followed at all times.

Followed guidelines and procedures for escalated situations with immediate response to gain control quickly.

Performed searches of cells, wings, and other areas of the prison

Monitored conduct of prisoners while in the housing unit, during their work and/or recreational activities

Escorted prisoners to medical, dining hall, housing transfers. and ad-seg

Cross-trained to work in most areas of prison

Defensive training. Shotgun certified.

Shell Food Mart 01/2016 – 10/2017

Retail Cashier / Customer Service

Offered a positive customer service experience through customer care and attention to detail

Operated cash register, processed credit transactions

Took inventory, replenished shelves and coolers as needed. Ensured a clean establishment Prior work experience includes 7 years as a manager in fast-paced environments Answered multi-line phones, mass data entry, processed payroll by hand and computer, including preparing tax information for accountant, managed accounts payables, receivables, and other administrative duties, interviewed, hired, and trained new hires. VOLUNTEER EXPERIENCE

Deborah Hopkins Con’t.

Karate For Kids 06/1995 –

12/1997

Volunteer Instructor

Taught 3 through 7-year-old children a variety of moves and forms, Stranger Danger, including how to get away from adults, sparring, board breaking, and preparation for tournaments

Kept in touch monthly with the students’ school teachers and parents to make sure they are doing well and excelling in their studies.

Received behavior information from teachers and parents, and maintained strict discipline with instruction on behavior, as well as rigorous workouts if problems occurred in school or at home.

Salvation Army “Feed the Homeless” program

Children’s Mercy Hospital “Rock-A-Baby” program

Head Start – read to the children

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