Medical CSR
Resume:
Verna Truvillion
Phoenix, AZ *****
********@*****.***
Well-regarded professional who combines 15+ years of insurance claims, medical administrative, and clinical experience with cross-functional customer service experience to illustrate value. Able to provide timely and accurate data to ensure reimbursement for patient services. Lead by example and set high standards for performance.
Attentive to Detail: Review and correct errors and maintain high levels of accuracy.
Customer Service: Able to communicate effectively with patients and healthcare providers.
Team-Oriented: Works collaboratively to provide quality care.
Medical Administrative Skills: Assign diagnostic codes, verify insurance, referrals, and appointment scheduling.
Clinical Skills: Vital signs, injections, phlebotomy, and EKGs.
Electronic Health Records: TouchWorks EHR, Medisoft EHR, and IDX.
Computer Skills: Microsoft Office Applications (Word and Outlook) and Kronos – Type 40 WPM. Member of the Alpha Beta Kappa Honors Society
High Academic Honors Recognition / Dean's List / Honor Roll Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate American Heart Association – Certified in CPR and First Aid Work Experience
CSR - Customer Service Representative/ Remote
Aerotek/Medimpact - Tempe, AZ
May 2021 to December 2021
Answer High volume of incoming calls from members, Drs, Pharmacy staff regarding medication coverage.
• Resolved customer issues
• Worked in the inbound call center
• Responded to inquiries and issues
Full-Time Student
Ultimate Medical Academy - Phoenix, AZ
April 2020 to January 2021
Remained self-directed, motivated, and accountable for personal actions.
Came prepared for class and completed assignments on time.
Learned new technology, navigated computer systems, utilized available resources, and met goals. Caregiver
Honor Home Care - Los Angeles, CA
February 2015 to January 2017
Provided in-home care for patients with dementia and Alzheimer disease.
Distributed medications and assisted with activities of daily living – mobility, personal hygiene, and feeding.
Kept household clean and organized and prepared and served meals.
Documented services provided, patient condition, and changes in patient behavior.
Respected patient’s privacy and maintained confidentiality. Lien Representative
DAD and Associates / Workers Compensation Appeals Board (WCAB) - Winnetka, CA August 2012 to December 2014
Handled unpaid Workers Compensation claims for medical facilities and physicians
Negotiated with attorneys to establish payment solutions for physicians and diagnostic centers.
Appeared in front of judges to secure judgement orders, reviewed cases, and requested any missing information.
Managed Inbound and outbound phone calls and communicated effectively with case representatives to ensure full understanding of case.
Safeguarded private and confidential information. Client Services Representative 1
Quest Diagnostics / Nichols Institute - Valencia, CA August 2008 to May 2012
Answered high volume of incoming calls from clients.
Reported laboratory results via phone and fax, using established protocols.
Documented call history in patient file and maintained complete and accurate records.
Resolved routine matters related to specimens, supplies, and couriers.
Filled in for Receptionist, answer incoming calls on multi-line phone system, transferred calls, and took messages.
Abided by HIPAA guidelines to ensure patient privacy. Clinical Medical Assistant III
Healthcare Partners Medical Group - West Hills, CA August 2006 to June 2008
Rotated between back office and front office duties and upheld confidentiality of patient information at all times.
Researched and assigned appropriate diagnostic codes for referrals.
Answered incoming phone calls, scheduled appointments, verified insurance coverage, and handled prescription refills by phone, fax, and electronically via eScript.
Took vital signs, drew blood samples, and administered injections, EKGs, spirometry and vision testing.
Assisted physicians during examinations, procedures, and minor surgeries.
Updated patient records electronically and maintained confidentiality.
Communicated with patients, laboratories, medical offices, diagnostics centers, pharmacies, and physicians.
Lead Medical Assistant with Limited X-Ray License
Internal Medicine Associates - Plantation, FL
January 2002 to June 2006
Worked as back office Lead Medical Assistant and trained new back office medical assistants.
Interacted with patients and healthcare professions via inbound and outbound calls, completed referrals and prescription requests, and scheduled appointments and procedures.
Took vital signs, administered injections and EKGs, drew blood samples, and conducted pulmonary function (PFT), allergy, spirometry, vision, and hearing tests.
Protected patient rights by maintaining confidentiality of private information. Education
Diploma in Medical Billing and Coding
Ultimate Medical Academy
2021
Clinical Medical Assistant
National Education Center
1986
Skills
• Medical Billing
• Accounts Receivable
• Collections
• Co-Pay
• Deductibles
• Co-Insurance
• EOBs Revenue Cycle Management
• Posting Payments
• Government (Medicare & Medicaid)
• Third Party Payers Electronic Health Records (EHR)
• Electronic Medical Records (EMR) Medical Terminology
• Anatomy & Physiology
• HIPAA Compliance
• Medical Coding (ICD-10-CM
• HCPCS
• CPT) Managed Care (HMO
• PPO
• POS)
• Workers Compensation Insurance Verification
• Insurance Claim Processing
• CMS 1500
• CMS 1450 (UB-04)
Certifications and Licenses
First Aid Certification
Certified Medical Assistant
CPR Certification
Assessments
Call center customer service — Familiar
December 2021
Demonstrating customer service skills in a call center setting Full results: Familiar
Protecting patient privacy — Proficient
December 2021
Understanding privacy rules and regulations associated with patient records Full results: Proficient
Customer focus & orientation — Expert
December 2021
Responding to customer situations with sensitivity Full results: Expert
Customer service — Completed
December 2021
Identifying and resolving common customer issues
Full results: Completed
Written communication — Familiar
December 2021
Best practices for writing, including grammar, style, clarity, and brevity Full results: Familiar
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
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