Customer Service Representative

Objective

Medical Billing & Coding graduate looking for an opportunity to contribute skills in ICD/CPT, Medicaid & Medicare billing, patient service, and customer service.

Medical Billing & Coding Education & Skills:

Diploma Medical Billing & Coding Kaplan College, Hammond, IN 04/2013

Reviewing patient records and related documents

Preparing and reviewing claims for accuracy

Properly coding diagnoses, procedures, and services

Reviewing insurance payments

Understanding insurance rules and regulations

Operating office bookkeeping systems

Posting charges and payments

Medicaid and Medicare billing

Explaining information to patients

ICD-9-CM Coding and ICD-10

HCSPCS Coding

CPT Coding

Medisoft

HIPAA

Type 35 WPM

10-Key Adding Machine

SAP/LAN

MS Windows

Word Perfect 6.0, MS Excel, Lotus 1-2-3

PeopleSoft

Externship:

2/13- 4/13: K & D Medical Services, Munster, IN 46402

Duties: responsible for patient’s insurance verification (calling different insurance carriers to find out about the payment status), check claim status of patients (to find out how far the carrier has processed the claim, whether it is a 30-days or 90-days claim that’s being processed), gather information for Medicare and Medicaid Patient’s files (making sure that the patient’s files have been updated with the demographic information so that there is no problem when a claim is submitted), worked on Practice Fusion (EHR), Office Ally (EHR), Availity, Indiana Medicaid website, Zap software and post payments for patient’s billing.

Professional Work History:

6/08 – 10/08: Customer Service Support Agent, Sykes Enterprises, Inc./Bank of America, Chicago, IL 60603

Duties: receive 70-80 inbound ACD calls daily; provide customers with account transaction information for ATM, checking, savings, money markets accounts and on-demand account resolution of stop payments of paper checks, electronic debiting, fee reversals and explain transaction history. Initiate Reg E and account investigations for Loss Prevention and Fraud disputes on customer’s behalf. Explain system conversion of LaSalle Bank and Bank of America retail products.

4/07 – 10/07: Dispatcher, Diamond Detective Agency, Inc. Chicago Heights, IL 60411

Duties: input schedules, monitor for open posts, cover all open posts, monitor employees checking on and off, answer telephone, log incident reports, do equipment inventory and vehicle inventory, alarm monitoring, sign in/out vehicles, key control, management, overtime management. Log all policy and procedure violations, employee/site conflict reports and all assignments as delegated by operations.

5/05 – 2/06: Customer Care Associate, CheckFree Corporation, Aurora, IL

Duties: responding and resolving customer inquiries and issues by handling incoming customer phone calls, electronic mail, or merchant related cases. Customer Service skills, the ability to accurately gather and record data, excellent verbal and written communication skills, including the ability to compose unique business letters and e-mails to customers and intermediate computer skills.

11/00 –12/03: Business Retention Specialist, Sprint PCS, Bolingbrook, IL

Duties: improving customer satisfaction; assist customers with discrepancies on their accounts; reduce repeat calls; activate phones; open new accounts and process account cancellations. I perform these duties in our call center.

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