Office Assistant Medical Billing Customer Service

Shajuna M. Randall

*** ******** **** ** *** *-* Marietta, GA 30067 Phone: 404-***-**** e-mail:

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

A Highly ambitious clerical professional known for delivering results Summary of Qualifications

• Over 15 years’ experience supporting office operations.

• Excellent time management and organizational skills.

• Ability to work effectively in complex situations without losing sight of detail.

• Knowledge of ICD 10 and CPT coding for referral processing.

• Adept in technology with experience operating multiple databases.

• Resourceful problem-solver who can work independently while maintaining a superior work ethic.

• Strong interpersonal and communication skills.

Work Experience

The Philip Israel Breast Center

Billing Account Support Specialists, 3/2020 – present

• Responsible for submitting medical claims

• Pay attention to detail

• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing

• Following up on unpaid claims within standard billing cycle timeframe

• Checking each insurance payment for accuracy and compliance with contract discount

• Calling insurance companies regarding any discrepancy in payments if necessary

• Identifying and billing secondary or tertiary insurances

• Reviewing accounts for insurance of patient follow-up.

• Researching and appealing denied claims

• Answering all patient or insurance telephone inquiries pertaining to patient accounts.

• Setting up patient payment plans and work collection accounts Northside Family Practice Woodstock, GA

Account Support Specialists /Scheduler/Referral, 5/2018-3/2020

• Post insurance payments, work denials & A/R

• Patient collections

• Capture payments, submit charges

• Expedite referrals for new and existing patients for specialty care.

• Update patient database with basic insurance and demographic information.

• Foster positive and productive relationships with patients, medical professional, and insurance

• providers.

• Schedule and coordinate patient care providing excellent customer service.

• Establish a highly efficient workflow ensuring insurance-based authorizations are obtained prior to

• appointments.

• Educate patient of the referral process and maintain HIPPA compliance. Northside Cherokee Orthopedic & Sports Medicine Woodstock, GA Front Office Assistant/Medical Office Receptionist, 2/2015-5/2018

• Managed and maintained a multi-line phone system while accurately scheduling new

• appointments.

• Answered patient inquiries and provided assistance and directions when necessary

• Processed bills, invoices, and patient payments.

• Maintained business inventory, scheduling equipment, and maintenance repairs.

• Upheld a positive reputation by treating visitors in a friendly, welcoming, and

• compassionate manner while performing all duties within HIPAA regulations. Salon Naveah Atlanta, GA

Receptionist/Front Office Assistant, 10/2012-01/2015

• Provided exceptional customer service to salon clients and visitors.

• Accepted and processed credit card and cash transactions.

• Monitored and managed customer satisfaction ratings.

• Managed salon inventory and ordering of products and supplies.

• Developed and managed marketing and branding activities designed to increase service sales. Selig Parking Atlanta, GA

Customer Service Re./Office Assistant, 09/2008-10/2012

• Provided comprehensive support to upper-level management.

• Processed weekly payroll and submitted weekly and monthly reports.

• Composed general correspondences and memorandums with instruction.

• Managed documents for filing, storage, and processing.

• Prepared and processed bills, invoices, statements, checks, and other financial documents.

• Received and responded to inquiries and performed basic quality control duties.

• GC Services Atlanta, GA

• Child Support Customer Service Rep., 06/2004-09/2006

• Managed and maintained individual caseloads for account payments.

• Investigated non-support inquiries, prepared cases, and located non-custodial parents.

• Initiated legal mandates, received and processed referrals, and pursued leads to locate non-

• custodial parents.

• Maintained correspondences between responsible parties.

• Initiated enforcement action on non-paying support cases. Education:

Kennesaw State University

Medical Billing and Coding

Certificate of Completion, 2018

Dekalb Technical College

Medical Billing and Coding

Certificate of Completion, 2000

Dekalb Technical College

Cosmetology

Diploma, 1998

Software/Skills

• Microsoft Office: Word & Excel

• Greenway Health

• Galen Centricity

• RCx Rules

• eClinicalWorks

• ADP

• RMS

• Azalea

• Trizetto

• Epic

• Blue pay

• Availity

• Billing and Coding

• Word Processing (45 WPM)

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