Care Representative Customer Service
Resume:
VIKTORIA GUTKINA
Waco, TX, 76712
Tel. 646-***-****
E-mail: ****.*******@*****.***
OBJECTIVE
To obtain a position of Medical Supply Specialist where my education, skills, and dedication will prove to be an asset to the team I will work with.
SUMMARY
Passionate and skilled in all faucets of Medical Supply business operation, dedicated to providing comprehensive service and administrative support for staff and superiors. Highly dedicated professional with a stellar work ethics and focus on details and the customer service support.
Solid understanding of billing software and electronic medical records.
Strong knowledge of Medicare, Medicaid and commercial insurance guidelines, procedures, and rules and regulations for DME/HME billing.
Maintain critical thinking skills essential to providing competent and dignified customer care.
Possess strong analytical and problem solving skills, with the ability to make well thought out decisions.
Full working knowledge of Excel, Microsoft Office, Word, Bright 3, Q-Integra Partners.
Highly trustworthy, discreet and ethical.
Resourceful in the completion of projects, effective at multi-tasking.
An unwavering commitment to customer service, with the ability to build productive relationships, resolve complex issues and win customer loyalty.
Hardworking and energetic; flexible; adapt easily to change of environment and work schedule.
Detail-oriented planner who manages schedules, sets priorities, and adjusts quickly to address special circumstances.
Strong team player ethics, and willingness to help all reach goals.
Fluent in English, Polish, Ukrainian and Russian.
EDUCATION
Business Administration and Economics, Kharkov National University, Ukraine
RELATED PROFESSIONAL EXPERIENCE
Family Medical Supply, Brooklyn, NY
Biller and Specialist of Authorizations Department (2020)
Billed for all types of medical supply and insurances in Q- Integra Partners system.
Billing in Cortex for all types of medical supply (straight Medicare and Metroplus).
Requested and processed approvals from all types of insurances.
Demonstrated a strong knowledge of all CPT codes and all diagnoses correspondent to medical supplies.
Worked in Bright 3 and Q-Integra Partners software.
Follow-up on missed payments and resolve financial discrepancies.
Trained new employees to work in Bright3 and Q-Integra Partners programs.
Rainbow Medical Supply, Brooklyn, NY
Specialist of Authorizations Department (2017-2020)
Requested and received approvals from all insurance plans under Medicaid (Healthfirst, Metrolpus, Integra MLTC, Villagecare, Senior Whole Health and others for all types of medical supply, including rare heavy duty hospital equipment. With most of insurances I worked through Integra Partners.
Ensured the patient’s medical information was accurate and up to date.
Prepared bills and invoices, and documented amounts due. Collected and reviewed referrals and pre-authorizations.
Trained new employees to work in Bright3 and Q-Integra Partners programs.
Be Well Medical Supply, Inc., Brooklyn, NY
Patient Care Representative (2014-2017)
Serviced patients on walk-in basis and by phone, reviewed and processed their medical supply prescriptions, verified eligibility for patients, communicated with insurances and case managers for approvals of services for patients.
Assisted patients with procurement of medical supply including selection of properly fitted and correctly sized equipment and supplies and provided instructions for proper use or applications.
Requested and received approvals from Medicaid and Medicare via on-line and by phone.
Examined patient bills for accuracy and requested any missing information.
Performed filing duties, conducted reviews and corrections for billing, located and contacted insurances for due collections purposes.
Performed posting charges and completion of claims to payers in a timely fashion.
Worked claims and claim denials to ensure maximum reimbursement for services provided to make sure that every patient receives the best possible care and attention.
REFERENCES
Will be provided upon request be provided upon request.
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