Service Representative Administrative Assistant

MEHMUDA SHAIKH

*** ****** **** ****, ******, MA *2493 · 781-***-****

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

EXPERIENCE

**** – PRESENT

PATIENT FINANCIAL SERVICES REPRESENTATIVE, MOUNT AUBURN HOSPITAL (CAMBRIDGE, MA)

• Received and verified documents required for billing and follow-up purposes

• Processed primary, secondary, and tertiary claims according to respective regulations and policies

• Corresponded with third-party representatives, as necessary to complete claims processing and/or resolve problem claims

• Responded to patient and third party enquiries via telephone or written correspondence in a timely manner.

• Interfaced with other departments, follow up daily on post processing activities.

• Currently working as a customer service representative in the patient financial services.

2008 – 2016

PATIENT ACCOUNT REPRESENTATIVE, CHARLES RIVER COMMUNITY HEALTH (BRIGHTON, MA)

• Input insurance billing information, process EOB’s, rejections and re-billing

• Entered encounter forms into Nextgen and completed claim edits as necessary, run Insurance A/R reports and investigate status of outstanding claims

• Follow-up on insurance denials and take appropriate steps to resolve discrepancies, prepare and process bills and third party claims, run MMIS eligibility batch report for all operations

• Reconciled reimbursement checks with claims submitted

• Assisted staff who need support with complicated payment processing situations

• Created payment plans for patients as requested and process refunds as necessary

• Entrusted with counting cash and other payments received and regularly making deposits at the bank

• Performed registration

• Trained and on boarded new employees

2008 – 2016

MEDICAL RECORDS CLERK, CHARLES RIVER COMMUNITY HEALTH (WALTHAM, MA)

• Printed schedules for next day appointments, and organized charts

• Worked with E.M.R system

• Updated immunizations in the med track system, scan drop filing, send charts and input data into the system. Input insurance billing information, process EOB’s, rejections and re-billing

• Collect lab papers

EDUCATION

ECONOMICS, NAVJIVAN ARTS COLLEGE

Associates Degree

WORCESTER POLYTECHNIC INSTITUTE

Fundamentals of Dimensional Metrology

SKILLS

• Fluent in Gujarati, Hindi

• Advanced computer skills including SAP, MAN/MAN Microsoft Office, Quicken, Outlook, Quickbooks, Windows NT/98/2000 and Medical Office Management Software. 15 years + experience with engineering documentation in the manufacturing field. Experience in performing various quality assurance audits and knowledge of quality control using various measuring tools and testing equipment. Keyboarding skills 45+ wpm. Experience in reading technical drawings and training new employees and cross- trained fellow workers

CERTIFICATIONS

Medical Front Office Administration Certificate, Millennium Training, Intense 320-hour training program utilizing medical manager software. Microsoft Office Specialist, Administrative Assistant II: Millennium

Contact this candidate