Service Representative Customer

Mischallelean Carter

Virginia Beach, VA ***** - 757-***-**** - *******@*****.***

Summary

Dedicated Administrator bringing nearly 20 years' of experience in customer service and Administrative lead and support. I am looking to expand my knowledge a leadership role as i obtain my degree in Business Administration.

Skills

Regulatory compliance

Credit and collections

Investigative research

Billing dispute resolution

Conflict mediation

Team collaboration

Audit procedures

Bill processing

General ledger

Creating marketing plan

Leadership and Critical thinking

Corporate event management

PowerPoint

Experience

Jordan Young Institute April 2022 to Current

Surgical Coordinator

Virginia Beach, VA

Gathered current medical information and reviewed histories to gather details for surgeons.

Booked surgeries according to physician volume and maintained prompt turnaround times.

Located scheduling barriers and implemented appropriate solutions.

Scheduled follow-up appointments as designated by physician.

Coordinated work processes and routed paperwork to appropriate physicians and staff members.

Arranged and scheduled post-operative visits during appropriate timeframe after surgery.

Obtained signatures and collected completed pre-operative consent and HIPAA forms from patients.

Reviewed CPT and ICD codes to check accuracy for billing.

Sent H&P form and other patient information to surgery facility.

Self-employed October 2020 to Current

Notary Public

Virginia Beach, VA

Reviewed documents and personal identifying paperwork or government-issued IDs for each person.

Documented transactions in notary journal to maintained permanent records.

Asked signers about validity of information contained in documents.

Checked for signs of coercion in either party or fraud and refused to notarize suspect transaction.

Med Systems Associates December 2013 to March 2015

Senior Patient Account Representative

Chesapeake, VA

Patient accounts Paper claim and electronic claim submission Pay Variance Specialist Ensuring Accurate/ clean claims Government/Commercial Biller Charge corrections/Appeals Specialist ICD –9 Coding Corrections.

Conducted financial consultations with patient and set up payment plans.

Resolved inquiries from patients, families and external payers.

Processed cash, check and credit card payments on patient accounts.

Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.

Reached out to patients once insurance was billed in order to obtain payments due.

Submitted electronic bills following facility and legal compliance standards.

Addressed patients' complaints-head on, investigated concerns and worked with medical staff to devise solutions.

Reviewed flagged items daily and resolved issues.

Applied organizational policies and complied with regulations for patient privacy.

Facilitated communication between patients, medical and administrative staff, administrative staff and regulatory agencies.

Assisted customers in making payments on accounts and setting up payment plans.

Documented conversations with customers to track requests, problems and solutions.

Upheld strict quality control policies and procedures during customer interactions.

VA Oncology December 2008 to December 2013

Insurance Specialist Senior

Norfolk, VA

Created and maintained accurate and confidential patient files according to regulatory mandates.

Customer service representative with billing and medical coding and administration tasks to streamline workflow.

Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.

Adhered to HIPAA requirements to safeguard patient confidentiality.

Managed incoming telephone calls in reference to patient accounts and or appeal statuses.

Prepared new charts, updated existing charts and managed records transfers between offices.

Updated patient financial information to promote accurate record keeping.

Worked monthly Aged accounts

Handled medical appeals

Pay variances

Setup payment plans and or reviewed documentations to start charity write offs.

Cardiovascular Associates/ TCI February 2004 to April 2006

Scheduling Coordinator

Virginia Beach, VA

ICD-9 & CPT coding Obtain Medical Authorizations Obtain Referrals, Create Physicians hospital rounding list.

Managed and obtained insurance authorizations for patient referrals from physicians.

Submitted delinquent accounts to collections department or outside resources.

Contacted patients to notify them of delinquent payments.

Kept detailed reports of patient and account data, consistently updating database with latest information.

Created product promotion and marketing initiatives to increase awareness of testing facility.

Set and confirmed nuclear testing and cardiac procedures appointments for patients.

Assisted with hospital admissions and paperwork.

Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.

Managed incoming telephone calls, took messages and directed callers to personnel.

Coordinated office schedules for new patients, diagnostic assessments and procedures.

Prepared, scanned and quality-checked documents and images converted into electronic and digital format in high-volume environment.

Prepared files for scanning by removing physical barriers and preparing destination locations.

Education and Training

Strayer University, Virginia Beach, VA Expected in May 2023

Bachelor of Arts: Business Administration

Virginia Beach, VA

Strayer University, Virginia Beach, VA May 2018

Associate of Arts: Arts, Business Administration

Virginia Beach, VA

Everest Institute November 2008

Medical Insurance Billing & Coding, Graduate

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