Data Entry Customer Service
Resume:
Regina Macleod
Killeen, TX *****
*************@*****.***
Work Experience
Delivery Driver
DoorDash - Killeen, TX
March 2020 to Present
Delivery driver
Document Specialist
Hanger, Inc. - Austin, TX
November 2019 to Present
I am administrative professional who is responsible for maintenance of company documents. store, catalogue and retrieve documents. ...
develop and maintain systems for document storage, and are responsible for document security and access.
Document Specialist
Hanger - Austin, TX
November 2019 to Present
Process incoming faxes; create charts for new patients, send documents va docu sign, verify insurance, create hospital call apps, data entry
Care Management Coordinator
SPNet Clinical Solutions - Austin, TX
May 2019 to Present
Responsible for data entry, authorization verification, care coordination, answering phones, and scheduling referrals. Extensive use of the phones, extensive use of email correspondence, update and create files for workers compensation. knowledge and use of ICD 10 codes daily. excellent customer service
Customer Service Representative
Family Dollar - Austin, TX
June 2019 to March 2021
Cashier/stocker
Prior Authorization Coordinator
NATERA - Austin, TX
August 2017 to May 2019
• Submit authorizations on behalf of lab, patient, and clinic
• Check authorization status via phone, fax, and portal
• Contact and research several insurance health plans and clinics throughout USA
• Develop letters and appropriate submission processes
• Take calls pertaining to authorization process, guidelines, and submission update
• Understands and follows all HIPAA guidelines.
• Navigation btw multiple work systems and screens
• Claims and appeal knowledgeable
• Data entry containing CPT, diagnosis codes, patient and insurance information
• Processing 150+ cases daily and accurate
• Ability to work with copy machine, fax machines, printers, and other equipment
• Follow procedures for review, documentation and submission for prior authorization
• Utilize job knowledge, judgment, and problem solving skills to ensure quality and timely submission and follow-up for prior authorizations
• Follows established policies and procedures for reviewing and submitting prior authorization requests
• Identifies problems which may adversely affect the process or customer service and takes appropriate action, including supervisor notification.
• Cross-trained to assist with other tasks as necessary, including faxing, critical/alert notifications, add- on data entry/processing, and/or patient record requests
• Utilizes personal and professional skills to promote excellent customer service.
• Respects and protects the confidentiality of information relative to patients and clients.
• Maintains and supports a service-oriented relationship with internal and external customers. Call Center Representative
Accenture - Austin, TX
March 2017 to August 2017
• Type 55 wpm •Using multi-line telephone systems • Records management
• Excellent customer service
• Billing and Coding
• Create authorizations for physical, /occupational/speech therapy
• Verify demographics
• Send client and provider letters
• Create authorizations for home health supplies
• Fax back incomplete request forms/refax provider letters Prior Authorization Coordinator
Accenture - Austin, TX
March 2016 to July 2017
• Create authorizations for physical, /occupational/speech therapy
• Verify patient demographics
• Send client and provider letters
• Create authorizations for home health supplies
• Fax back incomplete request forms/refax provider letters
• closed case
• Utilizes personal and professional skills to promote excellent customer service.
• Respects and protects the confidentiality of information relative to patients and clients.
• Maintains and supports a service-oriented relationship with internal and external customers.
• Follows established policies and procedures for reviewing and submitting prior authorization requests
• Identifies problems which may adversely affect the process or customer service and takes appropriate action, including supervisor notification.
• Navigation between multiple work systems and screens
• Claims and appeal knowledgeable
• Data entry containing CPT, diagnosis codes, patient and insurance information Customer Service, Bookkeeping
PUBLIC EMPLOYEES CREDIT UNION - Austin, TX
April 2003 to September 2007
cash handling, customer services, transfer funds over the phone and in person, balance books Customer Service/Sales Representative
TONER PLUS - Austin, TX
January 2001 to March 2003
sales, stocking, shipping and receiving, customer service Education
Associates Degree in Medical Office Management in Medical Office Management
Virginia College of Austin
September 2013
Certificate
Virginia College of Austin
December 2011
High school diploma or GED
Skills
• Outlook
• Documentation
• Organizational Skills
• Billing
• Case Management
• Medical Office Management
• CPT Coding
• ICD-10
• Medical Coding
• ICD-9
• Medical Billing
• Insurance Verification
• Records Management
• Triage
• Laboratory Experience
• Medical Records
• Anatomy Knowledge
• EMR Systems
• HIPAA
• Medical Terminology
• Data Entry
• Patient Care
• Physiology Knowledge
• Documentation review
Certifications and Licenses
Driver's License
Contact this candidate