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Medical Billing Customer Service

Location:
Jacksonville, FL
Posted:
January 25, 2023

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Resume:

Dorothy MCKENZIE

Customer Service Rep - Yes Energy Management

Jacksonville, FL 32211

aduw5w@r.postjobfree.com

+1-904-***-****

Also can be reach through my email address if unable to reach me by phone Authorized to work in the US for any employer

Work Experience

Revenue Cycle Specialist

Baptist Home Health Care - Jacksonville, FL

February 2021 to December 2021

Billing invoices, arranging payment methods, overseeing collections, accounts receivables and proper financial statements, authorizing patients prior to service,determine patient eligibility and benefits, submitting claims, dealing with posted payments and managing denials, reconsiderations and appeals Medical Billing Specialist

Tambolina Services inc - Jacksonville, FL

June 2019 to February 2021

Schedule caregivers to clients and did the billing for Humana, Sunshine,United Healthcare,and We'll are Insurances

Accounting Clerk

Landstar Logistics - Jacksonville, FL

October 2018 to January 2021

Processed payment request on freight bills, add the freight bills to the claims, filled freight bills until all paper work has been entered into the billing system Premium Billing Consultant

Aetna - Jacksonville, FL

January 2017 to December 2017

•Collect and entering claim information.

•Post insurance and patients and manage accounts.

•Submit claims and following up with insurance carriers claims.

•Answer patient inquires on account status and charges.

•Typically reports to billing supervisor or provider office manager. Customer Service Representative

InComm

January 2015 to March 2015

Responsibilities

took calls from customers regarding their prepaid gift cards. researched their transactions,activated and deactivated their cards.

Customer Service Rep

Yes Energy Management - Jacksonville, FL

September 2013 to April 2014

Received inbound calls from residents calling on their utility bills Unit Clerk

St Vincent Healthcare - Jacksonville, FL

April 2012 to April 2013

Prepares and compiles records in nursing unit of hospital or medical facility: Records name of patient, address, and name of attending physician to prepare medical records on new patients. Copies information, such as patient's from nurses' records onto patient's medical records. Records information, such as physicians' orders and instructions, dietary requirements, and medication information, on patient charts and medical records. Keeps file of medical records on patients in unit. Prepares notice of patient's discharge to inform business office. Requisitions supplies designated by nursing staff. Answers telephone and intercom calls and provides information or relays messages to patients and medical staff.

Directs visitors to patients' rooms.

Compiles census of patients.

May keep record of absences and hours worked by unit personnel. May transport patients in wheelchair or conveyance to locations within facility. May key patient information into computer.

Provider Associate

First Coast Service Options

October 2010 to February 2012

Inbound call from provider's inquiring about claims that have been denied adjustments, over-payments, Accounts Receivable and Account Payable also Provider enrollment

Internship

Comcast

January 2010 to August 2010

Collections Rep

Wachovia Jacksonville

August 2009 to December 2009

Contact clients on overdue accounts that are over 90-120 days past due also work with them to make payment arrangements, or offer them programs that may help with their payments or interest rates Bankruptcy Processor

Sterling Healthcare - Jacksonville, FL

March 2009 to May 2009

Posted the bankruptcies to the account to stop collection calls, Account Receivables Collections Rep

Citigroup - Jacksonville, FL

April 2008 to August 2008

Contacted clients on late stage Accounts that were overdue to see if a payment could be made on the account or a

payment arrangement could be made before account went to collections Health Benefits Advisor

Maximus, Inc - Boston, MA

June 2003 to September 2007

Customer Service for the Massachusetts Medicaid Program Assist Providers with Claims that were billed incorrectly Helped resolve billing issues for members, Send out provider enrollment forms, Checked procedures and diagnosis codes verified that the providers were Mass Health Providers Appointment Scheduler

Miracle Ear, Inc - Orlando, FL

March 2001 to June 2002

Outreached customers to schedule hearing

Customer Service/Cashier

Mears Transportation - Orlando, FL

August 1998 to June 2000

Inbound and outbound drivers registration, Record drivers shifts data entry of wages and money owed to the company and drivers took in the receipts from the drivers and recorded it into the system Customer Service/Claims Representative

John Hancock Insurance Co - Boston, MA

November 1985 to January 1995

Created policies from insurance applications, was responsible for all applications for the Southern Regions.Outreached clients if additional information was needed for applications approval, also assisted agents in completing the applications the same day Education

High school diploma in Medical billing and coding

Concorde Career Institute has given me the understanding - Jacksonville, FL September 2008 to June 2009

High school diploma in Business

Hyde Park High School - Boston, MA

September 1978 to June 1981

Skills

• Peoplesoft (9 years)

• Cerner (10+ years)

• Teamcenter

• Epic (5 years)

• Powerchart

• Accounts Payable (5 years)

• Accounting (4 years)

• CPT Coding

• Medical Billing

• Medical Coding

• Physiology Knowledge

• ICD-9

• Anatomy Knowledge

• ICD-10

• Medical Terminology

• Medical Scheduling

• HIPAA

• Medical records

• EMR Systems

• Insurance Verification

• Clerical Experience

• Customer service

• Medicare

• Typing

Assessments

Call center customer service — Proficient

May 2019

Measures a candidate's ability to demonstrate customer service skills in a call center setting. Full results: Proficient

Spreadsheets with Microsoft Excel — Completed

April 2019

Excel knowledge including common tools, PivotTables, conditional & nested formulas, and custom visuals.

Full results: Completed

Customer focus & orientation — Proficient

May 2020

Responding to customer situations with sensitivity Full results: Proficient

Work style: Conscientiousness — Highly Proficient

April 2019

Measures a candidate's tendency to be rule-abiding, well-organized, hard-working, confident, and think before acting.

Full results: Highly Proficient

Problem solving — Completed

May 2019

Analyzing relevant information when solving problems. Full results: Completed

Scheduling — Completed

April 2019

Measures a candidate's ability to cross-reference agendas and itineraries to avoid conflicts when creating schedules.

Full results: Completed

Verbal communication — Completed

April 2019

Measures a candidate's ability to effectively convey information when speaking. Full results: Completed

Customer service — Completed

October 2020

Identifying and resolving common customer issues

Full results: Completed

Written communication — Familiar

June 2019

Measures a candidate's ability to convey written information using proper grammar rules. Full results: Familiar

Medical billing — Familiar

May 2020

Understanding the procedures and forms used for medical billing. Full results: Familiar

Logic & critical thinking — Completed

April 2019

Using logic to solve problems.

Full results: Completed

Administrative asssistant/receptionist — Completed May 2020

Using basic scheduling and organizational skills in an office setting. Full results: Completed

Electronic health records: Best practices — Familiar June 2019

Knowledge of EMR data, associated privacy regulations, and best practices for EMR use. Full results: Familiar

Work style: Reliability — Highly Proficient

June 2019

Tendency to be dependable and come to work

Full results: Highly Proficient

Typing — Completed

April 2019

Transcribing text using a standard keyboard

Full results: Completed

Data entry: Accuracy — Completed

May 2019

Measures a candidate's ability to accurately input data and effectively manage databases. Full results: Completed

Receptionist — Familiar

July 2019

Using basic scheduling, attention to detail, and organizational skills in an office setting. Full results: Familiar

Principles of accounting — Completed

April 2019

Measures a candidate's ability to prepare financial records according to federal policies. Full results: Completed

Basic computer skills — Completed

July 2020

Performing basic computer operations, navigating a Windows OS, and troubleshooting common computer problems.

Full results: Completed

Work motivation — Proficient

June 2020

Level of motivation and discipline applied toward work Full results: Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

Additional Information

QUALIFICATIONS:

Medical Terminology Customer Service CPT Coding

Anatomy and Physiology DME and Dental Coding HCPCS Medical Manager Word Processing MS Word 2000

First Aid CPR and AED Medical Office Procedures

Medical Ethic and Laws Scheduling OSHA and Infection Control ICD-9(volumes 1, 2, &3) Keyboarding Insurance Billing Medical Records Management Claims Processing Tricare and ChampVa Workmen's Comp Electronic Medical Records SMS software



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