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Service Representative Processing Specialist

Location:
Glendale Heights, IL
Salary:
55000
Posted:
February 24, 2023

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Resume:

Crystal Anderson

Mark Ave, Glendale Heights, IL 847-***-**** advjlk@r.postjobfree.com

PROFESSIONAL SKILLS

● Highly personable customer service professional with several years of administration

● Proficient with Microsoft Office (including Microsoft Word, Microsoft Excel, Microsoft PowerPoint, and Microsoft Outlook), Keyboarding Skills, Medical Manager Software, IDX, Clinic Care, All Scripts, EPIC, ICD-9 coding, CPT, and HCPS Coding. HIPPA Compliant, TRID/LE Certified

● Demonstrated excellent communication, interpersonal, and decision-making skills

● Team player with the ability to work well independently PROFESSIONAL EXPERIENCE

Appraisal Desk Team Lead

Draper and Kramer Mortgage Corp., Downers Grove, IL July 2019 – Current

● Lead Appraiser with responsibilities of maintaining communication with Appraisers and Production staff

● Review issues in the department and communicate with Appraisers, Loan officers, and management to resolve issues

● Review QC and guidelines for Appraisal orders, request revisions, input invoice information, and submission to accounting

● Lead and attend weekly meetings, schedule staff assignments, and delegate work Admissions Coordinator

Advocate Aurora Health: Advocate Hospice, Lombard, IL May 2016 - June 2019

● Coordination of hospice intake department by communicating with patients’ families, social workers, liaisons, doctors’ offices, etc.

● Process all incoming referrals from hospitals, SNF, doctors’ offices, and other home care/palliative agencies through ECIN, EPIC, fax, verbal

● Insurance verification/process prior authorizations and pre-certifications

● Answer phones, fax, update spreadsheets at a high volume, scan batch all medical records/consents/documentation

● Auditing consents and advanced directives documentation to ensure proper/legal information

Referral Processing Specialist

Advocate Home Health, Elgin, IL May 2018 – February 2019

● Process all incoming referrals from Hospitals, SNF, Doctors’ offices, and other home care/palliative agencies

● Data entry of all demographics, Insurance information, clinical history

● Referral care coordinator with Home care liaison’s in offices and hospitals

● Answer phones and triage calls to correct region/clinical staff members

● Ability to process referrals at a high volume for all incoming through ECIN Patient Service Representative

Advocate Medical Group, Downers Grove, IL February 2015 - February 2018

● Check all patients in, collect copays, verify Insurance, schedule appointments

● Answer phones, fax, sent out messages to physicians/other staff

● Monitored cash box and processed daily cash log

● Call and confirm appointments; edit, create, and correct doctor’s schedule template Medical Billing Specialist/Medical Assistant

Ducat Chiropractic & Sports Medicine, Bloomingdale, IL April 2012 – October 2013

● Processed all EOBs, submit claims and coding correction

● Assist physician and therapist with scheduled patients checking in and out

● Monitoring patients through the safety of exercises, ultrasound, cold/hot packs, e-stim, and acupuncture

● Establishing communication with appropriate feedback with physicians and therapists.

● Examined and review medical records, diagnosis codes, and insurance verification

● Processed monthly AR reports and processed pre-Authorizations for MRI imaging Medical Office Assistant

DuPage Internal Medicine, Bloomingdale, IL September 2009 – September 2011

● Claims posting/insurance biller

● Schedule appointments, charting, and filing

● Check-in and check-out patients

● Answer phones, fax, and other office duties

CERTIFICATION

Insurance Billing and Coding Diploma April 2011, Everest College, Burr Ridge, IL EDUCATION

High School Diploma June 2002, Glenbard East High School, Lombard, IL REFERENCES

Available upon request



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