Customer Service Data Entry Medical Insurance Verification
Resume:
Jennifer Drank
Looking to work for a supportive and life-changing company in the medical field.
Burlington, NC 27215
***.*.*****@*****.***
A well-rounded professional seeking to provide valuable experience in the medical billing and/or medical insurance industries. Along with my knowledge and training, I bring strong customer service skills by demonstrating compassion and empathy with every patient interaction to provide the best experience possible. I am able to effectively communicate and collaborate with providers, insurance carriers, and teammates. I continually stay up to date on policies, procedures, and software systems in the ever-changing world of the medical field.
If you are looking for an employee who thrives in solving complicated problems, enjoys researching to find the best solution, and is not afraid to ask questions or admit to their mistakes, I am that employee. Authorized to work in the US for any employer
Work Experience
Remote Insurance Verification/Program Specialist
Aston Carter - Cary, NC
August 2022 to March 2023
• Conducted insurance verifications to understand if patient's prescribed therapy is eligible for coverage.
• Provided support to patients who are uninsured, underinsured, who have limited benefit coverage and or who have high out of pocket prescription and medical expenses which they may have qualified for and enrolled them into the Client Patient Assistance Program (PAP).
• Quickly and efficiently handle outbound calls and incoming faxes.
• Documented calls in appropriate tracking systems, and handle/escalate calls per established procedures.
• Possibly coordinate prior authorizations, investigate alternative insurance coverage, or other funding sources on behalf of the patients per the program specifications.
• Process patient applications of various complexities, and follow the programs specifications to determine their eligibility. Place follow up calls and respond to inquiries from patients and/or healthcare providers as necessary.
• Liaise with partner distributors and pharmaceutical manufacturers to request products per the program's guidelines and track shipments.
• Coordinate the order and transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate.
• Be familiar with the market place and the insurance options available for patients. Educate patients on the available options as appropriate.
• Assist with training new team members by shadowing/reverse shadowing them and serving as a data checker by reviewing data entered in Siebel program's tracking system.
• Maintain a professional, calm and friendly demeanor. Express thoughts and instructions clearly in both verbal and written communication; i.e. uses grammatically correct and concise language.
• Other duties as assigned.
Medical Biller/Receptionist
Community Family Medicine, P.A. - Wendell, NC
November 2021 to February 2022
• Double-checked account information to ensure that all patient and insurance information is correct and up to date.
• Accurately input procedure codes, diagnosis codes, and patient information into billing software to generate up-to-date invoices.
• Made sure that all sensitive data was constantly backed up and stored on secure systems.
• Filed and submitted insurance claims.
• Investigated insurance denials by reviewing patient files and researching procedures and diagnostic codes to determine proper reimbursement.
• Checked the accuracy and completeness of medical records and diagnosis codes.
• Scheduled patients in the NueMD cloud-based EHR Practice Management System.
• Double-checked signatures and medical charts for accuracy and completeness.
• Posted payments and collections on a regular basis.
• Answered the phone at the front desk and dealt with incoming calls and questions.
• Was the point of contact for patients, insurance companies, and the billing office.
• Reconciled clinical notes, patient encounter forms, and health information for HIPAA compliance.
• Investigated and resolved account inconsistencies.
• Investigated and followed up on insurance claims that were denied.
• Provided prompt and accurate services through my understanding of government regulations, health benefits, and healthcare terminology.
• Submitted electronic and paper claims to insurance companies, including Medicare and Medicaid to collect medical payments.
• Analyzed medical records in order to meet insurance company requirements.
• Used NueMD and Sevocity to ensure timely and accurate charge submissions.
• Sought clarification from physicians and other hospital personnel for any needed coding interpretations prior to abstracting records.
• Double-checked all claims for accuracy and relevance.
• Used electronic charge capture systems to consolidate and streamline billing processes.
• Compared the codes to the services provided.
• Collected payments and communicated with clients in a timely manner.
• Was in charge of collecting payments and applying them to patient accounts.
• Ensured that electronic charge capture practices, such as the billing and account receivables (BAR) system and medical billing clearinghouse accounts, resulted in accurate and timely charge submissions.
• Reviewed the payments that had been received and applied them to the appropriate patient accounts.
• Examined complicated Explanation of Benefits forms to ensure that insurance carriers were being billed correctly.
• Followed HIPAA Privacy and Security Regulations while handling patient information. Customer Service Associate and Cashier
Stein Mart - Suprise, AZ
October 2019 to August 2020
• Processed purchases and handled payment transactions using a point-of-sale computer system.
• Knew how to operate a cash register, including how to process sales discounts and refunds.
• Assisted and greeted customers on the sales floor, restocked merchandise on shelves, straightened merchandise at store closing, and took inventory.
• Managed customer relations and customer service through daily communication and interaction.
• Used excellent communication to connect with customers, assess needs, and present solutions.
• Educated customers about promotions to increase sales.
• Provided excellent customer service at all times, including responding to customer inquiries and ensuring that they were resolved.
• Collaborated with other customer service teams to create consistent, high-quality support.
• Loss prevention, visual merchandising, and general sales skills were among the skills I utilized. Telepro Plus Analyst/Authorization Specialist
Examination Management Services, Inc. - Jacksonville, FL January 2017 to February 2018
• Processed special authorization requests for life insurance companies. Completed required authorization forms by making sure all forms meet HIPPA regulations for the release of medical records from medical facilities.
• Emailed or faxed authorizations to the insurance agent or their client to be signed. Ensured all documents were initialed, signed, and dated by the insured before submitting them to the facility.
• Made making claims calls to medical facilities to verify demographic, and patient information, as well as to verify the status of the request for medical records and obtain an estimate on completion of the request.
• Volunteered to be in charge of a prominent account for an important client while assisting in working on other accounts as needed. Went from updating roughly 35 cases per day to currently updating 150 cases per day.
• Assisted coworkers with other tasks when asked, and participate in office-sponsored activities. Receptionist
Bowman Animal Hospital - Raleigh, NC
February 2015 to June 2015
• Provided administrative support to staff members in a fast-paced environment.
• Greeted all customers with a friendly greeting, answered general questions, and gathered information about the nature of their visit.
• Ensured the client met with the veterinary staff in a professional and timely manner by scheduling an appointment that was convenient for the client, checking them in at the scheduled time, and seeing that the veterinary assistant greeted the client in the appropriate amount of time.
• Ensured the client's visit was satisfactory by making sure all of the client's questions were addressed and satisfied with the service they received while checking the bill for accuracy and collecting payment from the client.
• In between client visits, managed incoming and outgoing phone calls on a multiple-line system, and responded to incoming emails and faxes so that the veterinarians received the patient's medical information.
Client Services
Steele Creek Animal Hospital - Charlotte, NC
February 2014 to September 2014
• Provided administrative support to staff members in a fast-paced environment.
• Greeted all customers with a friendly greeting, answered general questions, and gathered information about the nature of their visit.
• Ensured the client met with the veterinary staff in a professional and timely manner by scheduling an appointment that was convenient for the client, checking them in at the scheduled time, and seeing that the veterinary assistant greeted the client in the appropriate amount of time.
• Ensured the client's visit was satisfactory by making sure all of the client's questions were addressed and satisfied with the service they received while checking the bill for accuracy and collecting payment from the client.
• In between client visits, managed incoming and outgoing phone calls on a multiple-line system, and responded to incoming emails and faxes so that the veterinarians received the patient's medical information.
Customer Service Associate
Stein Mart - Matthews, NC
June 2012 to January 2014
• Processed purchases and handled payment transactions using a point-of-sale computer system.
• Knew how to operate a cash register, including how to process sales discounts and refunds.
• Assisted and greeted customers on the sales floor, restocked merchandise on shelves, straightened merchandise at store closing, and took inventory.
• Managed customer relations and customer service through daily communication and interaction.
• Used excellent communication to connect with customers, assess needs, and present solutions.
• Educated customers about promotions to increase sales.
• Provided excellent customer service at all times, including responding to customer inquiries and ensuring that they were resolved.
• Collaborated with other customer service teams to create consistent, high-quality support.
• Loss prevention, visual merchandising, and general sales skills were among the skills I utilized. Customer Service Associate
Ross Dress for Less - Jacksonville Beach, FL
August 2009 to March 2012
• Worked in a retail environment selling clothing and household products to customers by assisting them at the customer service desk and in the fitting rooms which helped to increase sales.
• In the office, audited daily bank deposit to check that each register balanced out to make sure that the company did not lose money.
• In the receiving area, unloaded and processed new shipments of merchandise, and placed items on sales floor so customers had access to all the latest fabulous finds. Customer Service Associate
Lowe's Home Improvement Warehouse - Ormond Beach, FL September 2005 to November 2007
• Processed purchases and handled payment transactions using a POS system.
• Operated a cash register processing sales, discounts, and refunds.
• Assisted and greeted customers on the sales floor, restocked merchandise on shelves, straightened merchandise at store closing, and took inventory.
• Managed customer relations and customer service through daily communication and interaction.
• Used excellent communication to connect with customers, assess needs, and present solutions.
• Educated customers about promotions to increase sales.
• Provided excellent customer service at all times, including responding to customer inquiries and ensuring that they were resolved.
• Collaborated with other customer service teams to create consistent, high-quality support.
• Loss prevention, visual merchandising, and general sales skills were among the skills I utilized.
• Was selected to help open a new location in Palm Coast, FL by assisting the new manager with new employee interview appointments. Then assisted in setting up and stocking shelves in the new store while training new employees.
Education
Career Diploma in Medical Billing and Coding
Penn Foster College - United States
August 2020 to August 2021
Associate in Business
University of Phoenix - Jacksonville, FL
2009 to 2011
High school diploma
Flagler-Palm Coast High School - Bunnell, FL
September 1997 to May 1999
Skills
• MS Office (10+ years)
• Data Entry (10+ years)
• Typing 45 Wpm (10+ years)
• Multi-Line Phone System (10+ years)
• Multitasking (10+ years)
• Document Management (10+ years)
• Administrative Support (10+ years)
• Interpersonal Skills (10+ years)
• Receiving (10+ years)
• Organization (10+ years)
• Money Handling (10+ years)
• Records Management (10+ years)
• Time Management (10+ years)
• Customer Service (10+ years)
• Computer Skills (10+ years)
• Communication (10+ years)
• Email (10+ years)
• Internet (10+ years)
• Filing (10+ years)
• Faxing (10+ years)
• Copying (10+ years)
• Facebook (10+ years)
• Google+ (10+ years)
• Keyboarding (10+ years)
• Merchandising (10+ years)
• PeopleSoft
• HIPAA
• Medical Billing
• Medical Records
• Medical Coding
• CPT Coding
• ICD-10
• Medical terminology
• Medicare
• Phone etiquette
• HCPCS
• EMR Systems
• Insurance Verification
• Documentation review
• ICD Coding
• Office experience
• Anatomy knowledge
• Front desk
• Typing
• Microsoft Office
• Revenue cycle management
• Medical Scheduling
• ICD-9
• Physiology Knowledge
• Medical Office Experience
• Windows
• Word processing
• Organizational skills
• Microsoft Word
• Communication skills
• English
• Analysis skills
• Microsoft Excel
• Microsoft Powerpoint
• Administrative experience
• Computer literacy
• Multi-line phone systems
• Clerical experience
Links
https://www.linkedin.com/in/drankja
Awards
Employee of the Month
May 2013
• Awarded as an employee of the month during employment at Stein Mart. Certificate of Appreciation
March 2017
• Received a certificate of appreciation award for volunteering to be in charge of one of the largest accounts at Examination Management Services, Inc.
Certifications and Licenses
NHA Certified Medical Billing and Coding Specialist August 2021 to August 2023
Assessments
Following Directions — Highly Proficient
August 2020
Following multi-step instructions.
Full results: Highly Proficient
Written Communication — Proficient
August 2020
Best practices for writing, including grammar, style, clarity, and brevity. Full results: Proficient
Filing & Organization — Highly Proficient
August 2020
Arranging and managing information or materials using a set of rules. Full results: Highly Proficient
Administrative Assistant/Receptionist — Proficient August 2020
Using basic scheduling and organizational skills in an office setting. Full results: Proficient
Data Entry: Accuracy — Proficient
August 2020
Entering data quickly and accurately
Full results: Proficient
Verbal Communication — Expert
August 2020
Speaking clearly, correctly, and concisely
Full results: Expert
Attention to Detail — Proficient
August 2020
Identifying differences in materials, following instructions, and detecting details among distracting information.
Full results: Proficient
Medical billing — Proficient
September 2021
Understanding the procedures and forms used for medical billing Full results: Proficient
Protecting patient privacy — Proficient
February 2022
Understanding privacy rules and regulations associated with patient records Full results: Proficient
Medical billing — Familiar
May 2022
Understanding the procedures and forms used for medical billing Full results: Familiar
Protecting patient privacy — Proficient
February 2022
Understanding privacy rules and regulations associated with patient records Full results: Proficient
Attention to detail — Proficient
April 2022
Identifying differences in materials, following instructions, and detecting details among distracting information
Full results: Proficient
Medical receptionist skills — Proficient
October 2021
Managing physician schedules and maintaining accurate patient records Full results: Proficient
Call center customer service — Expert
April 2022
Demonstrating customer service skills in a call center setting Full results: Expert
Spreadsheets with Microsoft Excel — Proficient
March 2022
Knowledge of various Microsoft Excel features, functions, and formulas Full results: Proficient
Medical terminology — Proficient
May 2022
Understanding and using medical terminology
Full results: Proficient
Customer focus & orientation — Highly Proficient
October 2021
Responding to customer situations with sensitivity Full results: Highly Proficient
Protecting patient privacy — Familiar
July 2022
Understanding privacy rules and regulations associated with patient records Full results: Familiar
Medical billing — Familiar
July 2022
Understanding the procedures and forms used for medical billing Full results: Familiar
Medical terminology — Proficient
May 2022
Understanding and using medical terminology
Full results: Proficient
Data entry: Attention to detail — Familiar
July 2022
Maintaining data integrity by detecting errors
Full results: Familiar
Work style: Reliability — Proficient
August 2022
Tendency to be reliable, dependable, and act with integrity at work Full results: Proficient
Written communication — Proficient
March 2023
Best practices for writing, including grammar, style, clarity, and brevity Full results: Proficient
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
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