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Service Representative Advocate

Location:
Bloomington, MN
Salary:
18.00 per hr
Posted:
May 02, 2023

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Resume:

Heather Rossbach

**** **** *** *

Minneapolis, MN 55417

612-***-****

adwvgc@r.postjobfree.com

Heathway’s Chiropractic front desk/admin/billing 3/2021-present

Check in/out patients, room patients, collecting co-pay or balances owed. Collecting Health insurance and adding it to computer system and enter patients demographic info, making sure paperwork is filled out that is needed and help if needed scoring paper work that is needed, adding to patient files and computer answer phones and return calls, check messages and keep voice mail up to date obtain release of information forms to get patients medical records when needed for care take care of in/out going mail by sorting it and entering it in system or filing send out patient billing and sign and label patients birthday postcards to mail collection call patient and send letter for past due accounts bill insurance company’s accounts receivable apply the payments and write off amounts make copies of EOB’s for insurance file and patient file print reports and go over them to fix/correct them so we get paid for services I do the investigating to get things fixed/corrected verifying insurance to see what is covered, what co-pay is or coins or deductible how many visits per year, if pre-auth is needed, if we need to send medical records

Order office supplies, water for office, clean fish tank, make sure patient rooms are stocked with what is needed, water flowers, clean and replace paper on roller bed help patient with using the roller bed bringing files and paperwork that has to be kept for so many years to storge room and retrieving files from there too. I do end of day copy the computer on a storage fob, balance and write up deposit slips for bank any cash or checks we received that day and write everything like totals of direct deposits, visa, cash checks in bank book plus there is more I do when needed or asked or just to run the clinic I also call patient we haven’t seen in a while to check in on them and see how they are doing and let them know we are here if they need us we got new software and I transferred patient and information needed to new software and got it set up so we could use it to bill and everything we were having so much trouble with rail road Medicare that I figured that out and got us paid and before I started they had trouble with the VA and getting paid and I fixed that to so we get paid now.

PCA Volunteer 8/2014 to present part time or less

I am my sons PCA, I could do it and get paid but I decide to not go through that process. We have had to let go so many of the PCA’s for all sorts of issues. That’s why I’m am being his PCA and I’m also in charge of his disability SSI checks. I make sure his pills are in a daily holder and that he takes them. I request for his refills, make all his appointments and that he gets there. I help him with anything he needs, he goes to tech school and I help him get class set up, meeting with teachers and so forth, check in on how he is doing. I help him with daily tasks and hope someday he can and will be able to do on his own.

Super Target Richfield, MN 8/18-1/2020 Customer Service Advocate

Cashiering, ringing up each customers item and bagging their items up. Helping customers find items and checking prices or correcting price/price matching items. Taking care of self-checkout helping all customers when they need help or have questions. Showing customers how to do self-checkout and also helping/showing how to use Cartwheel which is now Target circle, help them add their credit card/gift cards to app and coupons and show the customers how to save more money and also explaining the Red card and how/what the benefits are to use it. I have trained in co-workers on self-check out cashiering and how to use the zebra to look prices up and what other stores have an item ect. Keep my area clean and make sure I have the supplies to do my job.

Fantastic Sams34th Ave Mpls, MN 55417 7/18-8/18 Stylist

Hairstylist: cut hair, color, perms, styled, checked in and out clients, rang them up in register, answered phones, cleaned supplies (combs, clippers, examples) and salon, greeted clients, sold products by educating the client on what products you’re using and why you’re using them on their hair.

Counselor Realty Edina, MN 4/1/2016-6/18 Admin/Run Office

oOpen/Close Office, Organize, Clean, make coffee, answer phones/transfer calls to correct Agent, Emails, Order supplies, Greet Clients/potential, do all deposits of Earnest Money, Agent rent checks, rental payments for rental properties, gather bills & send to accountant, monthly chargeable (postage, Copier counts), Print checks and get signed by two signers, made emergency contact book & Chet sheets, support Manual and kept it updated, Sent out agent reminders and up coming events/information, filed information we needed to keep record off, Made listing folders and sales folders for agents, New Agent Paperwork, ordered business cards

oEnter Listings into MLS w/pictures & disclosures, Brochures for open houses /other use too, Relocation forms filling out w/pictures & sold/active properties comparable,making sure agents turn in all paperwork needed, entering all paperwork into Pipeline & information from buyers/sellers, Closing breakdown forms (send to accountant, so she can get commission check ready for myself to Print), 5 year client follow ups ordered for buyers, Realty signs ordered, pull tax information for agents, fill out paperwork and send to client’s to get signed & send to agents on both sides & title company, Call setup showings/confirming, make lists in order for showing and instructions for agents to get into homes, type things up for agents in word or make list etc in excel, Personal stuff to help agents, Plus other things as needed

Fantastic Sam’s West Bloomington, MN 10/2016-11/25/2016 Stylist

Hairstylist: cut hair, color, perms, styled, checked in and out clients, rang them up in register, answered phones, cleaned supplies (combs, clippers, examples) and salon, greeted clients, sold products by educating the client on what products your using and why your using them on their hair.

VA Medical Center 10/2006-08/2014

oGreeted patients, answered phones, scheduled appointments, entered patient data into the computer, received and processed orders, ran three clinics (GI procedure, GI clinic and Liver clinic on my own with little or no supervision), called for maintenance and repair of office machines, responded to patient emails, kept each clinic organized, worked with insurance companies, billed insurance and paid medical claims, communicated with doctors, nurses and staff.

oMedical Support Assistant

Perform tasks independently with minimal supervision according to policies, guidelines and procedures.

Participated in the creation, completion, distribution and retention of medical record documentation according to facility policies and procedures outlined by several regulating bodies such as joint commission on accreditation of health care facilities.

Assembled and maintained medical records during patient hospitalization.

Record and/or makes computer entries for a variety of complex physician orders involving patient activity, diets, tests, appointments, treatments and medications.

Record transcribes (doctor’s notes) and initiates patient movement computer entries appropriate to patient status (inter-ward transfer, switch bed, pass/authorized absence, short stay, misc. clinic, provider entry, treating specialty, discharge type or other).

Ensured office equipment is in working order; corrects and/or reports failures in a timely manner.

Proficient in multitasking in order to complete responsibilities in a timely, efficient and effective manner.

Performed a variety of reception duties associated with patient care, either in person, over the telephone, patient callbox, e-mail, written messages or other.

Verbal/written communication is generally thorough, correct and precise to ensure customer understanding.

Maintained a neat and clean work area, including desks, countertops and storage.

Maintained inventory of office supplies, stocks low level supplies in a timely manner.

Helped other MSAs when necessary (i.e. difficult or uncooperative customer, high volume workload, etc.).

Maintained and encouraged an environment of teamwork and a positive workplace.

Received patients, visitors and staff to unit. Interact with representatives from outside agencies such as JCAHO, OIG, VISN and VHA when necessary.

Utilized necessary security methods for protecting confidential patient information such as protecting computer access, requesting identification of unknown individuals presenting to the unit in an attempt to gain patient information.

Perform other MSA related duties as assigned.

o Claims Assistant-Fee Basis – Business Office

Paid bills for veterans that are non-VA services using VISTA, CPRS, FBCS.

Independently determined legal eligibility and entitlement for non-VA medical care and accurately apply the complex and multiple criteria of VA regulations, National Directives, VISN and station policies.

Advised Veterans, vendors, physicians, PSL and clinical staff eligibilities/claims status.

Unauthorized claims: sent claim and medical records to the reviewer for determination of payment. Made sure that a vaild authorization was on file for each claim. Used the “Fee” package following protocols / guidelines by selecting correct authorization, signing correct POV codes, using correct payment methodology checking to make sure claim has not been previouly paid. If error was found, it was returned to the provider/vendor for corrections. If no authorization the bill will be denied. Sorted mail and scan it into our system for verification and distribution so it could be processed for payment.

Answered phone calls from veterans, vendors, physicians etc. in regards to claims status/authorizations. Also faxed required information if requested.

oProgram Support Assistant (PSA)- Billing- Business Office

Major duty was to bill veterans outside insurance companys to recover funds. Identify all potential billable cases so as to maximize collections for medical center.

Clearly documents billable and non-billable decisions in VISTA. Accurately complete all electronic billing activities.

Accurately prepared complete bills based on requirements outlined for each bill type.

This includes accurate assignment of appropriations, bill type and amount billed. Ensures maximum effort is directed toward this process in order to meet the facility goal foor days to bill.

Complete the billing process expeditiously to meet the timely filing deadlines imposed by insurance carriers.

Completed special projects as assigned.

Adhere to the changes in laws and regulations impacting the MCCR program.

Complied with policies and guidelines regarding protection of private/sensitive information by protecting printed and eletronic files from unauthorized release, loss, alteration or deletion.

Demonstrated the ability to adjust to change in work pressure, handled differences of opinion.

oProgram Support Clerk (OA)-Insurance-Business Office

Major duty in the insurance department was the verification of benefits through a variety of sources including direct patient contact and telephone or written contact with the patient or their representative, any of which may require exceptional interviewing and investigative skills and considerable patience. It also involves contacting insurance companies by telephone to verify the level of coverage and benefits for services provided by the Medical Center prior to any billing activity. This duty requires periodically re-verifying patient’s insurance coverage, obtaining coordination of benefits information from carrier to patient, and accurately imputing insurance coverage and benefits information into the Veterans Integrated System and Technology Architecture (VISTA). Justifiable billing is dependent on this process.

Conducted initial telephone contact with insurance companies for pre-certification purposes. The results of pre-certification are documented and the case is referred to the Utilization review nurse for concurrent review or necessary action.

Fort Snelling Federal Credit Union-Lead Member Service Representative (MSR) 02/1999-04/2006

I worked 40 plus hours as a Lead Member Service Representative (MSR).

o I was in charge of the teller line, counting vault, handing out cash to the Tellers making sure everything balanced.

oOrdering supplies for office, taking care of the members, balancing ATM machine and filling.

oIn charge of vault, balancing, ordering currency from Federal Reserve weekly and adding to vault, passing out cash to tellers, opening and closing.

oMaking sure machines were kept in working order and if not called for service. Much of the time I worked alone and closed the federal building office taking work and cash/checks to the VA Office to do end of day there.

oI also was back up to member service specialist to fill in as needed.

oI ordered checks, ATM/ICC cards and called members on compromised cards.

oSend out wires, open new accounts, registered letters, charging for non-significant fund and/or transferring from members accounts to cover negative balance, answering phone calls.

oAs a MSR I help members with their accounts & let them know what the credit union has to offer.

oI did return statements, wire transfer forms, changing address, filing, helping members fill out loan applications, stop payment, making sure they had the correct paper work filled out, and that their needs were being met.

oLook up their visa accounts, making visa payments, check holds, encoding checks putting information into computers, microfilming, answering multi phone line and transferring phone calls.

oHelp my coworkers and prioritizing work by what needs to be done first, and what can be done later so everything gets done properly while helping members.

oTrained in new employees and also worked on special projects.

oMy supervisor knew if she gave me work that I would get it done.

Other:

Selected to be Union Steward. Certified in Covid-19 Tracing, certificate in Fee Academy, Spot award distinguished achievement in providing Quality service, certificate diversity day, crew training, received several cash award/time off awards

Additional Skills:

keyboarding (40wpm),

Computer skills

Customer service

Intranet

Communication skills

Office Machines

Software knowledge: windows, Microsoft Word, Outlook, Excel, Power Point, XP OS for Tellers, Card Source, VISTA, CPRS, FBCS, GPNET, Northstar MLS, Showing Time, Paperless pipeline, e-bridge, Buildium for rentals, Instanet, Authtisign, Remine, Top producer, Delta, Toolkit CMA, work bench, Kronos, greycat, chart talk, pc-ace, chart talk cloud, office ally, palmetto gba, ect

Other:

I enjoy working and helping people, doing the research to correct a problem and finding correct answers.

Learning different jobs and areas.

Education:

Thomas Jefferson High School Bloomington, MN 55431

Empire beauty School Bloomington, MN

Interred at school 8/2015 to 8/2016 as a stylist

Licensed Cosmetologist expires 09/30/25



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