Customer Service Data Entry

VALERIA R. BURNETT, CBCS

*** ******* ******, *********, ** 36420 334-***-**** *******.*******@*****.*** PROFESSIONAL PROFILE

Hands-on, task focused Certified Billing and Coding Specialist with strong communication skills leveraging vast customer service experience. Pays close attention to detail for accurate and compliant documentation. Regarded as a loyal and competent employee as evidenced by a dedicated work history.

National Healthcareer Association (NHA) Certified Billing and Coding Specialist (CBCS) – #Y4A2J3R2

Customer service oriented and committed to ensuring optimal client outcomes

Skilled at building effective, productive working relationships with internal and external customers

Strong computer skills; Microsoft Word and proprietary software KEY QUALIFICATIONS

Medical Billing & Coding ICD-9-CM HCPCS CPT Introduction to ICD-10-CM Co-Payments & Deductibles EHR/EMR Practice Management Software

Insurance Billing Procedures Insurance Verification Anatomy & Physiology Medical Terminology HIPAA Compliance Medicare, Medicaid, TRICARE CMS 1500, CM 1450 (UB-04) EOBs Managed Care (HMO, PPO, POS) Insurance Claim Processing Electronic Payment Posting Appointment Scheduling Government & Third-Party Payers Office Management Data Entry 10-Key Skills Microsoft Office / Word EDUCATION

JES Health Services LLC Medical Billing and Coding Specialist Certificate, 2019 Ultimate Medical Academy Medical Billing and Coding Diploma, 2014 CERTIFICATIONS

Member Services Pharmacy Help Desk Prior Authorization PROFESSIONAL EXPERIENCE

Vanderbilt University Medical Center, Nashville, TN 01/2023-Present Patient Access Specialist

Answering the phone to address patient inquiries and scheduling appointments

Adhere to HIPAA law and Vanderbilt University Medical Center procedures and policies

Documenting insurance information, personal information, payment methods and other important patient information and perform e-Paging with the providers/e-Communication with the nurses

Medical Data Entry utilizing the EMR Software: EPIC, REDCap, OneSource, Unity, and Rx Claims

Microsoft office: Word, Excel, Outlook, and Teams; draft letters, reporting, send/receive emails, chat and attend meetings on Teams

Insurance verification: confirm the coverage and eligibility of the patient’s healthcare plans

Updating patient files and appointment information accurately

Process the referrals and confirm the diagnosis/treatment of the patient via check the CPT ICD-10 codes

Medical Claims: process approved, and denied (rejected) claims for resolutions

Ensure proper CPT coding for the medical areas: Nephrology, Renal Transplant, Dermatology, Hypertension, and Comprehension Care

Communicating information and important details to other medical care staff

Following the policy of the Medical Center, perform screening of patient’s data to transfer to the Department of Social Services, abiding by the state regulations

Contacting insurance companies regarding coverage, preapprovals, billing, and other issues Valeria Burnett, (Cont.)

Processing payments from patients and handling billing issues between patients and insurance companies

Managing various types of paperwork and other clerical duties Prime Therapeutics, Andalusia, AL 05/2020 – 12/2022 Pharmacy Help Desk Associate / Customer Service

Interact with clients via inbound phone calls

Process client medication authorization requests and troubleshoot pharmacy claims

Answer client questions and address concerns regarding medication orders

Maintain accurate and complete record of activities for admission, discharge, transfer, and medication orders

Support management staff in other areas to meet daily production goals and manage customer service issues

Adhere to policies and procedures to ensure accuracy of transcription and transfer of medication Member Services / Customer Service

Greet patients by answering multiple phone lines for satellite locations

Confirm patient identity to ensure security, create new accounts, and update established accounts

Identify payer sources, verify insurance eligibility, and financial status, and assign correct payer type

Protect patient rights by maintaining confidentiality of information and follow HIPAA regulations

Contribute to team goals, demonstrates high quality customer service skills, and communicate with patients and internal and external customers in a courteous, professional, and cooperative manner Prior Authorization Associate / Customer Service

Answer incoming calls and respond to faxes and emails in a high-volume, fast-paced work environment

Verify medical insurance benefits and coverage and obtain required payer-related forms

Review the CPT/ICD -10 codes to ensure the claim will be properly billed

Provide information pertaining to claims, including billing and coding assistance

Maintain HIPAA compliance at all times and translate clinical information into a form letter HANIL USA, Tallahassee, AL 11/2018 – 05/2020

Quality Control Technician / Manager

Reported inspection and test data, and discussed inspection results with those responsible for products

Accepted or rejected finished items and removed all products and materials that failed to meet specifications

Measured products with rulers, calipers, gauges, and micrometers

Inspected, tested, or measured materials or products being produced

Recommended adjustments to the assembly or production process

Monitored operations to ensure that they met production standards Express Packaging Delivery, Andalusia, AL 02/2016 – 11/2018 Driver

Picked up and delivered freight according to company rules and regulations

Sorted packages, loaded vehicles, and collected signatures upon delivery of items requested by customers

Provided accurate counts of products on truck and practiced safe driving procedures Arise, Andalusia, AL 11/2013 – 02/2016

Technical Support Associate / Customer Service Associate (Remote)

Answered inbound calls and greeted customers

Determined scope of issues in an effective and professional manner

Properly documented all company interactions

Resolved customer requests by investigating problems and developing solutions AT&T, Andalusia, AL 12/2007 – 11/2013

Retail Sales Consultant / Customer Service Associate

Opened and closed the store, handled large cash amounts, and made deposits

Helped company realized goals and worked closely with co-workers

Remained flexible to meet the needs of the company and stayed abreast of current industry trends Valeria Burnett, (Cont.)

Applied strong technical support skills necessary to offer top-notch customer service

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