Customer Service Call Center
Resume:
Karen Smith
Patient Financial Services
Columbia, SC 29210
*************@*****.***
Seeking a position that challenges me professionally and on a personal level. Willing to relocate for a better opportunity.
Willing to relocate to: New York, NY
Authorized to work in the US for any employer
Work Experience
Patient Service Representative
Prisma Health Family Medicine - Columbia, SC
September 2022 to Present
Check in and out patients
Scheduling follow up and procedures
Verifying insurance
Charge review
Enter charges for MDs
Claims review
Collect copays
Collect payments for outstanding debt
Updating patient’s demographics
Posting copays and insurance payments according to the EOB Patient Care Coordinator
Prisma Health - Columbia, SC
September 2021 to September 2022
Scheduled major heart procedures
Working closely with the doctors I scheduled for
delivering great customer service.
Making calls to patients regrading their appointment times and dates. Determining appointments lengths.
Verifying insurance
Charge review
Posting copays and insurance payments according to EOB Patient Financial Services
Prisma Health - Columbia, SC
August 2020 to September 2021
Delivering great customer service.
Explaining the EOB to the patient
Verifying insurance
Add/delete/update insurance information
Explaining insurance to the patient.
Printing and mailing itemized statements and UB04
Sending and receiving correspondence from patients and Law Firms Deescalating customer’s complaints
Taking and posting payments
First and last point of contact for the patient
Doing follow ups
Sending accounts for follow up
Pulling and adding accounts from bad debit
Input charges
Correcting claims
Systems worked; Cerner, Star Navigation, Way star, and Epic. Billing Systems; Xactimed and Quadax
Medical Collector
VIRTUAL BUSINESS OFFICE ASSOCIATES/PWC - Columbia, SC November 2017 to June 2020
I collect debit for hospitals for healthcare claims. I’ve worked several insurance companies claims such as Veteran Administration, Medicare Part A and B, Medicaid and commercial insurance. I’ve learn the law that’s governs the debit collecting, learn the protocols and procedures for my hospital while learning the hospital’s patient system. Knows how to bill and correct Medicare claims via DDE. Call Center Representative/Customer Service
Teleperformance - Columbia, SC
August 2017 to November 2017
Saving customers from waiting to disconnect with Direct/AT&T. Promoting new products. Processing payments. Starting new services. Great communicating skills. Service Desk Associate
Walmart Incorporation - Winnsboro, SC
2006 to August 2017
Assist Customers in paying bills.
Manage Cash and Credit Card Transaction.
Train new employees.
Answered Customer Question Regarding Store Merchandise and Department Information. Pharmacy Associate
Validated Insurance Policies.
Charted and Recorded Information in Client's Files. Upheld HIPAA Guidelines and Regulations.
Manage Currency.
Education
High school Diploma
Fairfield Central High School - Winnsboro, SC
June 2001 to August 2004
Skills
• HIPPA (10+ years)
• EXCELLENT COMMUNICATION SKILLS (10+ years)
• Medical Insurance
• HCPCS
• claims
• Billing
• Filing
• Epic (2 years)
• Customer Service
• Call Center
• Customer Care
• Customer Support
• Accounts Receivable
• Collections
• Data Entry
• Microsoft Excel
• training
• Excel
• Medical Terminology
• CPT
• Microsoft Office
• Outlook
• Accounts Payable
• Medical Billing
• Quickbooks
• Typing
• Cerner
• ICD-10
• ICD-9
• Medical Collection
• Medical Records
• Transcription
• Medical Coding
• Hospital Experience
• ICD Coding
• Insurance Verification
• Phone Etiquette
• Workers' Compensation
• Quality Assurance
• Word Processing
• Basic Math
• Microsoft Word
• Microsoft Outlook
• Laboratory Experience
• Microsoft Powerpoint
• EMR Systems
• Medical Office Experience
Additional Information
Skill Highlights
Excellent Customer Services Skills. Dynamic Computer Skills. Money Management Skills.
Sound judgment.
Management of Electronic Data. Knowledge of HIPPA Law. Management of Client's Record. Excellent Communication Skills. Accomplishment
Employee of the month.
Best quality and productivity for the month.
Volunteer Work for the Homeless Shelter
Transitions Homeless Shelter
2025 Main St
Columbia, SC 29201
Hospital Systems Used: Epic, Soarian, Sunport, Cerner,Star Navigator, Nextgen, WayStar and CM10. Billing Systems Used: Quadax, SSI, Epremis, One-Content, DDE, GIMMIS, Change Healthcare and FLMMIS.
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