Customer Service Medical Assistant

Valeria Collins

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

Katy, TX. 77449

Cell-832-***-****

adz44w@r.postjobfree.com

Objective:

To obtain a challenging position that will afford me the opportunity to gain further knowledge and skill in the healthcare industry.

Summary of Qualifications:

Multi-task, detailed oriented with great communications skill strong, written and oral communication excellent customer service skills, coding CPT, ICD-9/10 and HCPCS

Technical skills:

Windows XP, Careone Application/Citrix, Right fax, ICUE SYSTEMS Ayaya/phone, EMR, Medisoft, Meditech, Messenger, Copier, Microsoft Outlook, INFO PATH EMAILS

Education:

Currently in the process of gaining AAPC exam for CPC

Houston Community College-ProMed advanced coding course (classroom) for AAPC

Certified Billing & Coding (CBCS)-National Healthcare Association (classroom) - 2005

Genesis Vocational Training- Medical Assistant-Certificate - 2004

Member of NHA Association for Coders/Billers-2003

Delta Career College- Business Administration-Associate Diploma- 1992

Employment:

(UnitedHealth Care)-Houston, TX

January 2010-present

LTSS –Clinical Support, and Notifications for HCBS

Manage task request received from Case managers via emails or work queue to enter into UHC systems for members with long term care needs from facility to home or care that is needed for the member(s) currently in the home or hospitals, facilities, nursing home, daycare. Build authorizations in UHC system and provide clear and accurate documentation.

Verifying and entering appropriate ICD-9/10 and CPT and HCPS codes on daily basis.

Acute Department (UHC)

Respond to incoming provider and enrollee calls

Enter authorization, updating provider’s status of an existing authorization, and determine if notification is required.

Complete notification wizard, along with ICD-9 and CPT coding

Provider excellent customer service to both provider and enrollees

Assist with faxes and emails on daily basis

(Texas Children’s Hospital-01/09-12/09)-Houston, TX

Centralized Scheduling

Received incoming calls from providers to schedule patients’ appointment, verified insurance coverage and updated demographics if needed.

(Walgreens-Option care- 04/08-01/09) Houston, TX

DME-Intake Coordinator

• Responsible for Home Health Equipment Referrals

• Receive referrals from referral sources, nursing homes, hospitals, physician’s offices.

• Ensure that all intake forms are completed, clear and within company’s scope of service.

• Verified insurance enters patient’s demographics into the computer system.

• Communicates with other departments regarding status of referrals and notifies patients/families regarding coverage and payment responsibilities.

• Obtain initial authorization from the insurance company for the services to be provided, and verified DME codes and ICD-9 codes qualified patients for equipment within Medicare, Medicaid and commercial insurance company’s guidelines

•

(Christus St. Catherine Hospital -02/7-03/08) Katy, TX

Unit Secretary/Medical Assistant (Med/Surgical floor)

• Answer call lights for assistance

• Take vital signs assist patients as needed

• Collect information from departments for new and existing patients to input in system

• Convert Physicians orders into computer systems

• Organized all medical charts according to policy standard for medical records

(Southwest Doctors, PA- 03/05-01/07) Houston, TX

Coding and Billing/Medical Records /Front Office/Credentialing

• Performed medical coding and billing functions using CPT and ICD-9 codes.

• Check patients in-out, collect co pays, referrals, review and assist with encounters which including CPT codes/EM and ICD-9 and also assist patients in rooms when needed

• Schedule new and existing patients, verified insurance and authorization if needed documented and input demographics, symptoms and other issues or concerns from patients for all physicians

• Scanned and filed medical records, history physical notes, therapy reports, prescriptions, demographics, sign-in sheets, encounters, insurance and billing information. Assist with release of Medical Records Information according to HIPPA standards

• Credentialing, complete all data entry demographics on all new physicians and credentialed physicians according to standards, maintain complete up to date licenses, DEA memberships and DPS for physicians to attend hospitals, clinics and nursing homes

• Orders physicians supply, business cards, excuse slips, controlled substance RX pads

REFERENCES

• References available upon request

Contact this candidate