Assistant Manager Customer Service
Resume:
Chrystal Roy - NRCCS
***** **** ** ***** *****. Houston, TX 77049
(P) 713-***-**** (C) 281-***-****
(E) ***********@*****.***
CLINICAL OBJECTIVE
Certified Billing and Coding Specialist seeking employment with an exceptional company to utilize my clinical skills, education, to gain valuable experience and provide exceptional service.
EDUCATION
The College Of Healthcare Professions
Medical Coding and Billing Certification- 8/2023
PROFESSIONAL SKILLS
●ICD-10, CPT, and HCPCS coding and guidelines
●Familiar with Medical Terminology
●Filing and organizing
●Ability to operate computer proficient while multitasking
●Typing 30 WPM
●Great customer service background
●Microsoft Office Applications
●EOB
●Availity
●Denials
●Insurance Claims
●Eligibility
●Correspondence
●CMD Collaborate
●Cigna Claims
●UHC Claims
●BCBS Claims
●Negotiations: Multiplan, Viant, Navigard
EMR
EXTERNSHIP 205 HOURS
Don’t Just Rehabilitate, Houston Texas- 6/2023 - 6/2023
●Medical Coding and Billing
Bellaire ER, Houston Texas- 6/2023 - 8/2023
Collections Specialists
●CM Collaborate
●Electronic Medical Records
●CMR
●Availity
●Excel/AR
●Insurance claims, eligibility and verification
●Negations (Multi-Plans, Viant, Naviguard
●Blue Cross Blue Shield
●CIGNA
●UHC
●Appeals
●Correspondences
●Denials
Med -Collect Inc. 12/2022 – 3/2023
Medical Billing Specialist- Temporary - Remote 3 months
●Respond timely to payer denials using insurance appeal policies and specified office policies
●Manage insurance claims and appeals for timely follow-up and resolution
●Call patients to obtain collection when insurance remittance is sent directly to the patient
●Gather the clinical documentation to complete a proper medical review and appeal
●Identify denials resulting from ineffective office practices and offering solution and suggestions
●Identify denial trends by payer and discuss their trends with management
●Attend relevant billing meetings
●Compile and discuss denial inventory/status
●Meet daily/weekly quota
●Assists with answering phone calls
WORK EXPERIENCE
Circle K, Houston Texas - Assistant Manager
October 2022- July 2023
●Assisted with bank deposits.
●Made schedules for a crew of 8 people.
●Checked in vendors and submitted paperwork using the PDI System.
●Maintained a clean and safe workspace for customers and employees using OSHA guidelines.
Popeye's, Crosby Texas, Assistant Manager
April 2020 - May 2021
●Assisted the Store Manager with bank deposits
●Made schedules for a crew of 10-12 people
●Checked in vendors and submitted paperwork using the PDI System.
●Maintained a clean and safe workspace for customers and employees using OSHA guidelines.
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