Customer Service Computer System
Resume:
TONI D. WOODS
*************@*****.***
Goal
I have strong analytical skills detail-oriented, and very organized I value a high level of accuracy and integrity, have excellent interpersonal and communication skills, effective problem-solver.
Summary of Qualifications
·Schedules patient appointments and enters required information in the computer system in an accurate and timely manner.
· Obtains demographic, insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.
·Explains all required forms to the patient or guarantor and obtains the necessary signatures.
· Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary signatures.
· Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility.
· Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.
· Posts payments in the computer system and generates the appropriate patient receipts.
· Monitors, reviews and resolves patient account issues on assigned reports.
· Communicates in an effective and professional manner with Physicians, ancillary departments, nursing units, physician’s office staff, and insurance companies.
Work History
08/2012-10/2017 Memorial Hermann
Houston, TX.
Patient Access representative/Traveler
Register patients, scheduling, collect payments, input data, process authorization, filing, set appointments, traveled to 28 different clinics to audit and help with patients files and insurance, meeting with doctors and executives about patients care.
07/ 2010- 08/2012 Murphy’s express- Pasadena, TX.
Assistant Manager
Scheduling, ordering, customer service, inventory, surveys, deposits, accounts payable and
Budget reports.
11/ 2007-06/ 2010 San Jacinto Methodist Hospital- Baytown, TX
Coordinator
Aassigning rooms, Admitting patients, post payments, verify insurance, make deposits, make sure medical Records are accurate, registering, discharging patients and insurance billing.
06/ 2005- 08/2007 Northrop Grumman- Fairfax, VA.
Recruiter coordinator
Process employee files and set physical appointments, set travel reservations in and
Outside the US, Personnel files, reference checks, detailed data entry, shipping,
Processing mail, and client billing; Calendar management of directors, executives.
06/2003-05/2005 H.E.B. Company- Humble, TX.
Department Manager
Hiring, interviewing, coaching, training, scheduling and evaluate for pay raises, arrange
Job fairs, recruiting, ordering, inventory, ensure food safety and sanitation standards.
02/1999-05/2003 Rentway Inc. - Houston, TX.
Store Manager
Recruiting, billing, attain sales goals, interviewing, vehicle licensing, provide
Guidance and counsel to employees.
Education
2001 Lee College- Baytown, TX.
Associate of science degree
1998 Texas school of business- Houston, TX.
Certificate in business management
1985 Ross S. Sterling- Baytown, TX.
High school diploma
Certifications & training
2003 Training workshops completed
Certified in management leadership * Diversity 1, 2* Self presentation
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