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Customer Service Data Entry

Location:
Plantation, FL
Posted:
December 18, 2024

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Resume:

**** * **** ****** **.

SUNRISE FLA, *****

954-***-****

************@*****.***

CHIN, MELISSA

OBJECTIVE Organized, goal-oriented, team player seeking a position in an established medical office supporting physicians, nurses, and other medical staff to facilitate patient care.

SKILLS & ABILITIES • Healthcare Billing Experience: Extensive experience in healthcare billing with a solid understanding of medical coding (CPT, ICD-10, HCPCS) and insurance regulations.

• Leadership: Demonstrated ability to lead and inspire teams effectively.

• Analytical Skills: Strong ability to analyze billing data and identify trends and patterns.

• Technical Proficiency: Proficient with electronic health records (EHR) systems and billing software.

• Communication: Exceptional written and verbal communication skills for interactions with patients, insurance companies, and internal teams.

• Medical Terminology: In-depth knowledge of medical terminology.

• Customer Service: Experienced in providing excellent customer service.

• Interpersonal Skills: Strong interpersonal abilities for effective collaboration and relationship- building.

• Organizational Skills: Highly organized, with a focus on efficient communication and task management.

• Technical Troubleshooting: Basic troubleshooting skills for resolving issues.

• Software Proficiency: Skilled in Outlook, Microsoft Office Suite, Excel, PowerPoint, EPIC Healthcare, Availity, Citrix Systems, and job-specific software.

• Recruitment & Training: Experience in recruitment and training of staff.

• Insurance Verification: Proficient in insurance verification processes.

• Delegation: Skilled in task delegation to ensure optimal team performance.

• Multitasking: Excellent multitasking abilities in a fast-paced environment.

• Scheduling & Task Management: Efficient in scheduling and setting tasks with follow-up to ensure completion.

• Typing & Data Entry: 50+ WPM and proficient in ten-key data entry. EXPERIENCE

MEMORIAL HEALTHCARE SYSTEM, MIRAMAR (BILLING SUPERVISOR) September 2024-Present

• Supervise a team of billing specialists, assigning tasks, and providing training, coaching, and performance evaluations.

• Monitor staff productivity and identify areas for improvement.

• Address staff concerns and resolve conflicts.

• Ensure accurate and timely submission of patient claims to insurance companies.

• Review patient demographics, medical records, and coding for accuracy before billing. Page 2

• Monitor and manage outstanding accounts receivable.

• Identify and address billing errors or discrepancies.

• Stay updated on current healthcare billing regulations and coding guidelines.

• Implement compliance measures to prevent billing errors and fraud.

• Conduct regular audits to ensure adherence to billing standards

• Analyze billing data to identify trends and potential revenue opportunities.

• Develop strategies to improve collection rates and reduce denials.

• Collaborate with other departments like patient registration and clinical staff to optimize billing processes.

• Generate regular reports on key billing metrics, including outstanding receivables, denial rates, and collection trends.

• Analyze data to identify areas for improvement and implement corrective actions. MEMORIAL HEALTHCARE SYSTEM, MIRAMAR (SUPERVISOR PATIENT ACCESS CENTER) (MCVI, MNI)

Feb 2022-September

• Supervise and coach a team of patient access representatives, assigning tasks, monitoring performance, and providing feedback to optimize productivity and quality standards.

• Conduct staff meetings to communicate important updates, address concerns, and provide training on new procedures or policies.

• Address employee issues and performance concerns promptly and effectively.

• Monitor the accuracy of patient demographic and insurance information collected by the team, ensuring compliance with HIPAA regulations.

• Ensure proper pre-registration processes followed to streamline patient check-in procedures.

• Resolve registration issues, including insurance verification and eligibility checks, to minimize delays in patient care.

• Monitor patient volume and staffing levels to adjust schedules as needed to maintain efficient patient flow.

• Analyze key performance indicators (KPIs) related to patient access, such as registration times, appointment scheduling, and insurance verification accuracy.

• Identify areas for improvement and implement process changes to enhance patient experience and operational efficiency.

Page 3

• Foster a positive patient experience by addressing patient inquiries, concerns, and complaints promptly and professionally.

• Train staff on effective communication techniques to provide clear and concise information to patients.

• Ensure patient confidentiality is maintained.

• Work closely with clinical staff, billing department, and other healthcare providers to coordinate patient care and address any registration or insurance verification issues.

• Collaborate with the Patient Access Center manager to implement new initiatives and strategic plans.

MEMORIAL HEALTHCARE SYSTEM, MIRAMAR (TEAM LEAD PATIENT ACCESS CENTER) June 2021-feb 2022

• Supervise, evaluate, and train staff.

• Manage patient representative complaints or issues that arise.

• Ensure patient representatives verify insurance and authorizations.

• Complete patient registration, ensure all forms are appropriately signed.

• Assist in training all new hires.

• Assist in managerial duties by delegating task.

• Assist management with, training, recruitment, and daily functions.

• Ensure HIPPA is followed.

• Cpt codes and ICD 10 codes are verified prior to billing. MEMORIAL HEALTHCARE SYSTEM, MIRAMAR (PATIENT FINANICIAL REPRESENTITIVE) May 2019-June 2020

• Patient education: Advising patients on their insurance coverage, benefits, and financial responsibilities.

• Payment arrangements: Setting up payment plans, collecting payments, and negotiating payment options.

• Account analysis: Reviewing and analyzing patient insurance coverage, and developing action plans to help resolve financial responsibilities.

• Communication: Responding to patient inquiries, and communicating with insurance companies, billing agencies, and collections agencies

• Documentation: Completing reports and logs, and documenting collection activities

• Patient assistance: Helping patients navigate paperwork, applying for benefits, and finding programs to help with medical bills

• Advocacy: Advising patients on Charity Care or Medicaid opportunities September 2017 – August 2019

ACCOUNT BILLING SERVICES, COMCAST

• Process billing set-up for customers accurately and timely for invoice runs.

• Adjust billing parameters as needed in case of contract changes.

• Research and resolve customer disputes and complex customer escalations. Page 4

• Accurately process sales tax, fees and other miscellaneous charges. Process, track and maintain account records accurately.

• Communicate billing details to high level customer representatives.

• Prepare billing reconciliations and root cause analysis.

• Meet or exceed departmental key performance indicators.

• Professionally interact and engage multiple operational groups across the company and outside clients.

• Represent company in a professional and positive manner in all facets.

• Support end users: Provide basic support to end users, including troubleshooting, responding to calls, and establishing user accounts

• Install and replace equipment: Install new equipment for users and replace equipment that is not working

• Educate users: Teach users how to operate computers and software

• Make recommendations: Provide recommendations on computer-related needs

• Track problems: Track problems in a ticket tracking system and escalate them to second-level support when needed

• Perform trend analysis: Analyze systems to ensure they are performing optimally

• Develop documentation: Create and improve documentation to help with problem analysis and resolution

• Follow procedures: Comply with all established procedures and policies, including system security guidelines

October 2015 – October 2017

Guest relations services, EUROPEAN WAX CENTER (EWC)

• Answering questions: Responding to guest inquiries about amenities, local attractions, directions, etc.

• Handling complaints: Addressing guest concerns promptly and professionally, attempting to resolve issues to their satisfaction.

• Managing special requests: Arranging for specific needs or accommodations as requested by guests.

• Providing information about facilities: Detailing available services like dining options, spa treatments, activities, etc.

• Maintaining guest records: Keeping track of guest details and preferences for personalized service.

• Building rapport: Creating positive interactions with guests to foster loyalty and positive experiences.

October 2013 – October 2015

Assistant manager, FAMOUS FOOTWEAR

• Review staff performance and offer constructive feedback.

• Collaborate with team leads on setting and achieving team-specific goals

• Purchase inventory based on current trends, availability of new products and customer interest.

• Display merchandise to maximize purchasing appeal. Page 5

• Organize sales and product demonstrations.

• Write sales and customer reports and make recommendations for improvements.

• Interact with customers and resolve complaints or grievances August 2009 – September 2013

Key Holder, HYATT REGENCY

• Opening and closing procedures:

• Unlocking doors, activating security systems, performing pre-shift and post-shift checks, ensuring the building is properly secured.

• Guest check-in/check-out assistance:

• Handling guest registrations, issuing room keys, managing late check-outs, and addressing simple guest inquiries.

• Security monitoring:

• Regularly patrolling the property, checking for potential security risks, responding to alarms, and maintaining key card access logs.

• Cash handling:

• Managing cash transactions at the front desk, balancing cash drawers, and making deposits.

• Overseeing the work of other front desk staff during their shift, assigning tasks, and ensuring proper customer service standards are met.

• Incident reporting:

• Documenting any security issues, guest complaints, or maintenance concerns. 2007-2009

Customer Service, Bed Bath Beyond

• Answering customer questions:

• Providing detailed information about products, including features, benefits, and usage.

• Navigating the store layout to locate specific items and assisting with product comparisons.

• Handling customer complaints:

• Listening to customer issues, attempting to resolve them on the spot, and escalating complex problems to management when necessary.

• Operating the register, accurately scanning items, and handling payments.

• Promoting sales and promotions: Keeping shelves stocked, straightening merchandise, and ensuring a clean shopping environment.

• Adhering to established guidelines regarding customer service standards, returns, and exchanges.

2005-2006

Sales Associate, DSW

• Complete customer transactions while following DSW’s policies and procedures.

• Responsible for accuracy in counting money and providing correct change.

• Operate a calculator and enter data via the register keyboard.

• Partner with the Customer Experience Leader (CEL) when customer situations and service issues escalate.

Page 6

• Follow all asset protection policies and procedures. 2004-2005

Cashier, Publix

• Customer interaction: Greeting customers, making eye contact, and providing friendly service.

• Scanning items: Accurately scanning all items purchased by customers using the POS system.

• Payment processing: Handling cash, credit cards, debit cards, checks, and coupons accurately.

• Bagging groceries: Properly bagging items to ensure customer convenience.

• Price checks: Verifying prices of items when requested by customers.

• Cash drawer management: Maintaining a balanced cash drawer by counting money at the beginning and end of each shift.

• Resolving issues: Addressing customer concerns regarding pricing, coupons, or product availability.

*Will provide more experience upon request.

EDUCATION BROWARD COLLEGE

GPA. 3.5

• AS in Medical Management 2023

• Bachelor of Science in Information Technology – 2024-Present,

(Expected Graduation: 2025)

DEGREES/CERTIFICATES

• MEDICAL OFFICE SUPPORT CERTIFICATION

• OFFICE SPECIALIST CERTIFICATION

• MEDICAL OFFICE MANAGEMENT CERTIFICATION



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