Customer Service Medical Records
Resume:
Cheri Bullock
Cincinnati, OH *****
Email: ************@*****.***
Summary:
• Answer patient's phone calls and assist with registration, scheduling, and insurance verification needs
• Prior authorizations and pre-certifications Obtain patient information and assist patients in filling out forms Arrange patient and physician schedules for medical procedures
• Be able to perform general administrative tasks including but not limited to: maintaining confidential medical information, updating patient files, and recording patient data; Requirements.
• Scans patient insurance cards and collects co-pays/deductibles.
• Have at least 16 year of medical scheduling experience, strong computer skills, sensitivity to confidential information, and excellent communication skills.
• Experience with EPIC.
Skills:
• Medical Assisting specialist
• Strong problem-solving ability
• Extensive medical terminology
• Customer service expert
• Knowledge medical billing expert
• CPR/BLS certified
Education 8t Training:
Withrow University High School
Scarlet Oaks Career Development Campus
Coursework in medical assistant, medical records, medical billing, medical claims, customer services
Work Experience:
Ensemble Jun 2019 - Feb 2023
Claims Specialist
• Contact insurance companies to determine why claims are unpaid or denied
• Identify trends in denied payments by insurance companies
• Identify change with insurance company policies to ensure compliant billing
• Communicate with various departments to resolve any denial issues and re-submit appeals
Triplefin Feb 2018 - May 2019 ;
Program Specialist
• Prior authorization, verification of benefits from insurance company
• Completed outbound and inbound calls regarding billing inquiries
• Verified customer insurance plans
• Data intake of insurance documentation and billing of claims
Omnicare Sep 2017 - Jan 2018
Customer Service Representative
• Provided accurate and appropriate information in response to customer inquiries
• Addressed customer service inquiries in a timely and accurate fashion
Anthem Oct 2015 - Jun 2017
Medical Claims Processor
• Obtained relevant evidence and information regarding suspicious claims
• Investigated any potentially fraudulent claims with a focus on thoroughness, quality and cost control Reviewed collection files to determine next steps in the collection process
• Medical claims billing
Contractor, UC Health Feb 2015 - Sep 2015
Medical Records
• Recorded and filed patient data and medical records
• Carefully reviewed medical records for accuracy and completion as required by insurance companies
• Strictly followed all federal and state guidelines for release of information
Mercy Oct 2011-Jan2015
Medical Assistant/ Receptionist
• Made reasonable procedure exceptions to accommodate unusual customer requests
• Provided accurate and appropriate information in response to customer inquiries
• Addressed customer service inquiries in a timely and accurate fashion
Daniel Drake Center Feb 2002 - Sep 2011
Medical Receptionist
• Made reasonable procedure exceptions to accommodate unusual customer requests
• Provided accurate and appropriate information in response to customer inquiries
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