Medical Records Customer Service
Resume:
Claudia Long
Hazel Green Al
**********@*****.***
Work Experience
RA Insurance Specialist/ Pre-service
Medco/Ovation Health
Huntsville/Remote
Created and submitted medical claims to patients and insurance companies, ensuring both accuracy and completeness.
Checked patients' insurance coverage for coverage and eligibility before billing. Followed up on paid claims and initiated appeals for denied ones within standard billing cycle timeframes. Collaborated with medical coders and other healthcare professionals to ensure accurate billing and to resolve discrepancies.
Navigated and maintained electronic health records (EHR) and billing software, posting payments to patient's accounts.
Called insurance companies for updates on claims status and clarification of billing details. Adhered to HIPPA regulations, ensuring patient confidentially at all times. Staying updated on health regulations, medical terminology, and coding practices. Working with billing staff to ensure that coded data is integrated properly into the billing process. Helped ensure smooth transition/integration of Medco Services with Ovation Healthcare. Handled incoming and outgoing calls to schedule patients' appointments. Verified insurance and patients' responsibility collected it and updated in chart. Customer Service/Order Entry
03/2013 to 07/2014
Mesker Door
Huntsville
Received orders from customers and in put in system so the production team could make the products. At the end of day took all the orders that were shipped and billed the customers. Updated spread sheet for safety accident.
Greeted customers and directed to the appropriate Place. Surgery Scheduler /Surgery intake
01/2007 to 02/2013
The Surgery Center Of huntsville
Huntsville
Received phone calls from doctors' office to schedule surgery. Updated insurance information and would call patients to give them their patient responsibility. Check patients in for the surgery and collected there estimate out of pocket. Balanced the end of day spread sheet.
Visitors that came in directed to appropriate place. Reviewed incoming mail and distributed to correct recipient. Medical records Clerk/Medical Assistant
09/2002 to 01/2007
The Orthopedic Center
Huntsville
Pulled medical records for upcoming apptoiments
Filed medical records in chart.
Then when electronic medical records i was over the fax moving the medical records to the appropriate charts. Printed off forms for the doctors to sign and fill out . Sorted mail and distribution to appropriate recipient. Called patients back assessed the removed stitches staples and sent to Xray before the doctor went in to assess the patient.
Pulled Mri film and Xray for upcoming appointment. Took care of the sterilization of the instruments and ran autoclave. Skills
Customer Service - 10+ years
Medical Assistant - 2 years
Scheduler - 4 years
Insurance Specalist - 4 years
Education
Oak Hill High School
High school or equivalent
Elmer Louisiana
12/1980
Contact this candidate