Customer Service Data Entry

Tina Patterson

PO BOX ****** Cell: 614-***-****

Shaker Hts, Ohio 44120 *****************@*****.***

MEDICAL BILLING SPECIALIST

Administrative or Customer Services / Billing and Collections, with exposure to Bookkeeping, Office Management / Bookkeeping Tasks. I have over 20 years of work experience. Reputed for resourcefulness and an effervescent personality. Dedicated team player offering versatile office skills and previous Payment Posting, medical chart reading and Insurance Denials experience.

Qualifications

Training Competencies

Compassionate and results-oriented with exceptional insight and judgment.

Strong working knowledge of Microsoft Word, Excel, CSM, and EPIC.

Exhibits excellent organizational skills.

17 plus years of reliable and accurate customer service expertise.

10 Key Calculator

Making and outbound and inbound calls

Revenue Billing Cycle

MyCGS Medicare CMS

Accounts Payable/Invoices

ICD-9/ICD-10

CPT/HCPC Codes

Business Math

Business English

HIPPA Regulations

Medical Terminology

Basic Human Anatomy

Patient Scheduling & Filing

Keyboarding

CPR/BBP

Billing & Insurance Coding

Medical Office Procedures

Utilization Review

HEDIS

Medicare

eSolutions Claim Remedi

Ohio Mits Medicaid

ADAMH Share

Data Entry

EMPLOYMENT EXPERIENCE

Artech, Morristown, NJ 05/21- 02/25

Customer Service Rep Remote

Maryland Dept of Labor

Unemployment Division Dept

Open claims

File weekly certifications

Handling difficult and angry callers

Releasing and locking Fraudulent accounts

Wage rechecks

Adjudications/Fact Finding Interviews with customers and employers

Reviewing to see if documents are fraudulent

Benefit payment control/Overpayment/refunds

PUA/PEUC

Wayne Perry & Associates, Inc. Dallas, TX 01/21-04/21

Customer Service Rep Remote

Xtend Healthcare, Hendersonville, TN

Tennessee Dept. of Health

Calling TN residents to schedule for Covid-19 vaccine shots

Making appointments for 1st or 2nd dose vaccine

Answering questions, the residents may have had about the vaccine or covid-19 testing

NTT DATA, INC. Plano, TX 06/20 -12/20

Senior Call Center Associate Remote

Alabama Dept. Of Labor

Unemployment Compensation division

File claimant weekly certification

Change/update payment method

Reset Pin to the claim

Update or change address, phone numbers or emails

Fix the claimants weekly certification

Review PUA status to make sure documents are correct

Robert Half International Inc, Columbus, OH 10/2019- 01/2020

Revenue Billing Cycle Specialist

Southeast Mental Health

Posting Medicaid and Medicare payments

Downloading and importing ERA files

Working denials and rebilling insurance payer

Checking Medicaid for patient in Ohio MITS

Posting payments in NextGen

Customer Service

Credentialing

Posting commercial insurance and patient payments

Checking Medicare claims in MyCGS Medicare CMS

Appeals and Grievances

Yoh Specialty Practices, Philadelphia, Pa 06/2019-08/2019

Administrative Assistant

JP Morgan Chase

Health &Wellness Center

Record Retention

Filing patients’ charts

Getting charts ready for record retention

Labeling boxes for record retention

Alphabetizing the boxes for record retention

Counting of the records for record retention

HealthCare Support, Maitland, FL 03/2019-05/2019

Quality Improvement Coordinator I

Buckeye Health Plan

HEDIS

Communicate with varies doctor offices

Input information in the system

Providing customer services when calling the different offices

Learning how to abstract a patient chart for the measure

Learned how to close out a patient in Ciox abstractions

Send and receive varies faxes through Faxcom from doctor offices

R1, EM, Gahanna, OH 11/2017-03/2019

Payment Specialist

To ensure that EMS payments are posted

Communicated with varies credit card companies

Input payment information on the accounts

Process payments to be posted to accounts

Scanning files and payments over to other EMS offices

Providing customer statements

Running reports and pivot tables

Receiving and Posting Lock Box payments

Process invoices for payment for customer and clients

Spectraforce Technologies, Raleigh, NC 01/2016-05/2017 Administrative Assistant

Aetna Better Health of Ohio

HEDIS

Collecting patient records and Data Entry

Communicate with provider offices and faxing patient request

Coordinating with abstractors and provider offices

Build Authorizations in Qnxt

Input patient information in Profax

Dynamo check Medicaid patient records

Marinating and keep the HEDIS mailbox updated

Next Step Resources, Dublin, Ohio 03/ 2014-06/2015 Administrative Assistant

Honda Patents & Technologies North America, LLC

Data Cleaning and Scanning of Patents

Retrieving and Researching Patents

Creating Judgment Sheets

Data Entry

Nesco Resource, Columbus, Ohio 04/2013-09/2013

Tax Data Entry Clerk

• Utilized the State of New Jersey tax software for Fiduciary, Corporation, HP and property taxes

• Reviewed, verified and corrected tax returns.

• Utilized propriety data entry software for tax purposes.

KForce Professional Staffing, Dublin, Ohio 10/2013-01/2014

Indexing/Scanning Specialist

Utilized Microsoft Access to run reports from a data base.

Guidewire Claim Center and Contact Manger to input data from Businesses, Law Firms and Doctor’s Offices.

Nationwide Children’s Hospital, Columbus, Ohio 11/1999-03/2011

Patient Accounts

Reviewed, verified, and authorized patients’ insurance with carriers.

Investigated and corrected billing errors upon patient’s request and in accordance with hospital procedures and protocol.

Posted patient and insurance payments.

Revenue Billing of insurance claims and denials

Resolve patients Appeals and Grievances

Utilized propriety data entry software for billing purposes.

Receiving and making calls to patients and insurance companies

Discussing denials and insurance payments with patients

Faxing insurance information over to providers.

preparation of various accounting statements

EDUCATION

Certified Medical Office Technology, 2012-2013

Eastland-Fairfield Career and Technical Schools, Groveport, Ohio

High School Diploma, South High School, Columbus, Ohio

References

Zuberi Yara 614-***-****

Professional Clinical Counselor-Supervisor

LaTisha Martin 614-***-****

Payment Specialist Lead

Contact this candidate