Customer Service Medical Billing

Emily Brown

*** ***** ****** *****, ** ***** 256-***-**** ***********@*****.***

PROFESSIONAL SUMMARY

Well-rounded professional backed by management, retail, and customer service experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies, procedures, and guidelines to ensure consistent quality. Maintain and assure patient privacy and confidentiality.

High Academic Honors Recognition / Dean's List / Honor Roll.

Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.

Attention to detail needed to maintain high levels of accuracy.

Work well in team-based environments with emphasis on quality, performance, and accountability.

Function independently with minimal direction and guidance.

Communication Platforms – Zoom, Skype, Google Meet, and MS Teams.

Microsoft Office Applications – Word, Excel, and PowerPoint Type 40 WPM.

KEY QUALIFICATIONS

Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs

Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers

Electronic Health Records (EHR) Electronic Medical Records (EMR)

Managed Care (HMO PPO POS) Workers Compensation Insurance Verification Insurance Claim Processing

CMS 1500 CMS 1450 (UB-04) Front Office Operations Medical Office Procedures Scheduling Medical Terminology Anatomy & Physiology HIPAA Compliance Medical Coding (ICD-10-CM HCPCS CPT)

EDUCATION

Ultimate Medical Academy Associate of Science Degree – Medical Billing and Coding, 2024

WORK EXPERIENCE

MMC Group Cencora – Fyffe, AL 07/2024 – Present

Patient Service Representative – Remote

Performs patient onboarding, benefit verification, prior authorization, and appeals processes, as needed, on behalf of patients and their physician to facilitate the process between the doctors’ office and pharmacy to triage and streamline prescription fulfillment.

Provide Billing and coding support through claims assistance, tracking and submission.

Offer prior authorization assistance and tracking; Coordination of benefits; Benefit verification result call.

Handled outbound queue and welcome calls.

Appeals/Denials.

Maintained confidentiality regarding all patient sensitive information through HIPPA guidelines.

Beds Floors & More – Forte Fane, AL 01/2023 – 07/2024

Front End Clerk – Customer Service Representative

Processed furniture orders for customers and managed the schedule for pick up times.

Answer inbound calls from customers, providing excellent customer services.

Process sales, issuing receipts, and ensured the cash drawer balances were accurate.

Boujie on a Budget – Section, AL 12/2019 – 12/2020

Retail Sales Manager / Customer Service

Conferred with potential customers, placed and managed orders, and delivered excellent customer service.

Stayed current on trends to boost sales, determined price schedules and discount rates, documented sales, and maintained communication with customers to ensure items were delivered.

Prepared budgets and approve budget expenditures and resolved customer complaints regarding sales and service.

Deli Time – Section, AL 10/2017 – 12/2019

Cashier / Customer Service

Processed payroll, wrote checks to vendors on behalf of company, signed inventory orders, counted down registers, and assigned person in charge when needed.

Offered fast and friendly service, operated cash register, scanned merchandise, accepted payments, and maintained the overall appearance and cleanliness of work area.

Worked as part of a team and interacted with diverse customers and staff members.

Accounted for cash drawer at end of shift.

Followed policies as they related to customer confidentiality.

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