Medical Receptionist Customer Service
Resume:
Bernice Rodriguez
La Puente Ca. 91744
Email: *********.*********@*****.***
Summary
Seeking a position in the Medical field as a Medical Receptionist, where I could utilize my education and skills.
Skills
14 years of customer service and data entry (45 WPM)
ICD 9 and CPT Medical Billing and Coding
Excel /Medical Microsoft word
Medisoft Advanced (Practice management system)
EMR: Nextgen, Epic
Facets/ OneNote
Aevs Medical Eligibility
Wipro Medicare Eligibility/ Provider Portal
Avya Desktop system for transferring calls
Medical Terminology
Proficient with Microsoft Office Suite, including Outlook, Word, Excel
Education
El Monte – Rosemead Adult School, Feb 2019
Medical Receptionist/Billing Coding
Sunflower High School, Jun 1995
High School Diploma
Professional Experience
CalOptima OneCare Health Plan (Temporary Assignment) Mar 2024- Sep 2024
Senior Customer Service Representative.
Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
Addresses member and provider inquiries, questions and concerns in all areas, including eligibility, enrollment, claims or authorization status, benefit interpretation and referrals/authorizations for medical care telephonically.
Serves as a senior resource for other team members (i.e., solves complex challenges, answers uncommon questions and shares complex processes and procedures).
Supports in the coordination of member’s health care and social service needs both within and outside the medical group and CalOptima Health.
Enters accurate and complete documentation into internal application systems regarding all concerns and/or inquiries from the member and provider interaction, and transfers calls to the approiate department using the system Avya Desktop.
To meet members needs and preferences in the delivery of high-quality, high value health care.
Maxim Healthcare Services Nov 2023- Mar 2024
Caregiver
Provide direct care to patients in their homes to ensure that they are comfortable, well-cared for, and engaged.
Supervise the safety of the patient/client when bathing, toileting, and dressing.
Provide assistance with grocery shopping and light housekeeping chores.
Remind patients to take medications. Notify supervisor if medications are not properly taken.
Help members to transfer from their chairs/beds and ambulate safely around their homes.
Provide meals, either through simple cooking or heating up pre-prepared meals.
Note: Reason for the employment gap: She was working temporary jobs from January 2023-October 2023.
Huntington Hospital (Volunteer) Sep 2021 – Oct 2022
Medical Receptionist.
Coordinated daily administration activities.
Record patient’s medical maintenance, managed/matched billing.
Assisted patients fill-out paperwork.
Calling to verify patients refills for prescriptions.
Wesley Health Center (Temporary Assignment) Sep 2021- Oct 2021
Medical Receptionist
Register new patients, set/rescheduled appointments.
Greet patients, scan varies documents, provide patients with covid test results.
Make follow up calls and verify insurance.
Dr. Patel Medical Office Jul 2019 - Oct 2019
Medical Receptionist
Attended to patients in person and over the phone, verified insurance, scheduled appointments.
Managed each patient’s medical records.
Provided patients with courtesy calls to remind them of upcoming visits.
Wine Country Baskets (Seasonal) Sep 2019 -Dec 2019
Call Center Representative
Data entry, place orders, track orders and transfer calls to the proper departments.
Southern Cal Auto Auction Aug 2005 - Jul 2017
Block Clerk
Preformed varies clerical duties, completed at least 200 transactions per day, recorded details of each incoming car.
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