Customer Service Administrative Support

CHERISE’ N. BRONSON

804-***-**** cell

***************@*****.***

SUMMARY

Over 15+ years of Administrative support within the healthcare and health insurance industries. Varies from Long Island Jewish Medical Ctr, Patient First, Anthem BCBS, Bon Secours, and VCI. Contributing to team success by connecting with Providers and team taking ownership and educating regarding policies. Would like to utilize my current skills and knowledge into a new position which can further advance my career with opportunities for new challenges.

Hospital EMRs, Ingenious Med Billing, Anthem Claims Systems, Medical Terminology, Reconciling Patient Accounts, Invoicing, Payroll, Microsoft Office, Excel, Outlook, and PowerPoint, Centrix, Customer Service, Research Accounts, Data Collecting, HIPPA

PROFESSIONAL EXPERIENCE

Parallon@Chippenham Hospital 2020 to Present

Richmond, VA

Insurance Verification Specialist (WFH)

Health Information Specialist

Responsible for:

Contacting Insurance Carrier, providers to verify the patient Insurance through phone

Tracking the information in the hospital tool. Also using access to different Insurance

Portals to get the benefits for the account. Adding correct iplans to the hospital Billing

System.

Responsible for daily managing of CJW providers Suspension List for both Chippenham and

Johnston Willis Facilities.

•Responsible for daily workflow queues applying needed deficiencies to providers

•Responsible for working Surgical, Invasive and Non-Invasive Workflow queues

•Working with Electronic Medical Records

•Review charts for completion to include notes, physician orders, dictations, signatures

Before releasing charts to coders

•Flag accounts that are incomplete with a reason and review daily

•Utilizing hospital platforms to communicate billing concerns with departments

TeamHealth @ Chippenham Hospital

Apollo MD, Richmond, VA 2016 to2020

Practice Coordinator

Was responsible for daily chart flow, administrative duties, acted as a liaison for the facility, providers and corporate office by:

•Reconciling of Hospitalists daily census using Ingenious Med and Hospital system

•Ensured provider education / training of chart flow process

•Reviewed charts for completion to include all applicable notes, physician orders, dictations, signatures before sending to coders

•Flag accounts that are incomplete with a reason and review daily

•Communicate billing and quality concerns with providers

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•Maintain daily/weekly/monthly reports that are required by facility and corporate office

•Assist medical director and operations team with staffing and scheduling

•Support medical director, operations team, credentialing and recruiter as needed

•Execute responsibilities within the bylaws of the hospital

Anthem, Richmond, VA 2011 to 2016

Customer Advocate

•Handled customer issues via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims

•Documented inquiry outcomes for accurate tracking and analysis

•Developed and maintained positive external as well as internal customer relations to ensure customer requests and questions were handled appropriately and in a timely manner

•Researched and analyzed data to address operational challenges and customer service issues

•Required limited knowledge of company services, products, insurance benefits, provider contracts and claims

•Resolved claims and membership issues by following through with total case

Virginia Cancer Institute, Richmond, VA 2007 - 2011

Medical Secretary

•Prepared patients charts; scanned charts; verified referral and insurance authorizations were obtained for Chemo, procedures and office visits

•Ensured Medical Records Requests handled promptly and effectively with proper consent

•Sorted and distributed incoming mail; prepared outgoing mail for delivery

•Checked out patients; made follow up and new appointments for patients

BonSecours, Richmond, VA 2006-2007

Patient Access Dept/Registra

•Obtained Authorizations for Outpatient Radiology/ Diagnostic Procedures

•Facilitated registration of outpatient diagnostic patients; called to pre-register patients

•Created and maintained complete, accurate, demographic and financial information on patients in Outpatient Registration, Admitting, ER Registration,

Anthem, Richmond, VA 2002-2006

Administrative Assistant/

Customer Advocate

•Supported IT Service Delivery Director, 8 managers and 74 associates

•Maintained Managers’ PTO and Outlook calendars

•Proxy for time approval and reports. Coordinated travel arrangements and rentals

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•Coordinated bi-weekly meetings and assisted with various company meetings and event planning/ ordering of office supplies as needed

•Provided technical support such as information gathering, reporting, tracking

•Acted as liaison with outside contractors and companies

•Processed provider and subscriber submitted claims in Central Claims Department

•Acted as phone back up for Central Call Center taking provider and customer calls

•Obtained and quoted policy holders benefits from BCBS Benefits Systems

•Assisted with resolving claims and other claims related issues

•Noted by management for demonstrating serious commitment to accuracy and quality of processing claims and taking customer service calls

Patient First, Richmond, VA 2001-2002 & 1997 -1998

Patient Satisfaction Specialist

Communicated by phone with patients, insurance companies and parties involved in patient accounts process. Reconciliation of patient accounts to include taking payments over the phone. Ensured courteous and professional communications responding to requests for information regarding patient accounts in a satisfactorily manner.

Goodwill Staffing Services/Goodwill Industries, Richmond, VA 1996-1997

Administrative Assistant

Conducted processing, interviewing, testing of scheduled applicants, and checked references. Completed weekly payroll. Assisted with preparation of client proposals, narrative and statistical reports. Processed telesales calls. Managed office supplies, and other general duties.

Long Island Jewish Medical Center, New Hyde Park, NY 1990-1996

Medical Secretary

Scheduled patients for Cardiac Catheterization, Angioplasties, and other procedures. Responsible for obtaining health insurance information of patients. Prepped exam rooms. Performed transcription, typing and mailing reports of cardiac procedures. Maintained angioplasty procedure films.

EDUCATION

Colorado Technical University, Colorado Springs, CO (not obtained)

Program: Bachelor of Science in Business Administration in Health Care Management

Received 1st Certificate in Business Fundamentals- Undergraduate Level

Kingsborough Community College, Brooklyn, NY

Medical, Word/Information Processing

A.A.S Degree in Secretarial Science/ Office Administration

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