Customer Service Administrative Assistant
Resume:
LYNTRA CAMPBELL
**** ***** ***** ***** **** Point, NC 27265
********@*******.***
PROFESSIONAL PROFILE
Customer service focused professional able to provide support in a medical office to include scheduling patient appointments, functioning as receptionist to patients and visitors, and organizing and filing paperwork.
High Academic Honors Recognition / Dean's List / Honor Roll.
Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.
Strong organizational and time management skills with ability to establish priorities to meet timelines.
Effective problem-solver and decision-maker, able to assess situations and identify solutions.
Customer service skills necessary to communicate effectively with patients and healthcare providers.
Microsoft Office Applications – Word and PowerPoint. KEY QUALIFICATIONS
Medical Administrative Assistant Medical Terminology Medical Transcription Patient Processing Patient Registration Medical Records Management Check In Check Out Data Entry Release of Information HIPAA Compliance Medical Laws & Ethics Medical Billing Knowledge Third Party Billing
Medicare Medicaid HMO PPO Basic Coding Skills for ICD-10 & CPT Insurance Verification Anatomy & Physiology CMS 1500 Claim Form Billing Cycle Claims Appeal Process EDUCATION
Ultimate Medical Academy Diploma – Medical Administrative Assistant, 2022 Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate WORK EXPERIENCE
AppleOne Employment Service
Papa Companionship for Older Adults Flexible Family – Raleigh, NC 06/2023 – 12/2023 Customer Service Representative – WFH Agent- Contract (REMOTE)
Handle inbound and outbound telephone calls.
Adhered to HIPAA law and Papa Companionship procedures and policies.
Work with Commercial, Medicare and Medicaid health plans and communicate to the insurance providers.
Exhibit excellent customer service to colleagues, clients (papa’s), and insurance providers.
Utilize Genesys Admin EMR, Five9 Medical Management System, and MS: applications.
Microsoft office: Word, Excel, Outlook, and Teams; letters, reports, send/receive emails, chat and attend virtual meetings.
Intake Specialist: outreach to setup the account and update data for scheduling appointments.
Genesys Admin EMR Software: verify the client (papa’s) demographics and healthcare plans.
Insurance verification: confirm the coverage and eligibility using Genesys and Five9.
Scheduling: make appointments concerning doctors visit, transportation, companionship, housekeeping, the Genesys Admin EMR.
Process the prior authorizations, claims, and the co-payments to ensure proper billing.
Evaluate the referrals from Medicare/Medicaid concerning the various programs that meet the eligibility requirements.
TTECH/Optum – High Point, NC 11/2022 – 04/2023
Customer Service Advocate Plan II- WFH Agent -Contracted (REMOTE)
Handle inbound and outbound telephone calls.
Adhere to HIPAA law and Optum procedures and policies.
Provide excellent customer service to Medical Providers, Pharmacies, and Clinical Teams
Genesys EMR Software: verify patients demographics, outreach to the pharmacist and customer inquiries.
Navigator Medical Software: process the patients refills, co-payments, and healthcare plans.
IRIS Medical Software: review the patients refills, insurance, co-payments, and process received payments.
Insurance verification: confirm the coverage and eligibility and investigated alternative medicines that are covered by the healthcare plan.
Microsoft office: Word, Excel, Outlook, and Teams; draft letters, reporting, send/receive emails, chat and attend meetings on Teams.
Process prior authorizations, overrides, and trial medical claims
Analyze and work with the rejected/denied medical claims concerning the pharmacy for resolution.
EOB (Explanation of Benefits): review the deductible, co-payments, and premiums with the patient.
Review and process the patients’ co-payments and outstanding balances for payments. Accept credit/debit cards, and checks (ACH) to apply to the patient’s account. Surteco USA – Greensboro, NC 04/2016 – Present
Consolidated Container – Thomasville, NC 08/2015 – 03/2016 Assembly Worker / Machine Operator (Part Time)
Operate machinery in a safe and efficient manner and in accordance with company procedures.
Inspect finished products for quality and adherence to specifications.
Meet production goals and deadlines to maintain schedule and communicate effectively with team members. Ralph Laurent / Polo – High Point, NC 11/2014 – 08/2015 Package Handler
Accurately read labels, verified numbers, and carried out instructions.
Completed tasks in the required time limits with high levels of accuracy.
Documented product, packaging, and order information on specified forms and records.
Examined and inspected containers, materials, and products to ensure that packing specifications were met.
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