Customer Service Medical Assistant

Tanya Blankenship 817-***-****

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

Over 25 years of office/administrative experience with over 10 years of management experience and many years in the healthcare industry.

I am looking for a position to showcase my knowledge and skills while allowing me to independently work to achieve company goals.

Experience:

Wound Evolution 2025- Front Office Coordinator

• Answer, direct and manage incoming calls professionally, including appointment requests, prescription refills, and patient concerns.

• Greeting patients warmly, check-in/out as well as collecting copay, co-insurance, and deductibles

• Monitor patient flow to ensure clinic is operating efficiently

• Assist with management of daily operations (opening/closing, etc)

• Confirm insurance eligibility/benefits/pre-authorizations before appointment to avoid billing issues

• Maintain and update patient files, ensuring accuracy, confidentiality, and compliance with HIPAA

• Collect co-pays, process payments, and provide billing information or statements to patients when needed

• Communicate effectively with doctors, nurses and technicians to ensure smooth patient flow and timely information exchange

• Work all incoming referrals as well as request them when needed

• responsible for all incoming Home Health notes being signed/faxed back and downloaded into the patient chart

• Provide compassionate, efficient customer service to handle concerns or complaints professionally

• Schedule, reschedule, cancel according to patient needs while coordinating provider availability and minimizing gaps or overlaps

• Order/upkeep of office supplies

Helical Health/Skin Healthy Med Spa 2023-2025– Front Office Administrator

• Answer/direct phone calls, triage patient calls and needs

• Schedule appointments/manage changes and updates to schedule for two providers, 1 phlebotomist and the procedure schedule as well

• Check patients in and out for appointments/handle all patient paperwork

• Verify insurance eligibility

• Responsible for office upkeep; cleaning, water plants, regulating office temperature, cleaning break room, office supply tracking and restocking

• Schedule business lunches/meetings for providers and office staff

• Handle Home Health and Therapy billing and documentation

• Receive and process medical record requests including invoicing, billing/receiving and processing of payment

• Collection of current and past due balances

• Request medical records

• Process insurance referrals

Christus Health 2020-2023– Supervisor (Provider Claims)

• Interview/train and develop Claims Examiners

• Recognize trends in claims billing errors and offer resolution

• Employee goal setting/implementation/tracking

• Distribute and track employee work assignments

• Collaborate with and maintain open communication will all departments to ensure effect workflow

• Employee time tracking using Kronos/Infor and ADP

• Ensure employees follow all HIPAA guidelines

• De-escalation of provider issues

American Specialty Health 2015-2020 – Manager (Eligibility)

• Oversee 5 supervisors with 10-18 employees each

• Meet all performance standards and establish goals for team

• Provide leadership, motivation, guidance and training to employees

• Plan and direct workflow and assignments

• Ensure compliance with regulatory accreditation and health plan delegation standards

• Provide recommendations to senior leadership regarding development of organizational goals, strategies, budgets, etc.

• Work with Information Systems to enhance automation and system efficiency

• Serve on committees, workgroups and projects as needed

• Ensure proper training is provided by Supervisors to staff

• Establish strong knowledge of HCFA and UB04 claims requirements with staff

• Ensure proper training in Medicare, Medicaid, Tricare, HMO and PPO claims processing requirements as well as understanding of HIPAA laws.

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• Education: Concorde Career Institute 01/2009

Medical Assistant Program – Valedictorian

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