Medical Billing & Coding - Customer Care Leader

Christine Young

*** ********* ******* *******, ** 38301 731-***-**** *************@*****.***

PROFESSIONAL PROFILE

Customer service-oriented professional with cross-functional management and call center experience. Possess strong administrative and clerical skills and a solid understanding of the importance of accurate claims processing. Pay close attention to detail for accurate and compliant documentation and remain committed to ensuring optimal client outcomes.

Strong leadership skills with an ability to build trust and loyalty within the team dynamic.

Well-organized and able to prioritize and meet deadlines without direct supervision.

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

Microsoft Office Applications – Word, Excel, PowerPoint, and Outlook Type 48 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

Ultimate Medical Academy Diploma – Medical Billing and Coding, 2023

West Tennessee Business College Associate of Science Degree – Administrative Assistant, 2011

PROFESSIONAL EXPERIENCE

Continuum Global Solutions/Everrise – TN (Work from Home) 05/2024 – Present

Customer Care Coordinator (CVS)

Make outbound calls in fast pace call center environment while adhering to all HIPA regulations

Assist with prescriptions refills and orders.

Help with explanation of benefits for patients and answer questions.

Fax doctor’s office and received PA approval to check patient insurance.

Speak with patients about their claims being accepted or denied through systems SPRX and send digital message if needed for outreach.

Update patients’ demographics in systems.

Taco Bell – Jackson, TN 11/2022 – 05/2024

Shift Leader / Customer Service

Manage a team of 3 – 5 crew members per shift.

Train and direct staff, manage bank deposits, and monitor and maintain inventory.

Take customer orders, process transactions, and provide accurate change.

Stay focused during busy times and delegate tasks to employees to keep business running smoothly.

Address issues in a professional manner and resolve staff and customer service issues.

Portfolio Recovery Associates – Jackson, TN 03/2017 – 09/2022

Customer Service Representative / Call Center

Assisted customers resolve billing issues and collected payments using various payment methods.

Answered inbound phone calls and met goals daily.

Documented each customer transaction into system.

Set up payment plans for customers to best control personal finances.

Healthcare Services – Millan, TN 04/2016 – 03/2017

Manager

Worked in behavioral health facility.

Ensured staff completed tasks in timely manner.

Verified and approved payroll and completed performance evaluations.

Taco Bell – Jackson, TN 04/2008 – 04/2016

Shift Leader / Customer Service

Led team during each shift, trained team members, and reinforced food safety and safe working procedures.

Established and maintained effective working relationships with employees.

Executed company policies and procedures and monitored inventory levels.

Identified problems, initiated corrective action, and maintained fast and accurate service.

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