Customer Service Medical

Tiffany Thompson

**** ******* ****** ***#**

Bronx, New York 10460

917-***-**** (mobile)

347-***-**** (home)

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

Summary of Qualifications:

A dependable, flexible, reliable employee who wants to secure a position that will utilize my experience and provide me with professional advancement that will strengthen my contribution towards company goals.

Professional Experience:

Affinity Health Plan, New York , NY (Temp)

2010-/2011 Claims Representative

• Outstanding experience in customer service and collections call center environment

• Analyze patient information to identify whether investigation for Coordination of Benefits or denials for wrong procedures codes/diagnosis, no prior authorization, etc..

• Follow up with patients on outstanding balances in tactful, but diplomatic manner via phone calls and letters

• Outstanding customer services to providers regarding insurance reason for denial of payments

New York-Presbyterian Hospital, New York,NY 2008-2010 Patient Account Specialist

• Promote adherence to the Hospital’s code of business conduct and HIPAA compliances

Coding Medical Record Progress notes using CPT and ICD-9 HCPCS codes

• Responsible for key entering the monthly inpatient/ outpatient active aging accounts receivable summary analysis report and Perform other related projects and duties as assigned

• Follow up/collect on delinquent accounts using Stockamp Trac 3.0 and Eagle systems

• Posting, crediting, adjusting and write-off balances and payments using Eagle system

• Responsible for high/low dollar accounts by meeting company quota and expectations while maintaining above average performance metrics

• Maintain confidentiality of all patients and or employees medical information to assure privacy rights are protected

• Assist in developing methods to monitor accuracy and integrity of reports on a regular basis

• Computerized billing, edit and correct primary, secondary and third party using PREMIS/CMS

•

Bronx Lebanon Hospital Center Bronx, NY (Temp)

2007- 2008 Telecommunications Operator

• Handled the switch board in a timely fashion

• Relay messages to the appropriate parties

● Page appropriate medical staff

The Bank Of New York New York, NY

2006-2007 Data Entry Clerk

• Posted payments

• Answered multiple phone lines

• Filled paperwork when necessary

Health Hospital Corporation New York, NY

2004-2006 Data Entry Collections Clerk

• Computerized Billing, Post changes to medical Manager and Rejection on EOB.

• posted payments, transmitted claims and collect delinquent accounts.

• Experienced in determining actions and taking steps towards getting insurance claims paid.

Outstanding experience in customer service and collections call center environment

Head and Neck Pain Management Bronx, NY

2001-2003 Medical Biller

• Verified patients insurance information and key entered patient’s demographics

• Contacted insurance companies regarding outstanding claims reports and process insurance

• Claims for payment and reconcile patient and staff discrepancies problem regarding their insurance

• Computerized billing ,posting payment ,adjustments and write -offs

Skills: Type 35wpm, Data Entry, computerized billing, Microsoft word, outstanding customer

service and sales skills, problem solver, team player, multi-tasking and medical terminology.

Education: Interbro College Medical Office Assistance

Federation Employment Guidance Service Office Technology, Job Readiness

Reference: Available Upon Request

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