Customer Service Medical
Resume:
CYBILLE ALEXANDER
*****************@*****.***
Professional Summary
Prolific in the negations of reimbursement to recoup fiduciary amounts in excess of $100k. Reported health insurance claims in accordance to physician’s documentation. Assessed coverage in accordance to coordination of benefits. Verified services performed through investigation of medical records. Through estimation and auditing of cost of procedure performed, was capable of saving the hospital over $50,000.00 in reimbursements. Summarized costs of procedures performed thus clarifying the cost owed and was able to collect an amount owed provider.
Experience
Right Start Community Center
Customer Service Specialist
Networking and counseling, found placements for the homeless in shelters.
Providing a housing list for those seeking to relocate.
Instrumental in assessing the cost of a supply of shirts for special events.
Instructed the community on how to apply for educational courses and jobs.
Through research, routed information to the Office Manager for allocation of funds for financing senior events.
Maintained records for weekly meeting among office staff.
CUSTOMER SERVICE REP.
CEDA
Corresponded with the community regarding services offered by the center.
Screened clients about preparation for monetary help with utility bills, housing, and clothing.
Processed information for assistance with Access to Care.
Helped assembled computer programs for special teaching.
CASE AIDE
CHASI
Worked closely with teens under the care of the Public Guardian, setting-up appointments for reconciliation with the family, with the approval of the courts and the Social Worker.
Observation and reporting of interactions of abused teens in a family-like setting
Communicating with high-risk teens who entertain running away, through negotiation, able to institute new living arrangements.
Counseling teens.
Encouraging sexually active youths to have the HIB inoculation.
Allocating cost of entertainment for mentoring and transportation.
Participating in school enrollment.
PATIENT AUDITOR
MICHEAL REESE HOSPITAL
Negotiated with Insurance Rep. in regards to payment of services, bringing reimbursements of services rendered due to investigations.
Reviewing medical records for MSP, for payment by correcting codes and filing a new claim
Other Experience
Provided consulting expertise to assist with the day-to-day operation of Whittier School, to improve the educational experience of the children
Clerical assistance, helping the teachers in the classroom.
YMCA, Harvey, Illinois
Arranged and taught exercise programs for the seniors
Helped served food to seniors.
Education
Everest College Merrionette Park, Illinois
Billing & Coding Certificate 2009
American Electronic Billing & Coding Chicago, Illinois
Medical Insurance Billing & Coding Diploma 2003
Illinois Medical Training, Chicago, Illinois
EKG Cardiology & Phlebotomy Diploma 1989
Technical Skill
MS Suite
Medi-Soft
Task Launcher
Outlook
Excel
Cirf
Claim Gear
Icd-9
Cpt
Modifiers
Osha
Hipaa
Medicare
Medicaid
Drg’s
V-Codes & E-Codes
Contact this candidate