Medical Customer Service

Cassandra Robinson

**** ********* **.

Opelika, AL 36801

Phone 334-***-****/749-7208

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

OBJECTIVE: Obtain an Administrative Specialist position and contribute to the achievement of organization, program and project level goals.

SUMMARY: Knowledgeable in medical program management and process improvement through use and application; in-depth understanding medical terminology, anatomy, insurance, billing codes and procedures (CPT, ICD-9), EMR, CMS, HIPAA, and Customer Service (CUSTSP) process. Responsible for making operational and programmatic decisions based on weekly and monthly status updates. Thought leader, excellent communication skills and customer relations, Knowledgeable in facility management and experience in implementing workflow processes to ensure organizational effectiveness and patient on-schedule deliverables.

EDUCATION/TRAINING: Opelika high School 05/86, Chattanooga College, Chattanooga, TN 05/00, SSA Disability Certification, Medicaid Application and Interviewer-Certificate 02/10

Currently enrolled at Trevecca Nazarene University-Health-IT, Graduation date 12/2014

COMPUTER/TECHNICAL SKILLS: Proficient in experienced in using MS Office Suite, (MS Word, Excel) and Medicare/Medicaid database applications, Cerner usage, Med iSOFT, Spring Charts, report writing, file management.

EMPLOYMENT HISTORY:

Patient Representative: 08/07 – 04/10, Med Assist / First Source, Opelika, AL

Responsible for the daily capturing of workload, manage the Victims of Crimes, Disability, and Medicare/Medicaid Outpatients database, Build new users account profile, modify existing users accounts within the Census Database Application. Implement System Admin rights and user privilege access to staff within the patient account record information to reviewing Insurance Medical information being access via various hospital Debase System. Daily review to determine correct patient data and information are valid to provide best program (s) practice suitable from various State Programs.

Analyzing user’s accounts to determine correct action needed to Calculating monthly invention, Manage daily incoming call logs to verbally assisting clients and customers with medical insurance questions, provide Account Record Bookkeeping to organizing patient files using a monthly reporting for Inventory.

Implement the daily and weekly diagnosis to customer accounts and insurance claims to payment options. Establish patient’s relationship proper data entry to disability claim and scheduling boards review follow up. Preside over various Counties Health Departments and Social Security Administration staff meeting daily and weekly.

Economic Support Screener: 07/04 – 06/07, Dept of Family & Children Services, Ringgold, GA

Responsible for managing the an on-going client screening for all economic support programs, conduct face to face and telephone interview using a client review applications, to discuss programs issues used by customers to ensure that they are aware of, and how to apply for the most appropriate services. Refer customer recommendations used internal to provide a community resource to as well Data Entry inputting into the system.

Obtained client information to process user’s applications for various government programs; manage the daily interview and scheduling of weekly appointments with clients to determine by qualification for Local, State and Government programs assistant. Conduct face-to-face interviews with application applicants to review and validate to obtain any information from the needed from applicant to determine eligibility for all program; using a comprehensive analyst using a variety of resources to generate reports and respond to requests. (Performed by all incumbents)

Maintain and manage user’s confidentiality using accurate personal records keeping, (e.g. travel, leave, work time, phone log, etc). Create and manage the daily data entry to all forms and documentation inputs for accordance with county, state and federal policies and procedures. Wrote concise, accurate, and organized reports to creating correspondence reports in accordance to company established protocol; maintained a daily case files to ensure accuracy to data input for proper order by maintaining a Tickler File System to assure all data are timely recorded and implemented as recommended.

Complete periodic reports and logs, as required.

Inpatient Representative: 09/00 – 04/04, Siskin Hospital, Chattanooga, TN

Served as liaison between patient, patient relatives and the healthcare organization to communicate response questions to patient(s) complaints, and concerns. Review patient’s application for complaint to ensure accuracy and proper data attached before forwarding to appropriate staff analyst for follow-up to providing notes explaining company policies and procedures to ensure patients referred to the correct services staff analyst for review.

Create daily Census and Dietary Reports to implementing Data Entry to patient demographics. Managed the database to inpatient and outpatient scheduling as well provided Medical Records tasks to administering the Medical secretary task(s); Independently plan and accomplished the various goals and tasks: Staff-Lead and assisted in scheduling work task out to staff members use a wide degree of creativity and latitude.

Medical Records Clerk: 08/97 – 08/00, GI Consultants, Chattanooga, TN

Responsible for organizing, conducting patient medical records surveys to conducting person to person and phone interviews with client and customers to validate a patient medical record to ensure accuracy and completeness; implemented daily record filing in database to archiving and retrieving management to medical records.

Coordinated and retrieved personnel files and scheduled to reassigning patients permanent medical records by analyzing, coding, indexing to storing the records; Provided final reviewing of records to ensure complete with accuracy and with adherence standard policy and procedures to creating new file system using standard concepts with practical and procedures when processing medical records.

Implemented the office management skill set to filing records, database client updating, to providing office property and medical bookkeeping. Provided practice knowledgebase when modifying patient records using Clerical skill set and instructions to pre-establishing data-input guidelines and procedures. Worked closely with other staff members to ensure and create daily and weekly medical reports provide to the manager using the medical concepts, practices, and procedures Microsoft Excel spreadsheet to manage office Acquisition Reports for a unit/department

Claims Associate: 01/96 – 08/97, Cigna Healthcare, Chattanooga, TN

Provide the approval, denial as well made recommendation to claim settlements to authorizing payments change method using a company routine payment property/casualty claims based on coverage, conducted client review and appraisal to verify damage(s). Provided written and verbal correspondence to policyholder, claimants, witnesses, attorneys, etc. to gather important documentations to support a contested claim in court; prepared written report to findings of an investigation.

Implements daily and weekly modifications to a single or group policy claimant record to providing follow-ups to a applicant field error instructed to pre-establishing minor guidelines how to complete and perform the daily functions of task to a do not typically requirement exercise using independent decision and judgment making when completing weekly report with the typical or abnormal function and procedures before submitting to managers.

Implement a daily routine to property/casualty claims based on client coverage, appraisal, and verification of injury damage to preparing daily report findings from a investigation using creativity with a latitude requirement when process claims documents.

Contact this candidate