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Customer Service Medical

Location:
Houston, Texas, 77099, United States
Salary:
40000
Posted:
May 27, 2010

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Wandra L. Stallings

***** ********* **. *******, ** 77099

(832-***-****) Mobile

(713) ***-****) Work

u7nx2k@r.postjobfree.com

Objective: Seeking a Project Coordinator, Management, or Human Resource position in a healthcare organization to be able to execute critical services that contribute to the profitably for an organization.

Skills: A high energy, enthusiastic and dependable individual who excels in challenging and competitive environments. I have a solid reputation for upholding high ethical standards and realizing corporate goals and objectives.

Education:

University of Phoenix

Bachelor’s Degree in Business Management 12-12-2009

Houston Community College 01/00 – 01/02

Basic college level courses

Macon Technical Institute 8/96 – 12/97

Relevant courses include: Medical Terminology, Food and Diet Nutrition, and Psychology.

Certificates:

Certified Healthcare Access Associate (CHAA) 04/08/2010

Human Resource Management Certificate (HRM) 03-29-2007

University of Phoenix

Texas Department of Human Services 11/99

Nursing Assistant Program

Houston, Tx

Employment: MD Anderson Cancer Center- Patient Access Specialist –Brain and Spine Clinic (03/05-current)

Responsibilities include:

• Financial clearance, obtain financial information

• Evaluate adequacy of financial resources based upon diagnosis and estimated cost of proposed treatment plan.

• Work with payor to negotiate patient specific arrangements when necessary. Refer patients who are medically accepted but not financially cleared for administrative approval.

• . Coordinate clinical information to payors to obtain authorization for services when information

• Assisting with gathering medical information in relation to Protocols and Clinical Trails

• Interviewing patients for possible research studies and clinic trails

• Provide estimated cost of treatment based upon treatment plan.

• Coordinate referral to alternative funding sources as appropriate.

• Obtaining referrals and authorizations from insurance companies

• Obtain and document information required for referral.

• Coordinate with patient or responsible party to establish payment arrangements and collect appropriate co-payments.

• Educate patient/responsible parties regarding billing processes and their financial responsibilities.

• Document communications with payors, patient, and treatment team.

• Insurance verification

• Medical Terminology, CPT codes

• Customer Service

HCA – Patient Account Services Houston, TX

Coordinator/Insurance Verification/ Pre-Registration (7/03-03/05)

Responsibilities Include:

• Coordinating timely and accurate pre-regristration and insurance verification. Accurately interpret managed care contracts with proficient use of the contrak system, perform verification within 24 hours of notification for inpatient and outpatient services

• Coordinating with contact physicians to resolve any issues regarding prior authorizations.

• Collect estimated charges and deductibles before procedures.

• Coordinate payment arrangements

• Collect estimated charges and deductibles before procedures.

• Medical Terminology

• Data Analysis

Houston, TX

Merchandise Coordinator /Event Planner (05/00-07/03)

Jones of New York

Responsibilities include:

• Coordinate merchandise

• Managing sales promotions

• Marketing

• Forecasting for future demand

• Coordinating special events for Jones of New York fashions

• Supervising sales associates

• Supervising new store openings

• Hiring employees

• Financial budgeting for special projects and traveling

• Inventory

• Payroll

The Medical Center of Central Georgia Macon, GA

Patient Coordinator (1995-1997)

Responsibilities Included:

• Supervised hospital meal tray line

• Inventory

• Coordinate patient diet education and meal planning

• Counseling out patients on the assortment of precise laboratory measuring equipment.

• Research

• Controlled phone/voice mail for department.

• Prepared various computerized data entry tasks such as Completed numerous other clerical duties that were assigned to me

References: Available upon request.



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