Customer Service Medical
Resume:
Rhonda F. Franklin
* ***** *** (Temp mailing address)
Oakland, CA 94605
Cell: 510-***-****
**************@*****.***
Summary Of
Qualifications
Valuable experience in billing Medicare/Medical, HMO, PPO & Private Insurance carriers
Fast learner/Detailed oriented
Provides excellent customer service
Over 5 years experience working with the public
Technical Skills
Proficient in Microsoft Word 6.0, Corel Word perfect 6.1, Microsoft Excel and Quicbook Accounting
Comfortable in Windows and Internet environments
Able to learn new computer programs and applications quickly
Employment
Specialist Clerk 11/01 – 04/2010
Alameda County: Environmental Health Department – Alameda, CA
Verify checklist for deposits to appropriate accounts.
Create new one-time charge accounts and inputs charges in the Envision billing system as necessary.
Post payments to client’s accounts.
Generate and distributes outstanding invoices, permits, and penalization reports.
Reviews data for accuracy and makes changes to accounts when necessary.
Enter charges for bank returned checks.
Reconcile checklists for their accuracy.
Registration Associate 05/01 – 01/05
Children's Hospital (Admissions Department) - Oakland, CA
Registered and Admit patients to the emergency room, urgent care, x-rays, over night and lab visits.
Obtained and entered patient’s demographic information into the hospitals automated computer system.
Verified patient’s insurance eligibility for possible reimbursement.
Obtained verbal and written authorizations.
Collected co-pays.
Specialist Clerk 09/97 – 11/01
Alameda County: Sheriff's Department – Oakland, CA
Entered, verified, and updated employee’s personnel information.
Scheduled appointments for interviews, medical exams, and newly hired employee’s orientations.
Processed newly hired, reinstated and terminated employee’s documentation.
Processed evaluations and service awards for eligible employees.
Maintained sworn personnel DMV Confidentiality request.
Assisted employees with personnel inquiries.
Specialist Clerk 08/94 – 09/97
Alameda County: WIC Department – Oakland, CA
Responded to inquiries regarding WIC policies and procedures.
Determined WIC eligibility.
Scheduled new and follow-up appointments.
Entered participant’s information into automated computer system.
Issued WIC vouchers.
Ward Clerk 05/92 – 08/94
Alameda County: Highland Hospital – Oakland, CA
Acted as a liaison between physicians and hospital staff.
Dictated physician's orders.
Maintained daily logs and census reports.
Ordered patients medical exams (labs, x-rays, EKGs) etc.
Prepared routine correspondences.
Compiled patient’s medical records.
Medical Claims Examiner/Collector 07/91 -05/92
Glasrock Home Healthcare – San Leandro, CA
Collected unpaid medical debts through phone solicitation.
Examined and distributed medical claims.
Followed-up on denied medical claims.
Responded to billing inquiries over the phone and in person.
Implemented training program for newly hired employees.
Billing Reimbursement Clerk 02/90 – 06/91
Shield Healthcare – San Leandro, CA
Examined 3rd party medical claims for accuracy, and to verify that they meet 3rd party billing requirements.
Verified patient’s medical insurance coverage.
Obtained written and verbal authorizations from insurance providers.
Experienced with billing Medi-cal, Medicare and Private insurance agencies.
Obtained medical documentation (prescriptions) from healthcare providers in order to justify products and services rendered to the patient’s insurance provider.
Education
Chabot College - Hayward, CA
Accounting Technician - Pending
Learn IT Computer School - San Francisco, CA
MicroSoft Word Certificate - 1998
Castlemont High School - Oakland, CA
High School Diploma - June 1986
Awards, Honors, and Activities
Service Award for 15 years of service with Alameda County
Certificate of appreciation for providing excellent customer service to clients calling into the WIC telephone unit.
Received honor from Alameda County Sheriff’s office for outstanding employee.
Certificate for completing an in service on Handling Difficult People.
Oakland, CA 94605
Cell: 510-***-****
**************@*****.***
Summary Of
Qualifications
Valuable experience in billing Medicare/Medical, HMO, PPO & Private Insurance carriers
Fast learner/Detailed oriented
Provides excellent customer service
Over 5 years experience working with the public
Technical Skills
Proficient in Microsoft Word 6.0, Corel Word perfect 6.1, Microsoft Excel and Quicbook Accounting
Comfortable in Windows and Internet environments
Able to learn new computer programs and applications quickly
Contact this candidate