Customer Service Medical
Resume:
KARTINA M. WARE
Humble, TX *****
********@*****.***
Objective: To obtain a position within a medical environment that will embrace my Medical Insurance Billing and Coding training as well as my Administrative experience and provide an opportunity for long-term committed growth.
Highlights
1 Graduate of a nationally recognized Medical Insurance Billing/Coding program.
2 Knowledge of Medicare, Medicaid and other Manage Care Eligibility Guidelines.
3 Proficient in ICD-9, CPT, and HCPCS Coding for maximum reimbursement.
4 Excellent multi-tasking and organization skills with proficiency in 10 Key touch.
5 Government programs (Medicare, Medicaid, TRICARE, and CHAMPVA
6 EDI and computer claim systems.
7 HIPAA award
Education
Everest Institute
Medical Insurance Billing/Coding Curriculum:
Human Disease and Pathology Anatomy and Physiology
Medical Claims Processing ICD-9, CPT, HCPCS Coding
Billing and Reimbursement
Experience
NCO Group Houston, TX
Customer Service Supervisor (2009-2012)
1 Answer phones and respond to customer requests.
2 Assisting agents with technical questions.
3 Provide customers with product and service information.
4 Transfer customer calls to appropriate staff
5 Identify, research and resolve customer issues using the computer system.
6 Follow-up on customer inquire not immediately resolved.
7 Research billing issues and misapplied payments.
8 Recommend process improvements.
9 Other duties as assigned
Houston, TX
TMC Orthopedic (2008-2009)
Medical Records/Billing and Coding
1 Maintaining and updating patient records.
2 Insurance verification
3 Matching daily claims and sending out certified
4 Adjusting claims in Mesta med and MEd iSOFT
First Contact Houston, TX
Medical Insurance Billing/Coding/Externship (2007-2007)
1 Billing medical claims.
2 Verifying insurance status and rebilling claims.
3 Customer service including handling customer’s complaints.
Stay and Play Childcare Center, Houston, TX
Child Development (2005-2007)
1 Provided age appropriate activities to promote cognitive and social development in a warm, nurturing environment.
2 Assist in the development of academic skills while enhancing social skills.
3 In charge of maintaining a safe, clean and germ free environment to facilitate the growth and learning of children.
4
McDonalds Restaurant Houston, TX
Cashier (2003-2005)
1 Cash handling including purchases/Provide excellent customer service skills.
2 In charge of maintaining a safe, clean, and sanitized store daily.
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