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Click here or scroll down to respond to this candidateCandidate's Name
Street Address / PHONE NUMBER AVAILABLE EMAIL AVAILABLECustomer service-oriented professional, able to provide administrative support and function as the primary interface between the patient and the provider. Follows policies, procedures, and guidelines to assure consistent quality. Ability to discreetly manage large amounts of sensitive and confidential information.Well organized and experienced with Microsoft Office Suite.Resourceful, flexible, and adept at acquiring new skills in support of company objectives.QUALIFICATIONSBasic coding skills for ICD/CPT Third Party Medicare Medicaid HMO PPOCMS1500 Claim Form Billing Billing Cycle Claims Appeal ProcessElectronic Health Records EHR / EMR Greenway Computer Information SystemsHIPAA Compliance Anatomy & Physiology Meaningful Use ICD-9 ICD-10Medical Administrative Assistant Medical Terminology Patient Processing Patient RegistrationMedical Billing Medical Records Management Release of InformationMedical Laws & Ethics Principles of ManagementMedical Transcription Office Accounting MS Office / MS Word Pathophysiology for Medical OfficePROFESSIONAL EXPERIENCECentene managed health services. 03/01/2023-currentCall representative advocate/Customer service rep.Provider/member service inbound calls customer serviceCustomer support per claims and plan serviceMedical terminology as well as health care insuranceAnthem BCBS. 05/15/2021-02/02/2023Customer service representativeMember service inbound calls customer serviceCustomer support per claims and plan serviceterminology as well as health care insuranceYoung America Insurance. 08/27/2018- 04/21/2021Multi-Manager /Customer service representatives/training.Training provisional agents for State LicensingIm Insurance SalesClient /customer problem solving. In claimsMulti-tasking between multiple officesHandle day by day pricing. Underwriting policies for new businessesAdvantmed, LLC. 01/2015 08/2018US Remote Call Center Representative / Customer Service AssociateHandle day to day verification process and make follow-up calls with the provider offices.Bring finely tuned attention to detail and commitment to quality to all assigned tasks.Kerrville State Hospital - Kerrville, TX 07/2014 - 12/2015Psychiatric Nursing AssistantRecorded and maintained patient information such as vitals, eating habits, behavior, and progress.Listened and provided emotional support and encouragement to psychiatric patients.Completed physical checks and monitored patients to detect unusual or harmful behavior and reported observations.Private Duty Care - Kerrville, TX 02/2011 - 06/2014. EndHome Health AideHelped facilitate and contribute to a positive environment to enhance clients quality of life.Handled light housekeeping duties, prepared meals, and transported to locations outside the home.Hill Country Memorial Hospital - Fredericksburg, TX 04/2006 02/2011Patient Care TechnicianProvided assistance and care in accordance with resident care policies and procedures.Ensured the utmost safety and well-being of the residents.Completed daily logs documenting patient condition and activities.Followed HIPAA regulations and used medical terminology effectively.Hilltop Village Nursing Facility - Kerrville, TX 04/2003 - 04/2006Edge Water Nursing Home Facility - Kerrville, TX 06/2000 - 04/2003Certified Nurse AssistantResponded appropriately to the physical, emotional, and developmental needs of the residents.Ensured that residents and families received the highest quality of service in a caring and compassionate atmosphere, recognizing the individuals needs and rights.Maintained confidentiality of proprietary information.EDUCATIONUltimate Medical Academy Associate of Science in Health Sciences - Medical Administrative Assistant, 2017Nursing Registry ID# PHONE NUMBER AVAILABLENotary since 2022Auto insurance personal linesID# 3407669. Expired date 10/31/2023 |
