| | | 20,000+ Fresh Resumes Monthly | |
|
|
| | Related Resumes Data Entry Medical Center Mansfield, TX Medical data entry, medical claims, payment posting, lockbox pro Garland, TX Data Entry Medical Records Terrell, TX Data Entry Medical Billing Dallas, TX Data Entry Medical Assistant Melissa, TX Data Entry Medical Billing Fort Worth, TX Medical Assistant Data Entry Dallas, TX |
|
Click here or scroll down to respond to this candidateCandidate's Name
EMAIL AVAILABLEStreet Address PHONE NUMBER AVAILABLESUMMARY OF QUALIFICATIONSDynamic, results-oriented professional with over 10 years of experience in pharmacy benefit administration and health care insurance. Excellent interpersonal skills to forge strong partnerships and alliances.HIPAAICD-10-CM/PCSCPT/HCPCSData extractionSchedulingVerificationRegistrationCOBReferralsMedical RecordsLegal ComplianceWorkers CompensationTerminologyMedisoftSimChartClaim EntryProvider/Patient Relations10-KeyMS Office45 WPMAHIMA CCA CertifiedEXTERNSHIP EXPERIENCE1ST Plus Emergency Care, Forney, TX 01/2020Medical Billing ExternHandled insurance verifications and reaching out to medical staff and patients; data entry EHR.A Affordable Chiropractic, Mesquite, TX 01/2020Medical Billing ExternData entry into EHR, handled inbound patient calls, scheduled appointments, and updated charts.PROFESSIONAL EXPERIENCEMedsynergies, Irving, TX 2014 - 2017Client Services RepresentativeResponsible for Client Assist for 12 BC/BS Plans to ensure claims are processing per plan provisionsLiaise with providers to providing necessary overrides to allow adjudication of claimsExperience in RX claims, Rx Express, MSA systems Flowcast, GECB, GroupCast, Salesforce, ECWRecognized as Employee of Month in January 2015.Selected by the management team to train staff of new hires and serve as SMEEffectively cultivated customer trust by providing members and pharmacies with accurate information regarding new benefit plans to assure member and client satisfaction and accurate claims processingMade outbound calls regarding member benefits. Investigated and resolved phone inquiries in a timely mannerPrime Therapeutics, Dallas, TX 2011 2014Account SpecialistUtilize the Prime Call Tracking database to reply to patient inquiries as escalated by the Contact CenterEnsure timely response to inquiries. Resolved escalated complaints within a 24-hoursCommunicated resolution to patients, clients, health plans and employer groupsCVS Caremark, Richardson, TX 2004 2011Pharmacy Service Representative / Account SpecialistVerified benefits, interpretation of medical plansConsistently demonstrated excellent customer service; Follow-through to achieve customer satisfactionProvided excellent customer service to internal and external customersResearched and resolved issues to allow the member to get the medications they need.Serviced various therapy groups i.e. Growth Hormone, MS Therapy, Rheumatoid Arthritis, OAGeico Insurance Richardson TX 2018-2023Customer Service Liaison : Verified Coverage. Answered inbound calls Processed payments Researched and resolved issues.Candidate's Name
EMAIL AVAILABLEMesquite, TX 75043 PHONE NUMBER AVAILABLEEducation/TrainingRemington College 05/2019 01/2020Medical Billing and Coding4.0 GPADeans ListPerfect AttendanceSouthwest States Theological Seminary 09/2005Bachelor of Arts and SciencesUS Army Veteran 1985 1992Honorable DischargedAhima CCA Certfied |
