| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidateCandidate's Name
Laurinburg, NC Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEPROFESSIONAL PROFILECustomer service oriented professional, capable of providing timely and accurate data to ensure reimbursement for patient services. Follows policies, procedures, and guidelines to ensure consistent quality. Maintains and safeguards patient privacy and confidentiality.Well-organized, manages time and priorities in multi-task environmentsEffective problem solver, able to assess situation and identify solutionsWork as part of a team and maintain a professional and positive environmentMicrosoft Office Applications / MS Word MS PowerPoint Typing Speed: 30 WPMKEY QUALIFICATIONSMedical Practice Management Systems Medical Terminology Medical Records HIPAA ComplianceInsurance Verification Insurance Claim Processing Reimbursement Processing Revenue Cycle ManagementMedicare / Medicaid Government Payers Third Party Payers CPT & ICD-10 CodingMedical Billing Medical Office Medical Administrative Patient Registration Data EntryEDUCATIONUltimate Medical Academy Diploma Medical Office and Billing Specialist, 2021Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals CertificatePROFESSIONAL EXPERIENCEScotland Surgical & GI/Wound & Cancer Center Laurinburg, NC 09/2022 PresentPatient Registration (PRN)Handled inbound and outbound telephone callsAdhere to HIPAA law and Scotland Surgical & GIPerform registration services for the Wound and Cancer DivisionEPIC EMR Software: verify patients demographics, confirm the insurance eligibility and healthcare plan statusCitrix EMR Software: utilize the electronic medical system to log in and enter the hospital internal sitesBilling: process patients healthcare bill and co-payments. Accept cash, credit/debit cards, and checks to satisfy the out-of-pocket expenses, and at the request of the patient mail out the invoicesCheck in/out, scheduling and discharges of patients appointments and release from the hospitalScheduling: receive the settings to setup the patients appointments from the clinical team and apply the patients availability for the next medical treatment, doctor visits, and examinations. Send out medical reminders to patients via standard United States Postal mail and email concerning physician medical appointments.Medical Screener: screen all incoming visitors, clinical staff, vendors, and guest for COVID-19. Update the daily log and reports in accordance with the hospitals SOP requirements.Sitel/United Healthcare Group Nashville, TN 03/2022 06/2022Customer Service Representative (REMOTE)Handle inbound and outbound telephone callsAdhered to HIPAA law and United Healthcare Group policiesProcess Medicaid/Medicare and Standard Healthcare InsuranceNC Track Medical Management System: verify the patients demographics, insurance, process payments and billingInsurance verification: review and confirm the insurance coverage and eligibilityProcess medical claims, prior authorizations, referrals and appealsReviewed CPT codes/ICD-10 to ensure proper billing of the medical claimBilling: review the claim, and accepted payments, and reimbursement. Accepted credit and debit cards and mail out bills to patientsWendys Laurinburg, NC 08/2011 03/2022Crew Member/ Cashier / Customer ServicePerform opening and closing duties, answer inbound phone calls, and train new hiresProcess payments, operate cash register, and accept paymentsCook and prepare batches of food, prepare deposits, and count tillsMake outbound phone calls and assist with interview processIt's Fashion Metro Laurinburg, NC 02/2015 10/2019Floor Manager / Customer ServiceCompleted opening and closing duties, supervised 6 employees, and trained new hiresCollected payments, handled light cleaning duties, and operated cash registerPrepared bank deposits, maintained inventory levels, and handled inbound and outbound phone callsMaintained displays, processed layaway orders, and upsold products |
