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Click here or scroll down to respond to this candidateCandidate's Name
PHONE NUMBER AVAILABLE EMAIL AVAILABLEPROFESSIONAL PROFILECustomer service-oriented professional who provides timely and accurate data to ensure reimbursement for patient services. Follows policies, procedures and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality.Experienced with multi-line phone systems, data entry, administrative duties, and customer service.Leads by example and sets high standards for performance.Attention to detail needed to review and correct errors and maintain high levels of accuracy.Proficient in Microsoft word and Excel; Type 55 WPM.Web Base Training CertificatesWorld of Medicare, Medicare Fraud and Abuse Uniform Billing CMS form 1500Medicare Billing 8371 and form CMS 1450KEY QUALIFICATIONSMedical Billing Medical Coding Payment PostingICD-9-CM, HCPCS, CPT Introduction to ICD-10-CM SchedulingInsurance Verification Co-Payments and Deductibles Medical TerminologyAnatomy & Physiology HIPAA Compliance Government PayersMedicare & Medicaid Tricare Third- Party PayersCMS 1500, CMS 1450 (UB-04), EOBs Electronic Health Records Workers CompensationManaged Care (HMO, PPO, and POS) Greenway PrimeSUITE (EHR/EMR) Office ManagementInsurance Claim Processing Insurance Billing Procedures Medical Office ProceduresEDUCATION & CERTIFICATIONUltimate Medical Academy (Online/Remote), Tampa, FL Medical Billing & Coding, 12/2014 (GPA 3.33)Completed an intensive, accredited training program which included:Anatomy and Physiology, Disease Processes, Surgical Procedures, Life Cycle of an Insurance Claim, Health Care Settings, Health Care Payers, Procedure and Diagnosis Coding from Medical Records, Reimbursement Systems, Keyboarding, Word Processing, Medical Practice Management Systems and Life Skills for Success Pursuing National CPC-A Certification
PROFESSIONAL EXPERIENCEITS, Delray Beach, FL 05/2023-07/2023Outbound calls to DMV or Dealership to verify if a vehicle is plated, titled or registered.Call verifying customer name, address, vin #, year, make and model of the vehicle.Verifying if there is a lienholder.ETCService Administrative, West Palm, FL 02/2023-04/2023Scheduling tickets for field tech for work orders.Scheduling appointment for field techs to do work order,Entering work time for field techsTaking inbound calls from customer to schedule a work appointment.Medical Data SystemsInbound/Outbound calls into a call center settings 08/2022-02/2023Outbound call to insurance companies for update on claimsCall to get verification that claims have been paidSource Point (The Money Source), Palm Bay, FL 12/2020-07/2022Inbound/Outbound interactions daily, giving detailed, personalized, friendlyand polite services to ensure customer retention and satisfaction.Liaison between customers and loan processerAccurately updating all data, ie. (monthly payments and forbearance plansMemorizing company products and services to be able to answer customers questions efficiently.Source Point (Freedom Mortgage), Palm Bay, FLCustomer Care Representative-Call Center 08/2018-12/2020Inbound/Outbound interactions daily, giving detailed, personalized, friendlyand polite services to ensure customer retention and satisfaction.Liaison between customers and loan processerAccurately updating all data, ie. (monthly payments and forbearance plansMemorizing company products and services to be able to answer customer questionsefficientlyChime Solutions, Morrow, GA 02/2017-01/2018Customer Service Representative-Call CenterInteracted with customers via 100-150 inbound call per shift.Identified customer needs and provided resolutions to problems and inquiries.Updated customer accounts; entered data clearly and accurately.Elijah Healthcare Solutions, Jonesboro, GA 10/2015 01/2017Office Assistant/StaffingAnswering multi-line phone systemResponsible for staffing over 50 caregivers to assignmentsAssist with time sheets for payroll, keeping staff member files updatedCaregiver/FamilyTo care for my grandchild due to high daycare 02/2013 08/2015Palm Beach School for Autism, Lantana, FL 08/2008 02/2013Teacher AssistantOversaw the needs of children with special needs, assisted teacher with class lessons, and set class schedule.Used positive reinforcement strategies and other appropriate techniques to assist students.Cleartel Communications, Delray Beach, FL 04/2007 10/2007Customer Service Representative Call CenterInteracted with customers via 100 150 inbound calls per shift.Identified customer needs and provided resolutions to problems and inquiries.Updated customer accounts; entered data clearly and accurately.ADDITIONAL EXPERIENCELevenger, Delray Beach, FL Customer Service Representative / Call Center 04/1999 05/2003 |
