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Click here or scroll down to respond to this candidateCandidate's Name
Phone: PHONE NUMBER AVAILABLE Cell: PHONE NUMBER AVAILABLE EMAIL AVAILABLE Dallas, TXPROFESSIONAL BACKGROUNDProductive Data Entry Processor with experience in high-pressure office settings. Excellent work ethic combined with an insatiable thirst for new knowledge and skills. A collaborative team player committed to driving efficiency. Also skilled as a Health Care Professional with Insurance Verification Specialist training with some Referral/Prior Authorization skills. Responsible for the support of all patients, to meet the medical, social and personal needs of the patients. Patient-focused with strengths in Labs backed by 20+ years training in busy Hospitals/Clinic & Office setting within a diverse population. I have training experience with various EMR/EHR software such as Cerner, Recondo, Epic, Real Time, Cetrix, Amisys, etc. SKILLED HIGHLIGHTSCustomer Service Specialist Specimen ProcessingMedical Terminology Analytical abilityDetail Oriented/Self-starter Claims Data Entry /Processing Remittance Banking Data EntryPROFESSIONAL EXPERIENCESept. 2023-present NTT DATA Plano, TXMedical Claims Examiner Claim processing in a timely manner. Multi-tasking skill, report errors, problem issues. Highly accurate with pertinent patient information (i.e. reference numbers, DOS, spelling of names, ID numbers, phone numbers, email addresses etc.). Proficient with Microsoft Word, Outlook, general research and beginner knowledge of Microsoft Excel, some PDF Editing HCPCS procedure codes & ICD-10 &11 codes, CPT, along with workflow charts and spreadsheets. Review date for errors & deficiencies, correct any incompatibilities, pay attention to details, basic math to ensure accuracy for output.Dec.2020 -April 2022 Bank of America Dallas, TXData Entry Processor III Entering personal client information, client lockbox, commercial and personal checks, and patient EOB's into the system. Inputting payment data accurately from remittance documents based on customer requirements. Conducting data entry tasks independently with the capacity to handle pressure and adhere to deadlines. Demonstrating precision, speed, and focus when managing high volumes of work. Proficient in reading, speaking, and comprehending English, with a fundamental grasp of databases and meticulousness.Jan. 2020-May 2020 Aspire Fertility Addison, TXInsurance Verification Specialist Responsible for contacting patients through text messages or phone calls to remind them about their outstanding balance for treatment and to address any inquiries they may have. Update patient insurance details and verify if they have up-to-date infertility insurance coverage for their procedure. Conduct verifications by utilizing online resources, checking with the primary care physician, and reviewing copay, deductible, or coinsurance information. Initiate requests for referrals and prior authorizations as needed. Demonstrate a thorough understanding of the importance of referring physicians and other critical information, while also diligently gathering any additional necessary details. Handle electronic health record tasks, emails, and work queues, utilizing systems such as EMRs, Progyny, Cigna, BCBS, IDEAS, Imagine, and Availity. Nov. 2017-April 2019 United Health Group Irving, TX Insurance Verification (Advocate) Uphold confidentiality of company, client, and patient data. Assess claims and decide on next steps for recovery. Demonstrate ability to prioritize and handle multiple tasks in a fast-paced setting, accurately record eligibility information in system. Proficient in Medical Terminology, CPT, ICD 9-10 coding. Effective interpersonal communication skills for INN, ONN, & OOP eligibility. Handle incoming calls from Medicare patients aged 65 and above with Employer Group benefits. Provide EMR training on Recondo, Epic, Real Time, private insurance, Allscripts, Acumen, Availity, STAR+PLUS platforms.EDUCATIONParker University Dallas, TXOccupational Therapy AssistantAREAS OF EXPERTISEHMO PPOEOB MIODANOC DMECOB Formulary Drugs45 wpm/Data Entry ICD 9 & 10 Codes |
