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Click here or scroll down to respond to this candidate304 B West Franklin Street Spring Hope, NC 27882PHONE NUMBER AVAILABLE EMAIL AVAILABLECandidate's Name
PROFESSIONAL PROFILEWell-rounded professional backed by valuable leadership and customer service experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Communicate effectively with clients, internal staff, providers, and insurance payers to support the billing process.Encourage high performance work cultures through leading by example.Effective problem solver, able to assess situations and identify solutions.Manage time and priorities to meet established deadlines.Communication Platforms Zoom, Skype, Google Meet, and MS Teams.Microsoft Office Applications Word, Excel, and PowerPoint Type 35 WPM.KEY QUALIFICATIONSMedical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBsRevenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party PayersElectronic Health Records (EHR) Electronic Medical Records (EMR)Managed Care (HMO, PPO, and POS) Workers CompensationInsurance Verification Insurance Claim Processing CMS 1500 CMS 1450 (UB-04)Front Office Operations Medical Office Procedures SchedulingMedical Terminology Anatomy & Physiology HIPAA Compliance Medical Coding (ICD-10-CM, HCPCS, CPT)EDUCATIONUltimate Medical Academy Associate of Science Degree Medical Billing and Coding, 2022Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals CertificatePROFESSIONAL EXPERIENCETeleperformance WellCare Salt Lake City, UT 12/2022 02/2023Customer Service Representative Contracted (REMOTED)Handled inbound and outbound telephone calls.Adhered to HIPAA law and WellCare procedures and policiesProvided excellent customer service to Medicaid recipientsUtilized the electronic medical records to verify the patients demographic, Medicaid insurance, and program eligibilityReview the patients healthcare plan to ensure coverage and what discount programs they use for prescription and over the counter items.Food Lion Retail Spring Hope, NC 10/2021 PresentCashier / Customer ServiceProvide fast, accurate, and friendly customer service in accordance with company policies and procedures.Operate cash register, process transactions, collect payments, and issue change and refunds.Organize and restock merchandise and keep a clean workspace.Burger King Spring Hope, NC 05/2021 08/2021Shift Manager / Customer ServiceLed team during each shift, supervised and trained team members, and reinforced safe working procedures.Handled inventory and ordering, assigned tasks to employees, and resolved issues.Maintained a customer focused, team-oriented environment by building effective relationships and providing guidance and support to employees.Stocked and restocked items and maintained food safety and sanitation standards.Ensured accuracy of cash drawers and ran sales reports.Walmart Retail Zebulon, NC 09/2020 01/2021Personal Shopper / Customer ServiceFulfilled and processed online grocery orders, used electronic devices to locate, scan, and select items, and packaged for delivery.Communicated effectively with customers about order and met timelines to ensure repeat business.Provided customer service at curbside pickup.Burger King Spring Hope, NC 06/2019 07/2020Shift Manager / Customer ServiceManaged daily operations, supervised up to 5 team members per shift, trained new hires, and delegated tasks.Counted registers, verified cash in safe, and ran reports.Received inventory, placed orders, labeled food items, and documented waste.Attended meetings, enforced policies and procedures, and maintained quality standards.Burger King Spring Hope, NC 08/2018 06/2019Crew Member / Cashier / Customer ServiceGreeted customers, took and prepared orders, accepted payments, and made accurate change.Restocked inventory, responded to customer requests, and ensured service met operational standards.Helped maintain establishment in a clean and organized manner and worked well as part of a team. |
