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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Blue Bream DriveLake Wales, Florida Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLECUSTOMER SERVICEKnowledge of administrative and clerical procedures and systems such as word processing, managing files and records, transcription, data entry, and other office procedures and terminology.Claims to Work (C2W)Omniview/OasisPerceptive Content /Reflection WorkspaceEmdeonMicrosoft Office, Word, Outlook, and ExcelProficient with number key padDocutrack Scanning SystemPROFESSIONAL EXPERIENCE2013 Current Omnicare, Inc Daytona Beach, FLSr. Revenue QualifierMaintain and input information reported by Admissions and Business Office, such as daily census, patient face sheets and documentsChange Payers (re:MCD,MCR,MGD,PVT)Check for Insurance with BCBS,CIGNA,MEDCO,MCD,MCR and MED BCheck for Hospice and process Claims related to DiagnosisDischarge Patients going home, Leave of Absences, Hospital LeaveLiaison between Nurses, Business Office Mgrs. Of Nursing homes, and Guarantors/Patients on a daily basisResearch and resolve issues/discrepancies of medicine dispensing/returns, insurance claims and payer status of patients initiated by customer or client.Handled inbound/outbound calls to resolve customer issuesAnswer/research facility and pharmacy questions concerning payer status and insuranceKey skills/StrengthsAbility to work under pressureGreat time ManagementSelf-MotivatedGreat leadership skillsExcellent problem solving skills1991-2012Hospital De La ConcepcionHospital Billing ClerkProcess billing to insurance companies and the Third party reimbursement claimsAnswer and resolve by telephone or in writing patient billing inquiresReview accounts not billed and prepared, bill from available informationSet-up new patients accountPost and reconcile insurance and patients paymentsResearch and resolve incorrect payments or other issues with outstanding balanceMaintain supporting documentation, files and current patient demographic informationRe-submit insurance claims as necessary and within the time limitPerform miscellaneous job related duties as assignedRegister patients for all referrals, labs, same day procedures, x-raysRegister all information for Emergency chartsEducation1970 Harrison High School Chicago, IllinoisSecretary Vocational Training1972 Lola Rodriguez de Tio San German, P.RRecords Organization & ManagementMedical InsuranceExcellent Interpersonal SkillsMS (Word, Excel, Power Point, OutlookClaim Entry& Payment PostingPhone SkillsUsage of Office equipment (printer, scanner, photocopy, fax machineReferences:Maria De Los Angeles Ramirez Medical Billing Supervisor Hospital de la ConcepcionPHONE NUMBER AVAILABLE Ext 1543Tomeka Diop RQ Manager 1-800-965-3974 Ext 32114Sara Klee RQ Supervisor 1-800-965-3974 Ext 60558Deborah Taphorn CBC Manager 1-800-965-3974 Ext 60527 |
