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PHONE NUMBER AVAILABLE EMAIL AVAILABLEPROFESSIONAL PROFILECustomer service focused, dependable, and hardworking professional with healthcare industry experience and a reputation for quality, efficiency, and commitment to top-notch customer service. Pay close attention to detail for accurate and compliant documentation and maintain and ensure patient privacy and confidentiality.Electronic Health Records PointClickCare EHR Software.Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate.Video Communication Platforms Zoom and Google Meet.Microsoft Office Applications Word, Excel, and PowerPoint.CORE 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 AcademyAssociate of Science Degree / Health Sciences Medical Office and Billing Specialist, 2022St. Louis College of Health CareersDiploma Patient Care Technician, 2006WORK EXPERIENCETeleperformance Remote 09/2022 10/2023Healthcare Customer Service AdvocateAnswer inbound/outbound telephone calls, chat, email & reviews in a skills-based environment where transactions range from call transfers to medical professional.Provide customers with a clear picture of company products and services; always leading the call without failing to listen to the voice of the customer.Spoke with medical personnel on behalf of members and assisted with scheduling and rescheduling of appointments.Submitted claims and acknowledged if the claims were denied or accepted for members.Helped members with changing insurance plans.Answered and explain benefits questions to members.Assisted with insurance payments for members.Updated members accounts and assist with finding providers in-network.Ultimate Medical Academy East St. Louis, IL 11/2020 05/2022Full Time StudentNavigated new technology, accessed online computer systems, and utilized available resources.Developed, managed, and maintained a budget effectively.Remained self-directed and took actions necessary to accomplish academic goals.Avalon Care Center St. Louis, MO 07/2018 04/2019Beauvais Manor St. Louis, MO 02/2017 05/2018Certified Nursing AssistantWorked in long-term care facility with adults and elderly with disabilities.Trained new hires, exhibited leadership, and led by example.Answered inbound phone calls, took down messages, performed data entry, and used PointClickCare EHR.Rancho Manor St. Louis, MO 04/2015 08/2017Certified Nursing AssistantProvided nursing care in accordance with resident care policies and procedures.Met the needs of all assigned patients and administered training to new hires.Ensured the utmost safety and well-being of the residents.Completed daily logs documenting patient condition and activities.Full Time Parent East St. Louis, IL 07/2011 04/2015HomemakerProvided encouragement, support, and access to activities that enable the development of skills.Developed, managed, and maintained a budget effectively.Coordinated and facilitated medical care, meals, and educational and social activities.Walmart Collinsville, IL 01/2008 06/2011Retail Cashier / Customer ServiceAnswered incoming calls, provided information, and exhibited high level customer service.Served as direct point of contact and delivered excellent customer service with a positive attitude.Operated cash register, scanned merchandise, accepted payments, ensured accuracy of cash drawer, stocked shelves, and kept work area clean and organized.Worked as part of a team and interacted with diverse customers and staff members. |
