SUMMARY:

• I am Dedicated and Enthusiastic professional with over 20+ years of experience in Customer Service and in the Medical Industry.
• I possess strong written and verbal communication skills and ability to give the best customer services to clients.
• Consistently receive outstanding feedback for the quality of work I perform.

TECHNICAL SKILLS:

• Microsoft Office 2003
• Nu Med
• Microsoft Visio
• Microsoft Outlook
• Work Keys
• Cencon for Windows
• Remedy Software
• Clinical Applications
• Adobe Acrobat Collection
• Dispatch Account Payable and Receivable
• Research AS40
• SQL Application
• Web Docs III
• Scan Apps Software Desktop Applications
• EHS system
• Epic Hyperspace
• Passport
• Availity
• RTE/E - Verified.
• Various Medicaid Eligibility websites.

PROFESSIONAL EXPERIENCE:

Confidential, Norcross, GA

Insurance Verifier Hollis Cobbs Associates

Responsibilities:

• Correct Demographics in Epic
• Verifying insurance through RTE, Avality, and Passport
• Update Insurance Information
• Contact Insurance to get Pre-certification and Pre-Authorizations
• Financial clear patients for visits.

Customer Service Rep Hire Dynamic BVirtual

Responsibilities:

• Proctor testing ( Work from Home)
• Assist with technical issue: logins, software, and test

Customer Service Representative

Responsibilities:

• Assist with customer orders and payments through chat and over phone. ( Work from Home)
• Guide customers through the website and give knowledge of products.
• Answered an average of 100 Calls per day by addressing customer inquiries solving problems and providing new product information.
• Described product to customers and accurately explained details and care of merchandise

Medical Office Assistant

Responsibilities:

• Front Office referring patients to have procedures done and to see other providers.
• Get Pre authorization approvals for procedures, medicine, and office visits by gathering accurate codes, doctor notes, results from previous test and procedures.
• Contact insurances via email and phone to complete and follow-up on authorizations.
• Check Patients in and out, schedule follow-up and new appointments In Nu Med
• Back Office working Approximately 40 patients of various ages up by getting vitals and weight.
• Collecting blood and urine sample, Cultural for all ages.
• Complete well child and school physicals
• Administer immunizations and submit into DHEC system.
• Assist Physician with procedures.

Sample Processor Ameritox

Responsibilities:

• Responsibilities consisted of Collect Urine samples.
• Submit patient information in system and ship samples.

Assistant Manager

Responsibilities:

• Cashier, Assist with reports, scheduling, order, and payroll.
• Politely assisted customers in person and via telephone.
• Earned management trust by serving as key holder, responsibly opening and closing store.
• Described product to customers and accurately explained details and care of merchandise. Greeted customers entering the store to ascertain what each customer wanted or needed. Communicated with vendors regarding back order availability, future inventory and special orders.

Medical Technician Dpt. Of Mental Health

Responsibilities:

• Assist Adults and children patients with collection of blood and urine samples vitals and testing.
• Prep patient before procedures.
• Assist in the Medical, Neurology, Orthopedics, Podiatry, and, Surgical Clinics with minor procedures
• Worked front office check in patients in and out.
• Setup and complete referrals.
• Complete and submit authorizations to insurance companies.
• Correct and process claims for payment

Care-Giver Private Duty

Responsibilities:

• Fulltime caregiver for Adult Patients with Cancer and CPD

Customer Service Representative Priority Staffing

Responsibilities:

• Assist with reservation of rental cars.
• Learned, referenced and applied product knowledge information.
• Answered an average of 60 calls per day by addressing customer inquiries, solving problems and providing new product information.
• Described product to customers and accurately explained details and care of merchandise.
• Provided an elevated customer experience to generate a loyal clientele. Answered product questions with up-to-date knowledge of sales and store promotions

Medical Billing Specialist

Responsibilities:

• Analyzes medical information from medical records. Accurately codes diagnostic and procedural information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate assignments of ICD and/or CPT4 codes, MS-DRGs, APCs, POAs and reconciliation of charges using Nu Med Systems.
• Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records. Seeks out missing information and creates complete records, including items such as disease and procedure codes, point of origin code, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysis, supervisor or individual department for clarification/additional information for accurate code assignment
• Provides quality assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standard

Confidential, Norfolk, VA

Technical Support Analyst

Responsibilities:

• Perform second level tier software troubleshooting, diagnostics, and remote repair if possible.
• Perform second level tier hardware troubleshooting and diagnostics. Log incoming IT support calls using Remedy software.
• Track, update, researched, delegate and escalate IT support calls to Business Analysts and other Support Clinician Personnel.
• Assist in helping the IT Department meet the demands of the organization through the effective use of currently technology and the support of 600 applications used by personnel.
• Assist and lead Customer Support Rep I technicians in their daily duties.
• Medicare Specialist-Answered general Medicare questions for beneficiaries. Provide excellent customer service to Medicare beneficiaries. Medical records using EDI exchange transfer information to other offices. Answer general claim questions for Medicare beneficiaries. Used Next Generation Database software and Siebel’s 7-7 software to query scripting information.
• Perform high volume data entry entering document information into DAISYS software system. Processed turn in documents and supply discrepancy reports filed documents and answered incoming calls for office. Schedule Government Liquidation appointments.