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Advanced MSA Resume Example

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ADVANCED MSA
Summary
Organized Advanced MSA with the ability to readily adapt to changing environments and demands. Excellent at multi-tasking, communication, and demonstrates team player with a positive attitude.
Skills
  • Records maintenance
  • Electronic Medical Record (EMR) software
  • Patient referrals
  • Familiar with commercial and private insurance carriers
  • Understands insurance benefits
  • HIPAA compliance
  • Medical billing software
  • Composed professional demeanor
  • Strong planning skills
  • Excellent problem solver
  • Strong work ethic
  • Resourceful and reliable
  • Team player with positive attitude
  • Knowledge of Microsoft office, outlook, Internet Explorer.
  • Multi-line phone systems
  • Fax Machine
  • Copy machine
  • Strong multi-tasking skills
  • Patient scheduling
  • Cross training
Experience
Advanced MSADec 2016 to Current
Company Name － City, State
  • Answer phones
  • Make appointment's for Veterans
  • Make notes regarding appointments
  • Work closely with technicians to schedule appointments correctly
  • Review future schedules of technicians and doctors to coordinate schedules for scheduling patients
  • Print daily schedule lists
  • Collect insurance information from veterans
  • Back up time keeper
  • Knowledge of audit system BISL
  • Knowledge of Fileman
  • Access to Pulse
  • Works closely with AO to complete VISN and other suspenses
  • Organize and set priorities for work load and extra projects
  • Communicates with coworkers to make sure there is enough coverage for breaks.
Customer Service RepresentativeMay 2014 to Dec 2016
Company Name － City, State
  • Entering note's in member's accounts
  • Answered phones for health insurance and dental insurance members
  • Answer questions about claims and claim status
  • Researching and answering questions about member's health and dental benefits
  • Enter Medical claims into system for processing
  • Match medical claims to members for processing
  • Enter medical authorization requests into system, fax approved authorization letters to providers and facilities.
  • Cross train 3 customer service representatives on network information
  • Cross train 1 Cobra specialist on Customer service representative job duties
  • Trained 2 new people on the work system and how to perform their job duties
  • Completed a training manual for current and new employees to use when working Network line
  • Completed spread sheets to show data of new enrollments and to insure information was entered correctly
  • Reported information to Manager from reports.
Oct 2012 to Jan 2014
Company Name
  • Technical Support for inbound call center assisting AT&T wireless Customers.
  • Trouble shooting devices.
  • Researching customer's account information and applying credits as needed.
  • Customer Service and entering notes into customer's account information.
  • Keeping all information secure and verifying all sensitive information as required.
Billing Help/Front DeskApr 2012 to Oct 2012
Company Name － City, State
  • Entering Billing charges into billing system.
  • Entering patient demographics.
  • Adeptly managed a multi-line phone system and pleasantly greeted all patients.
  • Recorded and filed patient data and medical records.
  • Professionally and courteously verified appointment times with patients.
  • Strictly followed all federal and state guidelines for release of information.
  • Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
  • Confirmed patient information.
  • Wrote clear and detailed clinical phone messages for physicians.
  • Maintained strict patient and physician confidentiality.
  • Scheduled appointments, registered patients.
Benefit SpecialistDec 2009 to Apr 2012
Company Name － City, State
  • Strictly followed all federal and state guidelines for release of information.
  • Completed registration quickly and cordially for all new patients.
  • Monitored shared email in-boxes and ensured inquiries were addressed.
  • Precisely evaluated and verified benefits and eligibility.
  • Efficiently performed insurance verification and pre-certification and pre-authorization functions.
  • Adeptly managed a multi-line phone system and pleasantly greeted all patients.
  • Acquired insurance authorizations for procedures and tests ordered by the attending physician.
  • Verified patients' eligibility.
  • Maintained strict patient and physician confidentiality.
  • Resourcefully used various coding books, procedure manuals and on-line encoders.
  • Status with insurance agencies.
  • Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
  • Updated patient financial information to guarantee accuracy.
  • Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.
Benefit SpecialistFeb 2009 to Dec 2009
Company Name － City, State
  • Strictly followed all federal and state guidelines for release of information.
  • Completed registration quickly and cordially for all new patients.
  • Monitored shared email in-boxes and ensured inquiries were addressed.
  • Precisely evaluated and verified benefits and eligibility.
  • Efficiently performed insurance verification and pre-certification and pre-authorization functions.
  • Adeptly managed a multi-line phone system and pleasantly greeted all patients.
  • Acquired insurance authorizations for procedures and tests ordered by the attending physician.
  • Verified patients' eligibility.
  • Maintained strict patient and physician confidentiality.
  • Resourcefully used various coding books, procedure manuals and on-line encoders.
  • Status with insurance agencies.
  • Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
  • Updated patient financial information to guarantee accuracy.
  • Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.
Front Office StaffSep 2005 to Mar 2007
Company Name － City, State
  • Recorded and filed patient data and medical records.
  • Professionally and courteously verified appointment times with patients.
  • Strictly followed all federal and state guidelines for release of information.
  • Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
  • Monitored shared email in-boxes and ensured inquiries were addressed.
  • Confirmed patient information, collected co-payments and verified insurance.
  • Wrote clear and detailed clinical phone messages for physicians.
  • Prepared patient charts accurately and neatly for the clinic.
  • Maintained strict patient and physician confidentiality.
  • Scheduled appointments, registered patients.
  • Adeptly managed a multi-line phone system and pleasantly greeted all patients.
Education and Training
Diploma2004Sparks High School
Bachelor's Degree, Administrative Business Management2014Morrison UniversityAdministrative Business Management
Bachelor's Degree, Administrative Business ManagementTrident University International CurrentAdministrative Business Management
Skills
schedule appointments, billing system, filing, home care, Medical billing, phone systems, scheduling, spread sheets, Technical Support
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Resume Overview

School Attended

  • Sparks High School
  • Morrison University
  • Trident University International Current

Job Titles Held:

  • Advanced MSA
  • Customer Service Representative
  • Billing Help/Front Desk
  • Benefit Specialist
  • Front Office Staff

Degrees

  • Diploma 2004
    Bachelor's Degree , Administrative Business Management 2014
    Bachelor's Degree , Administrative Business Management

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