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Charge Entry Account Representative Resume Example

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CHARGE ENTRY ACCOUNT REPRESENTATIVE
Professional Summary

Highly efficient Charge Entry Account Representative with experience in anesthesia, EKG, inpatient and outpatient. Excellent multi-tasker and demonstrated team player with a positive attitude. Proficient with EPIC and currently studying medical billing & coding and business. Strong attention to detail and a desire to advance in the health care field.

Skill Highlights
  • Maintains strict confidentiality
  • Electronic Medical Record (EPIC) software
  • ICD-9 and ICD-10 knowledge and data entry
  • HIPAA compliance
  • Strong work ethic
  • Team player with positive attitude
  • Deadline-driven
  • Patient-focused care
Professional Experience
Charge Entry Account Representative 12/2012 to Current Palo Alto Medical Foundation Sunnyvale, CA
  • Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
  • Added modifiers as appropriate and verified diagnoses.
  • Analyzed and interpreted patient medical and surgical records to complete charge tickets for processing.
  • Evaluated and entered charges, payments and adjustments.
  • Ensured timely and accurate charge submission through electronic charge capture.
Pharmacy Technician 06/2009 to 12/2012 Palo Alto Medical Foundation Los Gatos, CA
  • Carefully reviewed medical records for accuracy and completion as required by insurance companies.
  • Strictly followed all federal and state guidelines for release of information.
  • Acquired insurance authorizations for procedures and tests ordered by the attending physician.
  • Received and submitted all prescription refill requests on behalf of the patients to the physicians.
  • Provided refill desk support for all the physicians in Palo Alto Medical Foundation and surrounding Pharmacy's.
  • Resolved and clarified issues with patient medications and collaborated with local pharmacies.
  • Accurately entered prescription and refill orders into EPIC and directed them accordingly.
  • Phoned in prescriptions as needed per patient chart and authorized refills.
  • Completed prior authorizations accurately and efficiently.
  • Maintained and reported statistical data in a timely and efficient manner.
  • Performed duties and participated in organization projects as assigned.
Pharmacy Technician 09/2005 to 06/2009 Rite Aid Pharmacy Los Gatos, CA
  • Assist customers with prescription pick up and drop off.
  • Processing of various customers claims and resolve complaints.
  • Handling of multi-line phone system and cashiering duties.
  • Maintenance of McKesson/warehouse ordering and monthly inventory reports.
  • Thoroughly investigated past due invoices and minimized number of unpaid accounts.
  • Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate insurance information.
  • Strictly followed all federal and state guidelines for release of information.
  • Acquired insurance authorizations for prescriptions ordered by the attending physician.
  • Maintained an organized logging system for patients prior authorizations, refill requests and control medication inventory.
  • Resolved and clarified issues with patient medications and collaborated with physicians accordingly.
  • Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
  • Confirmed patient information, collected copays and verified insurance.
  • Evaluated the accuracy of provider prescriptions, including dates of service, ordered medication, drug class, quantity, authorized refills, patient identification and provider signature.
  • Completed and submitted Medi-Cal TARS, filed, and submitted claims.
  • Consistently informed patients of their financial responsibilities prior to services being rendered. .
  • Compounding of medications and oversee dispensary operations.
Education and Training
Bachelor of Science: BA in Business 2018 University of Phoenix San Jose, CA

Member of The National Society of Collegiate Scholars

3.10 GPA

Currently studying
Billing/Coding: Medical Coding 2016 John Hailes University San Jose, CA

Currently studying
Certified Test Administrator 2005 Pearson Vue San Jose, CA
Pharmacology.: Pharmacy Technician 2005 Unitek College San Jose, CA

Perseverance Academic Achievement Award

Team Player Academic Achievement Award

99% grade point average Academic Achievement Award

Perfect Attendance Academic Achievement Award
Massage Therapy 2004 Bryman College San Jose, CA
Select One: Interior Design Assistant 2001 Central County Occupational Center San Jose, CA
Licenses

California State License Pharmacy Technician TCH64400

AAPC Member ID# 01442927


Skills
  • EPIC, Word, Excel, Outlook, Lawson, Kronos and Nexgen program experience.
  • Pharmacology knowledge, McKesson and warehouse ordering.
  • Multiple phone lines, call center, patient registration and extensive data entry.
  • Printing, faxing, inner office mail, production log reports, and high volume workload management.
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Resume Overview

Companies Worked For:

  • Palo Alto Medical Foundation
  • Rite Aid Pharmacy

School Attended

  • University of Phoenix
  • John Hailes University
  • Pearson Vue
  • Unitek College
  • Bryman College
  • Central County Occupational Center

Job Titles Held:

  • Charge Entry Account Representative
  • Pharmacy Technician

Degrees

  • Bachelor of Science : BA in Business 2018
    Billing/Coding : Medical Coding 2016
    Certified Test Administrator 2005
    Pharmacology. : Pharmacy Technician 2005
    Massage Therapy 2004
    Select One : Interior Design Assistant 2001

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